8/14/2023 0 Comments Spending typesTotal spending on Part A and Part B services for traditional Medicare beneficiaries was $348.0 billion in 2020, a decrease of 5.8% ($21.4 billion) from 2019.We find that Medicare spending declined across most, but not all, types of services, as a smaller share of beneficiaries used most types of Medicare-covered health care services in 2020 compared to 2019. Understanding how spending and utilization changed across different types of services in 2020 is useful for identifying areas where beneficiaries delayed or skipped care in response to the pandemic, which could have longer-term implications for health outcomes and Medicare spending. (Similar data for beneficiaries enrolled in Medicare Advantage or for prescription drug spending are not available.) The data include both Medicare and beneficiary out-of-pocket spending on Part A and Part B covered services, but not Part D prescription drug spending. This analysis uses recently released data from the Centers for Medicare & Medicaid Services (CMS) to examine trends in spending and utilization by type of health care service between 20 for Medicare beneficiaries who were enrolled in both Part A and Part B of traditional Medicare. Medicare Advantage payments were determined in mid-2019 prior to the pandemic, and therefore, did not reflect the lower utilization that occurred in 2020. However, total Medicare spending increased in 2020 because federal payments per Medicare Advantage enrollee rose 6.9%. The lower spending in traditional Medicare contributed to the relatively slower growth in Medicare spending overall in 2020. The drop in spending followed the sharp decline in the use of health care services during the initial months of the COVID-19 pandemic, and reflects a decrease in spending among traditional Medicare beneficiaries on most health care goods and services. ![]() In 2020, spending for traditional Medicare beneficiaries declined for the first time in more than two decades.
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