HOME >> MEDICINE >> NEWS
Extra Medicare payments for private health plans to total $2.75 billion in 2004

New York City, May 20, 2004--In 2004 Medicare private plans in the country will be paid 8.4% more per enrollee on average than fee-for-service costs, according to a new report from The Commonwealth Fund. These extra payments to Medicare Advantage plans--formerly called Medicare Plus Choice--average $552 per plan enrollee, or a total of $2.75 billion overall.

In The Cost of Privatization: Extra Payments to Medicare Advantage Plans, Brian Biles and Lauren Hersch Nicholas of George Washington University, and Barbara S. Cooper of The Commonwealth Fund note that while the objective of higher payment rates to private plans in the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA) is to save Medicare money in the long term, the payments will add to Medicare's costs in 2004. The total extra payments are calculated based on enrollment at December 2003 levels of approximately 5 million Medicare enrollees in managed care plans, or 11.8 percent of total Medicare beneficiaries.

"The experience of private health plans in Medicare has not been promising, as plans have dropped coverage where it hasn't been profitable. Beneficiaries who lose their coverage in this manner often face disruption in their care as they seek coverage through another plan or Medigap--or pay more out of pocket with Medicare-only coverage," said Commonwealth Fund President Karen Davis. "The policy of increasing payments to private managed care plans needs to be carefully monitored to determine if it is achieving its objectives and is making the best use of funds for Medicare beneficiaries."

"New 2005 rates for private health plans announced by Medicare last week indicate that the policy of extra payments to private plans will continue," said Biles, professor of health services management and policy at George Washington University.

Rural plans have higher extra payments than urban plans--16% over local fee-for-service costs--but the total of addit
'"/>

Contact: Mary Mahon
mm@cmwf.org
212-606-3853
Commonwealth Fund
20-May-2004


Page: 1 2

Related medicine news :

1. Extra care needed for dying patients
2. Extract from traditional Chinese herb enhances recovery in stressed cells
3. Low Cholesterol Extracts A Price
4. Randomized Placebo-Controlled Study On The Effects Of Oral Treatment With GinkgoBiloba Extract In Patients With Erectile Dysfunction
5. Milk Extract May Heal Wounds And Smooth Wrinkles
6. Medicare HMOs fail to control costs of colon surgery in elderly patients
7. Partnership for Prevention and ACPM commend expanded coverage of preventive services under Medicare
8. Lower drug prices could eliminate coverage gap in Medicare prescription drug plan
9. Long history of missed opportunities plague Medicare prescription drug benefit
10. Beneficiaries with chronic conditions still face high costs under new Medicare drug law
11. More risk factors for heart disease increase Medicare cost

Post Your Comments:
*Name:
*Comment:
*Email:


(Date:11/15/2019)... ... November 15, 2019 , ... DataTribe ... data science companies with nation-state experienced technical teams from the intelligence community, research ... is Code Dx Inc ., based in Northport, New York. ...
(Date:11/14/2019)... ... November 14, 2019 , ... With ... System reminds community members, businesses and organizations about the benefits of supporting local ... that inspires hundreds of millions of people to give, collaborate and celebrate generosity ...
(Date:11/14/2019)... ... November 14, 2019 , ... EMulate Therapeutics, ... serious diseases, announced it will have 5 poster presentations related to its medical ... Society for Neuro-Oncology SNO Meeting in Phoenix, beginning on November 20 . ...
(Date:11/14/2019)... ... November 14, 2019 , ... AstraZeneca and MSD ... acceptance to file status of its application for the MEK inhibitor selumetinib, for ... type one (NF1). The FDA’s acceptance of the application is a major milestone ...
(Date:11/12/2019)... ... November 12, 2019 , ... AI for preventable harm analytics leader Jvion ... AI 2019 - Actualizing the Potential of AI”, which provides a “tip of the ... healthcare-focused AI company with enough clients to complete a full KLAS analysis, Jvion was ...
Breaking Medicine News(10 mins):
(Date:11/19/2019)... RHINELANDER, Wis. (PRWEB) , ... November 18, 2019 ... ... Formulation on Various Health Biomarkers Using Cell-Based Assays” by Elizabeth Patric has been ... myriad categories including Holistic Medicine, Biochemistry, Microbiology, Nosology, Nursing Reference, Research and Theory, ...
(Date:11/19/2019)... ... 19, 2019 , ... Respected Hollywood actor and film director, ... with Laurence Fishburne. The program’s central focus is to inform the general public ... to be aired on the show, a new segment covering TMJD (Temporomandibular Disorder) ...
(Date:11/16/2019)... COLUMBUS, Ohio (PRWEB) , ... November 15, 2019 ... ... and older adults living with memory impairment, has announced the Best Memory Care ... location, access to experts, facility features and amenities. , According to the ...
Breaking Medicine Technology:
Cached News: