Medicare Advantage: options for standardizing benefits and information to improve consumer choice.

نویسندگان

  • Ellen O'Brien
  • Jack Hoadley
چکیده

The Medicare Advantage (MA) program offers beneficiaries a choice of private health plans as alternatives to the traditional fee-for-service Medicare program. MA plans potentially provide additional value, but as plan choices have proliferated, consumers contemplating their options have had difficulty understanding how they differ. Through "standardization" more consistent types of information and a limited number of dimensions along which plans vary--MA plans could reduce complexity and improve beneficiaries' ability to make informed choices. Such standardization steps would offer more meaningful variation in the health coverage options available to beneficiaries, Medicare officials and their community partners would find it far easier to educate beneficiaries about their health plan choices, and beneficiaries would better understand what they were buying. Standardization might also strengthen the ability of the market-based Medicare Advantage program to incorporate beneficiary preferences.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Coordinating care for dual eligibles: options for linking state Medicaid programs with Medicare Advantage Special Needs Plans.

Medicare Advantage Special Needs Plans (SNPs) for dual eligibles--individuals who qualify both for Medicare and Medicaid benefits--have the potential to coordinate Medicare benefits with state-administered Medicaid benefits. States that aim to develop such programs may choose from among three potential models: 1) a Medicaid program in which the beneficiary voluntarily enrolls in a single manage...

متن کامل

Cal MediConnect Enrollment: Why Are Dual-Eligible Consumers in Los Angeles County Opting Out?

Los Angeles County has the state’s lowest rate of consumer enrollment in Cal MediConnect, a program that is responsible for the delivery and coordination of medical, behavioral health, and long-term services and support benefits for individuals who are dually eligible for Medicare and Medi-Cal. This policy brief examines the factors that influence consumer decisions and may contribute to low en...

متن کامل

CMS's Consumer Information Efforts

In this issue of the Health Care Financing Review, we focus on consumer information for the Medicare population. Over the last several years the Centers for Medicare & Medicaid Services (CMS) has increased its efforts to provide clear and useful information to Medicare beneficia­ ries to help them make more informed health care decisions. The emphasis on consumer information increased dramati­ ...

متن کامل

Third Revised Draft: Please Do Not Quote or Cite Without Permission Bounded Rationality and the Conceptual Underpinnings of Health Policy: A Rationale and Roadmap for Addressing the Challenges of Choice in Medical Settings

The implementation of Medicare Part D illustrates some of the foibles of maximizing the number of choice options in an effort to empower consumers. Findings from research on bounded rationality suggest that people frequently make choices on the basis of decision heuristics that cause them to: (a) ignore relevant information about uncertain prospects, (b) use information in ways that systematica...

متن کامل

Consumer Perspectives on Information Needs for Health Plan Choice

The premise that competition will improve health care assumes that consumers will choose plans that best fit their needs and resources. However, many consumers are frustrated with currently available plan comparison information. We describe results from 22 focus groups in which Medicare beneficiaries, Medicaid enrollees, and privately insured consumers assessed the usefulness of indicators base...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:
  • Issue brief

دوره 33  شماره 

صفحات  -

تاریخ انتشار 2008