The Direct Payment Method for Medicare Managed Care Plans
نویسندگان
چکیده
منابع مشابه
A report on enrollment: rural Medicare beneficiaries in Medicare+Choice plans.
The Medicare+Choice program was created by the Balanced Budget Act (BBA) of 1997 (Public Law 105-33), signed into law by President Clinton in August 1997. The legislation changed the method for computing capitation rates paid to Medicare+Choice plans, beginning in January 1998. The initial impact was on managed care plans that had been active prior to the BBA, but new Medicare+Choice plans, whi...
متن کاملThe Direct Payment Method for Medicare Managed Care Plans: A Concept Paper
This report was prepared under Contract Number 500-00-0025/T.O. #1 with the Centers for Medicare and Medicaid Services. Any views expressed are those of the authors and do not represent The Urban Institute, its trustees or its sponsors.
متن کاملVolatility in Medicare AAPCC rates: 1990-1997.
As Medicare beneficiary enrollment in managed care plans increases, and as Congress considers relying on capitation for achieving savings in the program, the question of finding a fair and equitable formula for determining the monthly payment to managed care plans has become increasingly salient. This DataWatch focuses on one dimension of using previous expenditures to determine annual capitati...
متن کاملRisk-Adjustment System for the Medicare Capitated ESRD Program
Medicare is the principal payer for medical services for those in the U.S. population suffering from end-stage renal disease (ESRD). By law, beneficiaries diagnosed with ESRD may not subsequently enroll in Medicare Advantage (MA) plans, however, the potential benefits of managed care for this population have stimulated interest in changing the law and developing demonstration plans. We describe...
متن کاملDoes Managed Care Reduce Federal Spending? Evidence from Medicare
Although Medicare Managed Care (MMC) was introduced as a way to reduce costs, the effect of the program on total Medicare spending is unknown. Current literature has focused on three conflicting sets of findings including spillover effects from managed care which reduce total Medicare spending and positive selection into managed care and overpayments to managed care plans relative to Fee-for-Se...
متن کامل