M+C Plan County Exit Decisions 1999-2001: Implications for Payment Policy
نویسنده
چکیده
The primary legislative response to diminishing private plan participation in the Medicare+Choice (M+C) program since 1999 has been substantial payment increases. Analysis of M+C decisions to continue serving or drop counties from 1999-2000 and 2000-2001 reveals that payment amounts, although important, did not have a consistent impact on these decisions. Plan decisions varied depending on the year and the intention to continue participating in M+C at all. Simulations show that M+C plans were better off, on average, with the payment methodology imposed by the Balanced Budget Act (BBA) of 1997 than under the previous payment system and that large payment increases would increase plan retention.
منابع مشابه
Payment Reduction and Medicare Private Fee-for-Service Plans
Medicare private fee-for-service (PFFS) plans are paid like other Medicare Advantage (MA) plans but are exempt from many MA requirements. Recently, Congress set average payments well above the costs of traditional fee-for-service (FFS) Medicare, inducing dramatic increases in PFFS plan enrollment. This has significant implications for Medicare's budget, provoking calls for policy change. We pre...
متن کاملAn update on Medicare+Choice: rural Medicare beneficiaries enrolled in Medicare+Choice plans through October 2000.
Authors: Timothy D. McBride Courtney Andrews Alexei Makarkin University of Missouri-St. Louis Keith J. Mueller University of Nebraska Medical Center Since passage of the Balanced Budget Act of 1997 (BBA), enrollment in Medicare+Choice (M+C) plans in all counties increased from 5.2 million persons in September 1997 to a peak of 6.3 million persons in September 1999, then declined to 5.6 million ...
متن کاملDisentangling the Consequences of Direct Payment Schemes in Agriculture on Fixed Costs, Exit Decisions and Output
It is the Policy of Cornell University actively to support equality of educational and employment opportunity. No person shall be denied admission to any educational program or activity or be denied employment on the basis of any The University is committed to the maintenance of affirmative action programs which will assure the continuation of such equality of opportunity. It is the Policy of C...
متن کاملTechnological Innovation and Banking Industry/Monetary Policy: Forum on the Development of Electronic Payment Technologies and Its Implications for Monetary Policy—Report
1. Preface In December 1997, the Bank of Japan established the Forum on the Development of Electronic Payment Technologies and Its Implications for Monetary Policy to examine the influence of the development of electronic payment technologies including electronic money on monetary policy. The forum released the Interim Report in May 1999. Subsequently, the forum expanded the scope of its examin...
متن کاملHMO Participation in Medicare+Choice
In recent years, many health maintenance organizations (HMOs) have exited Medicare+Choice (M+C), the program that provides a managed-care option to Medicare. This paper answers the following questions: How does the equilibrium number of HMOs participating in county M+C markets vary with the capitation payment they are offered? How large a payment is required at the margin to ensure that various...
متن کامل