tci Medicare Compliance & Reimbursement - 2003 Issue 31

HealthPlans: WHY HEALTH PLANS HATE THE IDEA OF MEDICARE 'REGIONS'

The White House, House, and Senate all want to ensure health-plan choices for Medicare beneficiaries across the country - without drastic premium differences overwhelmingly favoring large urban areas - by requiring plans to serve relatively large, potentially even multi-state regions. Health plans haven't been shy about just saying no to this idea. As the Medicare conference proceeds, insurers large and small are laying out complaints about the plan to anyone who'll listen. For example, small local plans that have continued serving M+C even as some big national companies have abandoned it are annoyed that the big-region idea appears geared...

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