tci Medicare Compliance & Reimbursement - 2004 Issue 12

Managed Care: Thanks, Taxpayers! What Health Plans Are Doing With Their Extra Medicare Pay

Plans creating larger networks, lowering premiums.Want to know how the playing field is shaping up for Medicare Advantage plans post-reform? A Feb. 27 review by the Centers for Medicare & Medicaid Services reveals that average premiums will shrink about $11 dollars (from $42.40 to $31.44) for millions of enrollees, while beneficiaires covered under some type of prescription drug benefit will rise a notch to 80 percent. According to the amended adjusted community rate proposals sent to CMS, here's how plans decided to share the extra money they'll receive under last year's Medicare reforms:42 percent of...

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