tci Medicare Compliance & Reimbursement - 2005 Issue 33

MEDICARE ADVANTAGE: A Dream Deferred- Regional PPO Plans Face Obstacles

Many won't be able to comply until 2007.Health plan providers see great possibilities in the recent Medicare Advantage regional preferred provider organization initiative, but they also see significant hurdles to overcome. The initial compliance hurdles will force many plans to wait awhile to realize their goals.The regional PPOs are, "if not unique, at least a distinctive opportunity" for insurers, according to Robert Hurley, associate professor in the Department of Health Administration at Virginia Commonwealth University. In a new study published in the journal Health Affairs, Hurley and co-authors from the Center for Studying Health System Change...

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