tci Medicare Compliance & Reimbursement - 2006 Issue 10

MEDICARE: Privatization--Medicare's Next Evolutionary Step?

Managed care may have another chance at success.Part D may have turned traditional Medicare coverage upside-down--but its implications reach far beyond prescription drug coverage. Part D may be just one more step the Medicare Modernization Act is taking toward transforming fee-for-service Medicare Advantage coverage into a veritable privatized health plan.Payment incentives for private plans, declining supplemental coverage, complicated plan options under the traditional Medicare program, and ongoing MMA policy changes all suggest that Medicare coverage is already well on its way to privatization, suggests Jeanne Lambrew, associate professor of health policy at George Washington University and Center...

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