tci Medicare Compliance & Reimbursement - 2003 Issue 21

Medicare+Choice: 2004 PAYMENT RATES OFFER LITTLE HELP TO STRUGGLING M+COS

Will this be the straw that breaks Medicare+ Choice's back or the final insult that finally convinces Congress to enact major Medicare reform? The Centers for Medicare & Medicaid Services announced May 12 that Medicare+Choice plans will receive a paltry 2-percent payment boost in 2004. Plans have been clamoring for more funding to save the struggling program, and 2 percent falls quite short of expectations. "At a time when health care costs are soaring, the 2004 health plan payment rates exacerbate the funding shortfall that has limited the vast potential of this important program," said American Association of...

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