tci Medicare Compliance & Reimbursement - 2003 Issue 43

Medicare+Choice: MEDICARE LOOKING TO PPOs, PPOs LOOKING FOR FUNDING

Early-adopting Medicare PPOs site some success, but many questions.  If preferred provider organizations are indeed the future of Medicare, then now's the time to take a closer look at how the Medicare demonstration PPOs have been performing. PPOs will be a more viable option in Medicare than HMOs have been, Leslie Norwalk, acting deputy administrator for the Centers for Medicare & Medicaid Services, said at the Medicare and Medicaid Conference held Oct. 21 by the American Association of Health Plans/Health Insurance Association of America. CMS is hoping to bring PPOs not just to the thickly settled areas that...

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