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Medicare Advantage In 2006-2007: What Congress Intended?

 Medicare News, Syndicated  Comments Off
Aug 092007
 
Health Aff, Vol. 26, No. 4. (1 July 2007), pp. w445-455.

Starting in 2006, almost all Medicare beneficiaries have at least one Medicare Advantage (MA) plan available to them. Although new regional preferred provider organization (R-PPO) plans authorized through the Medicare Prescription Drug, Improvement, and Modernization Act (MMA) of 2003 contribute to this growth, private fee-for-service (PFFS) plans are more numerous and more popular with beneficiaries. Almost 1.5 million beneficiaries are in PFFS plans, 84 percent living in "floor" counties paid more by Medicare to encourage MA offerings. Whether beneficiaries are well served by policies that use scarce resources to encourage competition among largely unmanaged FFS plans is an issue that warrants discussion. 10.1377/hlthaff.26.4.w445
Marsha Gold

Physicians raise concerns about proposed Medicare changes

 Medicare News, Syndicated  Comments Off
Dec 311969
 
The health care legislation being considered by Congress seeks to reform Medicare and look for alternatives to the fee-for-service payment system, which critics say discourages care coordination and quality. American Medical News reports on one alternative called bundling, in which "doctors and hospitals are paid for all services to a patient in an episode of care for a particular condition.

Physicians Raise Concerns About Proposed Medicare Changes

 Medicare News, Syndicated  Comments Off
Dec 311969
 
The health care legislation being considered by Congress seeks to reform Medicare and look for alternatives to the fee-for-service payment system, which critics say discourages care coordination and quality. American Medical News reports on one alternative called bundling, in which "doctors and hospitals are paid for all services to a patient in an episode of care for a particular condition ...

Medicare Tax May Aid Health Compromise, Democrats Say

 Medicare News, Syndicated  Comments Off
Dec 311969
 
Jan. 5 (Bloomberg) -- Two top Democrats said the U.S. House may accept a plan to increase Medicare payroll taxes on high-salary earners as a compromise to help get a health-care overhaul through Congress.

Democrats Open to Raising Medicare Tax to Fund Health Overhaul

 Medicare News, Syndicated  Comments Off
Dec 311969
 
Jan. 6 (Bloomberg) -- The U.S. House may accept a plan to increase Medicare payroll taxes on high-salary earners as a compromise to help get a health-care overhaul through Congress, top Democratic lawmakers said.

Medicare Pay Irks Physicians, Leaves Some Patients Stranded

 Medicare News, Syndicated  Comments Off
Dec 311969
 
Doctors' payments through the Medicare program are scheduled to be lowered by 21 percent in March, prompting some physicians to drop Medicare patients or refuse taking on new ones, The Columbus Dispatch reports. Medicare has planned payment cuts for nine years, but Congress has acted to prevent cuts from going though, often at the last minute. One Columbus resident lost her gynecologist, and has ...

AAFP, Other Groups Urge Congress to Equalize Medicaid, Medicare Payment Rates

 Medicare News, Syndicated  Comments Off
Dec 311969
 
The AAFP has joined more than 100 other organizations in calling on lawmakers to equalize Medicaid and Medicare payment rates as part of any comprehensive health care reform bill passed by Congress.
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