Geography and destiny: local-market perspectives on developing Medicare Advantage regional plans.
Health Aff (Millwood)
; 24(4): 1014-21, 2005.
Article
em En
| MEDLINE
| ID: mdl-16012141
ABSTRACT
The Medicare Prescription Drug, Improvement, and Modernization Act (MMA) of 2003 established regional preferred provider organizations (PPOs) as a new private-plan option for beneficiaries in the Medicare Advantage (MA) program, starting in 2006. Developing network-based Medicare products uniformly priced across statewide or multistate regions presents unprecedented challenges and opportunities for health insurers. We held discussions with local health plan and hospital informants in six of the twelve Community Tracking Study (CTS) communities to obtain their perspectives on key considerations in evaluating whether they can and will offer regional PPO products under the MA program.
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Base de dados:
MEDLINE
Assunto principal:
Organizações de Prestadores Preferenciais
/
Sistemas Pré-Pagos de Saúde
/
Medicare
/
Seguro de Serviços Farmacêuticos
Idioma:
En
Ano de publicação:
2005
Tipo de documento:
Article