Read Online Medicare Advantage: relationship between benefit package designs and plans average beneficiary health status : report to congressional requesters. pdf epub
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Medicare Advantage: Relationship Between Benefit Package Designs And Plans Average Beneficiary Health Status : Report To Congressional Requesters.

"Nearly 11 million Medicare beneficiaries are enrolled in Medicare Advantage (MA), Medicare’s private health insurance option. Benefits vary by MA plan and may include coverage for services not available in traditional Medicare. To ensure MA plan benefit package designs do not discriminate against beneficiaries in poor health with high expected health care costs, the Centers for Medicare & Medicai...

Paperback: 44 pages
Publisher: CreateSpace Independent Publishing Platform (August 17, 2017)
Language: English
ISBN-10: 9781974624157
ISBN-13: 978-1974624157
ASIN: 1974624153
Product Dimensions: 8.5 x 0.1 x 11 inches
Format: PDF Text TXT ebook

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Services (CMS) reviews and approves all benefit packages yearly. GAO examined (1) MA plan benefit packages by average health status of plans’ enrolled beneficiaries, (2) distribution and characteristics of MA plans by average beneficiary health status, and (3) CMS’s process for ensuring that benefit packages do not discriminate with respect to health status. Using 2008 data on beneficiaries’ expected health care costs, the most recent data available, GAO sorted 2,899 plans enrolling 7.5 million beneficiaries into three groups: good health (below-average expected costs), average health, and poor health (above-average expected costs). GAO then analyzed MA plan benefit packages by health group and reviewed CMS documentation and interviewed agency officials on CMS’s benefit package review process. GAO did not determine whether plans structured benefit packages…"