Medicare+ Choice

Medicare+ Choice

An expanded set of options for delivering healthcare under Medicare (US), which was established by the 1997 Balanced Budget Act, under which most Medicare beneficiaries can choose to receive benefits through the original fee-for-service program or through one of three M+C plans.

Medicare+ Choice
• Co-ordinated care plans—e.g., HMOs, provider sponsored organisations, PPOs;
• Medical Savings Account (MSA)/High Deductible plans—available to up to 400K beneficiaries;
• Private fee-for-service plans.
References in periodicals archive ?
She has lectured extensively on the Medicare+ Choice appeals process and currently practices with the Washington, DC office of Vinson & Elkins.
This past summer, 65 Medicare+ Choice HMOs chose not to renew their Medicare+Choice contracts, and 53 reduced their service areas.
The study looked at the availability of Medicare+ Choice plans as companies are dropping coverage in areas where they say reimbursement rates are too low.
Under the 1997 legislation, however, Medicare beneficiaries will be able to avoid such rationing by picking the new Medicare+ Choice option of a "private fee-for-service plan.
Veit says that providers left on the outside of Medicare+ Choice opportunities will face decreasing revenues, resulting from the freezing of hospital payments for 1998 under the DRG-based hospital prospective payment system.