The point is that Congress let insurers get involved with Medicare + Choice
a few years ago, and now Medicare Advantage, so that it would have bad guys on hand to blame for any breezes that ruffled the hair of the doctors and the hospitals and their big bruiser lobbying groups.
These generous payments promote a wide array of plan choices for Medicare beneficiaries (an important objective of the program, which prior to 2003 had been called Medicare + Choice
Aetna is announcing the deal about 10 years after health insurers were rushing to flee from the predecessor to the Medicare Advantage private Medicare plan program, the Medicare + Choice
The Medicare + Choice
expansion effort, which began in the late 1990s and continued through 2003, demonstrated that plans design less attractive benefit packages for high-cost enrollees, with increased costs for chronic conditions requiring hospital care, chemotherapy, and dialysis.
Balanced Budget Act proposed creating a new Medicare + Choice
The proportion of patients adhering in Medicare + Choice
plans was lower than for commercial plans.
The long-suffering Medicare + Choice
program may be stabilizing to some degree, CMS Administrator Tom Scully says.
Other beneficiaries receive services under Medicare's managed care program, called Medicare + Choice
. GAO was asked to determine (1) the extent to which beneficiaries received recommended preventive services through existing visits, (2) whether approaches used by Medicare + Choice
plans provide insight for improving delivery of preventive care services for fee-for-service beneficiaries, and (3) what the Centers for Medicare & Medicaid Services (CMS) is doing to explore suggested options for delivering preventive care to fee-for-service beneficiaries.
BALTIMORE -- Consider these thoughts: "Neither fee-for-service nor Medicare + Choice
is adequately configured to provide services for chronically ill beneficiaries," and "the Medicare data system is set up to pay bills, not to manage care.
The fund is intended to prevent the problems encountered by private insurers who provide drug benefits under the Medicare + Choice
Medicare + Choice
, available in many states, provides reduced prices for prescription medicine or other benefits in exchange for enrollment of Medicare recipients in managed care.
It doesn't matter to the privatizers that Medicare + Choice
plans, the government's pilot project on privatization, have been a disaster almost everywhere they've been tried.