TITLE

More choices arrive for Medicare beneficiaries

AUTHOR(S)
Wechsler, Jill
PUB. DATE
April 2005
SOURCE
Managed Healthcare Executive;Apr2005, Vol. 15 Issue 4, p16
SOURCE TYPE
Trade Publication
DOC. TYPE
Article
ABSTRACT
The article reports that in changes circumstances related to Medicare in the United States, more choices have arrived for Medicare beneficiaries. Insurers are establishing preferred provider organizations and signing up to provide prescription drug benefits. Plans appear wary about meeting network adequacy requirements for such broad geographic areas, and Centers for Medicare and Medicaid Services officials acknowledge that it may take time for plans to assess payment and risk parameters and develop networks under this option.
ACCESSION #
16712491

 

Related Articles

  • Special Needs Plans And The Coordination Of Benefits And Services For Dual Eligibles. Grabowski, David C. // Health Affairs;Jan/Feb2009, Vol. 28 Issue 1, p136 

    Special Needs Plans (SNPs) are a new type of Medicare Advantage (MA) plan with the potential to coordinate Medicare and Medicaid benefits and services for dually eligible beneficiaries. However, experience to date suggests that SNPs have not greatly expanded the number of people enrolled in...

  • Medicare enrollment period opens today. Cassell, Heather // Bay Area Reporter;11/15/2007, Vol. 37 Issue 46, p13 

    The article reports on the opening of the 2008 Medicare beneficiaries enrollment in San Francisco, California. It is stated that November 15, 2007 will be the opening of the enrollment period for 2008. Health care advocates suggests that beneficiaries review and switch plans, if necessary, by...

  • Effect of Medicare Advantage Payments on Dually Eligible Medicare Beneficiaries. Atherly, Adam; Dowd, Bryan E. // Health Care Financing Review;Spring2005, Vol. 26 Issue 3, p93 

    This study estimates the effect of Medicare Advantage (MA) payments and State Medicaid policies on the choice by Medicaid eligible Medicare beneficiaries to either join a MA plan, remain in the fee-for-service (FFS) and enroll in Medicaid (dually enrolled), or remain in FFS Medicare without...

  • Handling formulary exceptions and appeals. Bishop, Susan K. // Pharmacy Today;Mar2006, Vol. 12 Issue 3, p27 

    The article provides information regarding transition period for coverage of formulary drugs by Medicare Part D plans. When Medicare prescription drug benefit starts on January 1, 2006, Part D plans were asked to have a transition period for their enrollees during whom beneficiaries were...

  • Language Barriers to Health Care Access Among Medicare Beneficiaries. Ponce, Ninez A.; Ku, Leighton; Cunningham, William E.; Brown, E. Richard // Inquiry (00469580);Spring2006, Vol. 43 Issue 1, p66 

    This study examined language barriers to health care access among a population-based sample of Medicare seniors in California in 2001 and 2003. Results indicate that Medicare beneficiaries with limited English proficiency (LEP) had less access to a usual source of care and were less likely to...

  • Study: Part D Hurts Your Patients' Access To Psychiatric Drugs.  // Getting Paid in Behavioral Healthcare;Jun2007, Vol. 12 Issue 6, p1 

    The article offers information on the study by the American Psychiatric Institute for Research of Part D medications for patients with psychiatric diagnoses in the U.S. It states that 53.4 percent of dual eligible patients are having problems in accessing their medications during the first...

  • Measuring Beneficiary Knowledge of the Medicare Program: A Psychometric Analysis. Bann, Carla M.; Terrell, Sherry A.; McCormack, Lauren A.; Berkman, Nancy D. // Health Care Financing Review;Summer2003, Vol. 24 Issue 4, p111 

    Reliable measures of Medicare beneficiaries' program knowledge are necessary for credible program monitoring, evaluation, and public accountability. This study developed and evaluated the psychometric properties of two possible measures of beneficiary knowledge. One measure was based on...

  • BY THE NUMBERS.  // Modern Healthcare;9/15/2003, Vol. 33 Issue 37, p9 

    Presents the findings of a study by the Center for American Progress regarding rural Medicare beneficiaries in the U.S. who lacked prescription drug coverage in 2000. Increase in the number of beneficiaries without drug benefits; Comparison between the number of enrollees in urban and rural areas.

  • Medicare REFORM - What Changed? Simons, Stephanie; King, Martha // Inside MS;Jul-Sep2004, Vol. 22 Issue 3, p36 

    Reports on the changes made to Medicare with the passage of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 in the U.S. Information on a nationwide demonstration project; Removal of the annual capitalization for physical therapy covered by Medicare; Availability of...

Share

Read the Article

Courtesy of THE LIBRARY OF VIRGINIA

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics