TITLE

Effect of Medicare Advantage Payments on Dually Eligible Medicare Beneficiaries

AUTHOR(S)
Atherly, Adam; Dowd, Bryan E.
PUB. DATE
March 2005
SOURCE
Health Care Financing Review;Spring2005, Vol. 26 Issue 3, p93
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
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 joining Medicaid. Individual plan choice was modeled using a multinomial logit. The sample includes Medicaid-eligible Medicare beneficiaries (including specified low income Medicare beneficiaries [SLMBs] and qualified Medicare beneficiaries [QMBs]) drawn from the 2000 Medicare Current Beneficiary Survey (MCBS). We find a $10 increase in monthly MA payment reduces the probability of dual enrollment by four percentage points, and FFS Medicare enrollment by 11 percentage points.
ACCESSION #
17257851

 

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...

  • 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...

  • 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...

  • 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...

  • 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.

  • Mired in the past. Gingrich, Newt; Frogue, James // Modern Healthcare;7/18/2005, Vol. 35 Issue 29, p38 

    Focuses on the need for modernization in the Medicaid and Medicare programs in the U.S. Reasons for the need to transform the programs; Unawareness among beneficiaries on the limitations of Medicare; Information on the Medicaid transformation in Florida.

  • Relief from 75% Rule.  // AHA News;10/30/2006, Vol. 42 Issue 22, p4 

    The author reflects on the volatility for inpatient rehabilitation facilities and their patients being caused by the impact of the U.S. Centers for Medicare & Medicaid 75% rule. The facilities report that because of the rule approximately 88,000 fewer Medicare beneficiaries were treated during...

  • Former HHS secretary rolls out Medicaid reform plan. Ament, Lucy // AHA News;10/30/2006, Vol. 42 Issue 22, p6 

    The article presents the Medicaid reform program of Tommy Thompson, former secretary of U.S. Health and Human Services, called the Medicaid Makeover: Four Challenges and Potential Solutions on the Road to Reform. The reform plan aims to address the problems of escalating costs, the sudden...

  • Medicare Advantage In 2006-2007: What Congress Intended? Gold, Marsha // Health Affairs;Jul2007 Supplement, Vol. 26 Issue 4, pw445 

    Starting in 2006, almost all Medicare beneficiaries have at least one Medicare Advantage (MA) plan available to them. Although new regional preferred provider organization (R-PPO) plans authorized through the Medicare Prescription Drug, Improvement, and Modernization Act (MMA) of 2003 contribute...

Share

Read the Article

Other Topics