Medicare+Choice: Recent Payment Increases Had Little Effect on Benefits Or Plan Availability in 2001 : Report to Congressional Requesters

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Page 20 - House of Representatives The Honorable Sherrod Brown Ranking Minority Member Subcommittee on Health Committee on Energy and Commerce House of Representatives The Honorable...
Page 1 - Year 1999 (PL 105-277), section 2 1 1 (a)(2)(B) of the Medicare, Medicaid, and SCHIP Balanced Budget Refinement Act of 1999 (BBRA...
Page 5 - Sept. 7, 2000). Medicare+Choice: Payments Exceed Cost of Fee-for-Service Benefits, Adding Billions to Spending (GAO/HEHS-00-161, Aug. 23, 2000).
Page 6 - ... institution, such as a skilled nursing facility.4 BBA substantially changed the method used to set the payment rates for Medicare plans. As of January 1, 1998, plan payment rates for each county are based on the highest rate resulting from three alternative methodologies: a minimum amount, a minimum increase over the previous year's payment rate, or a blend of historical FFS spending in a county and national average costs adjusted for local price levels. The changes were intended to address criticisms...
Page 19 - If you or your staffs have any questions about this report, please call me at (202) 612-7119.
Page 2 - To conduct our study, we analyzed data maintained by the Centers for Medicare and Medicaid Services (CMS), the agency that administers Medicare, and interviewed agency officials responsible for implementing BIPA's M+C payment provisions.4 We reviewed all MCOs...
Page 14 - BIPA had little effect on the number of beneficiaries with access to at least one M+C plan in 2001.

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