Medicare Advantage Organizations: Actual Expenses and Profits Compared to Projections For 2006

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DIANE Publishing, 2010 - 14 pages
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The fed. govt.'s spending on the Medicare Advantage (MA) program has grown substantially in recent years, from $60 billion in 2006 and $77 billion in 2007 to $91 billion in 2008. MA org. provide health care coverage to Medicare beneficiaries through private health plans, thus offering an alternative to the original Medicare fee-for-service program. Payments to MA org. are, in part, based on the projected expenditures org. submit in their bids for providing Medicare-covered services, as well as actual enrollment and beneficiary health status. In 2008, MA org. spent less on medical expenses and earned more profits than projected. MA org. actual profit margin was 5% of total revenue which was $1.1 billion more in 2005 than MA org. had projected.

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