Medicare Reform and Competition: Separating Fact from Fiction : Hearing Before the Special Committee on Aging, United States Senate, One Hundred Eighth Congress, First Session, Washington, DC, May 6, 2003, Volume 4

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U.S. Government Printing Office, 2003 - Competition - 108 pages

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Page 9 - We also work closely with the Center for Medicare and Medicaid Services (CMS), particularly on issues affecting the population we serve jointly, our Medicare-covered retirees. We think that the FEHB Program is an excellent example of effective public-private partnerships. Thank you for inviting me to be here today. I will be pleased to answer your
Page 51 - Claims for savings from options that shift Medicare more to a system of private insurance usually rest on two basic arguments: first, it is commonly claimed that the private sector is more efficient than Medicare, and second, that competition among plans will generate more price sensitivity on the part of beneficiaries and plans alike.
Page 54 - all health care spending shares technological change and improvement as a major factor driving high rates of expenditure growth. To date, most of the cost savings generated by all payers of care has come from slowing growth in the prices paid for services and making only preliminary inroads in reducing the use of services or addressing the issue of technology.
Page 3 - plans, or change enrollment status at least once a year during the 4-week annual open season that begins in November. The program relies heavily on market competition and consumer choice to provide our members with comprehensive, affordable health care. In 2003, 188 discrete options are being offered by 133
Page 67 - innovation are often stressed as potential advantages of relying on private plans for serving the Medicare population. But if there is to be choice and competition, some plans will not do well in a particular market, and as a result they will leave. In fact, if no plans ever left, that would likely be a sign that competition was not working well.
Page 53 - narrowed the difference with Medicare in the 1990s, but as of 2000, there was still a considerable way for the private sector to go before its cost growth would match Medicare's achievement of lower overall growth.
Page 90 - The Kaiser Family Foundation and Health Research and Educational Trust, Employer Health Benefits: 2002 Annual Survey (Menlo Park
Page 56 - able to hold down costs. And there is some evidence from the federal employees system and the Calpers system in California that this has disciplined the insurance market to some degree
Page 53 - has been better than that of private insurance. Starting in the 1970s, Medicare and private insurance plans initially grew very much in tandem, showing few discernible differences (See Figure
Page 22 - Hoff, John. 1998. Medicare Private Contracting: Paternalism or Autonomy? Washington, DC. AEI Press. Joyce, Geoffrey et al. 2002. "Employer Drug Benefit Plans and Spending on Prescription Drugs." JAMA Volume 288, No. 14 (October 9, 2002).

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