Comparison of Performance of Traditional Medicare vs Medicare Managed Care
Open Access
- 14 April 2004
- journal article
- research article
- Published by American Medical Association (AMA) in JAMA
- Vol. 291 (14) , 1744-1752
- https://doi.org/10.1001/jama.291.14.1744
Abstract
The Medicare + Choice program stands at a critical juncture. Several years ago, Medicare managed care (MMC) was experiencing substantial growth, and many believed that the program would grow to encompass the majority of care for Medicare beneficiaries.1,2 The Bush administration initially aimed to double enrollment in Medicare + Choice.3 In recent years, however, new regulations and the Balanced Budget Amendment of 1997 reduced reimbursement rates for participating health plans, causing many to leave.4-10 Enrollment in MMC has decreased from 6.8 million in 2000 to 5.2 million in 2003.11 The largest cuts in reimbursement have been in areas of the country where managed care is more prevalent.Keywords
This publication has 15 references indexed in Scilit:
- An Examination of Factors in the Withdrawal of Managed Care Plans from the Medicare+Choice ProgramINQUIRY: The Journal of Health Care Organization, Provision, and Financing, 2002
- Factors Affecting Response Rates to the Consumer Assessment of Health Plans Study SurveyMedical Care, 2002
- Medicare + Choice: Current Role And Near-Term ProspectsHealth Affairs, 2002
- Medicare+Choice: An Interim Report CardHealth Affairs, 2001
- Paying Medicare+Choice plans: the view from MedPAC.Health Affairs, 2001
- Medicare+Choice: Doubling Or Disappearing?Health Affairs, 2001
- Dimensions of Consumer-Assessed Quality of Medicare Managed-Care Health PlansMedical Care, 2000
- What Drives Medicare Managed Care Growth?Health Affairs, 1999
- Risk Adjustment And Medicare: Taking A Closer LookHealth Affairs, 1997
- Patient satisfaction among elderly enrollees and disenrollees in Medicare health maintenance organizations. Results from the National Medicare Competition EvaluationPublished by American Medical Association (AMA) ,1989