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- W3025894726 abstract "Medicare reform is at the top of the domestic policy agenda, and the role of private plans in that reform is a critical factor. Most of Medicare's experience with private plans has involved the Medicare+Choice (M+C) program. M+C plans, primarily HMOs, receive capitated payments and provide coverage for Medicare-covered services. To the extent that plans have any savings left over, they offer additional benefits. Because Medicare requires substantial cost-sharing by its beneficiaries and excludes coverage for important elements of care, such as prescription drugs, the extra benefits provided by M+C plans have been important in reducing enrollees' out-of-pocket costs. However, the average M+C enrollee is spending about $1,964 out-of-pocket this year, rising 10 percent from last year and doubling from 4 years ago. An enrollee in relatively poor health spends even more. This issue brief provides data for 2003 on out-of-pocket spending by Medicare beneficiaries in M+C and other private plans, including the new preferred provider organization (PPO) demonstrations." @default.
- W3025894726 created "2020-05-21" @default.
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- W3025894726 date "2003-08-11" @default.
- W3025894726 modified "2023-09-27" @default.
- W3025894726 title "Average Out-of-Pocket Health Care Costs for Medicare+Choice Enrollees Increase 10 Percent in 2003" @default.
- W3025894726 hasPublicationYear "2003" @default.
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