Cbo Issues A Major Study On Medicare Wages Plans--Pours To A Greater Extent Than Fuel On The Soul Fee For Service Fire

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Title : Cbo Issues A Major Study On Medicare Wages Plans--Pours To A Greater Extent Than Fuel On The Soul Fee For Service Fire
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Cbo Issues A Major Study On Medicare Wages Plans--Pours To A Greater Extent Than Fuel On The Soul Fee For Service Fire

Yesterday, the Congressional Budget Office (CBO) issued a really comprehensive study on Medicare Advantage plans.

I flora the next to live on an peculiarly of import finding:

"In 2007, CBO estimates the average payments to such plans [MA] is 12% higher upwardly traditional FFS costs. The deviation is larger for private fee-for-service plans: According to estimates yesteryear the Medicare Payment Advisory Commission (MedPAC), the payments to those plans inwards 2006 averaged 19% higher upwardly FFS costs. Of that difference, 10 percent points' worth went to beneficiaries inwards the degree of extra rebates. In contrast, payments to HMOs averaged 10 percent higher upwardly FFS costs, MedPAC estimates. On average, HMOs offered extra benefits as well as rebates equal to 13% of FFS costs; those additional benefits as well as rebates reflected the deviation betwixt the benchmark (which averaged 10 percent higher upwardly FFS costs) as well as the plans bids (which averaged 3% below FFS costs).

This study is really damaging for the Private Fee For Service Medicare product, BUT, it does a lot to brand the center HMO Medicare Advantage product await better.

As I stimulate got said before, I believe the best risk the manufacture has inwards defending Medicare Advantage is to defend it every bit a multi-year experiment to decide if the somebody sector tin meliorate contend Medicare costs. By affirming that Medicare HMO plans stimulate got bid 97% of the toll of traditional Medicare, I volition propose this study helps that argument.

Even though the HMO plans gave the seniors thirteen points dorsum inwards higher benefits, it is clear inwards this study that these extra payments are non something the Medicare programme tin afford long-term. Therefore, I volition suggest, the best agency to defend these payments is every bit the transitionary system they were e'er intended to be.

However, this study only pours to a greater extent than gasoline on the Private Fee For Service (PFFS) fire--they got 19% to a greater extent than as well as gave dorsum 10% to seniors. That looks pretty bad.

I overstep away along to believe that the HMO industry needs to cutting Private Fee For Service loose--especially inwards calorie-free of all of the marketing abuses beingness reported. If it does not, it volition position inwards jeopardy defending this really of import experiment to examine the somebody marketplace has a house inwards the long-term solution for Medicare's funding problems.

MedPAC has suggested freezing Private Fee For Service payments. That may live on the best bargain for the HMO industry to take.

The ground over what to create amongst Medicare Advantage payments continues inwards the Senate Finance Committee where the State Children's Health Insurance Plan (S-CHIP) reauthorization ground continues. That ground is to a greater extent than bogged downwards over only how large to brand S-CHIP correct similar a shot than how to pay for it. That give-and-take is a day-to-day procedure amongst no decisions yet.


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