Medicare Payoff Hmos Gearing Upwards For Payment Cuts--Could They Come Upwards Equally Early On Equally 2008?

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Title : Medicare Payoff Hmos Gearing Upwards For Payment Cuts--Could They Come Upwards Equally Early On Equally 2008?
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Medicare Payoff Hmos Gearing Upwards For Payment Cuts--Could They Come Upwards Equally Early On Equally 2008?

Bill Boyles--Publisher of Health Market Survey--returns equally a invitee commentator. Bill keeps a abrupt middle on the Medicare Advantage trouble organisation as well as on Capitol Hill. Here's his accept on what the Congress--and the wellness plans --are upward to:

We are hearing that the health insurers are getting create to dump markets inwards answer to the Democratic threat to cutting Medicare Advantage payments. But start they volition travail to halt it. The give-and-take is that millions of dollars stimulate got already been raised to fund a major grass roots drive to antechamber Congress against making whatever major cuts to the popular—and profitable—program.

Some of the insurers are non waiting. Some large plans are already starting to line dorsum from less profitable markets inwards 2008 to minimize the hitting they facial expression to accept inwards 2009. Budgets for marketing MA plans are existence shifted. One of the biggest HMOs is already slowing its increment inwards the MA production as well as has told Wall Street to facial expression a change.

It is probable that 2008 Medicare Advantage rates volition non last significantly impacted yesteryear whatever Democratic budget action. The 2008 Medicare Advantage rates volition last settled betwixt CMS as well as the HMOs this summertime alongside concluding understanding occurring inwards September. That would last good earlier Democrats stimulate got a run a peril to cutting HMO payments through the annual budget procedure that volition accept house afterwards inwards the yr next Senate action.

That timing makes it really probable that the start run a peril the Democrats volition stimulate got to modify the agency Medicare Advantage HMOs are paid – as well as view the budget savings -- volition last inwards the 2009 budget.

However, nosotros are also hearing that House Democrats would similar to laid about the procedure of cutting Medicare Advantage payments through the budget resolution that is expected inside weeks. That is the wide spending roadmap the Congress agrees to prior to filling inwards all the details afterwards inwards the year.

If the House as well as Senate both were to grip to cut back MA payments early on inwards the budget resolution process, that would strength CMS to negotiate alongside the HMOs at the reduced rates this summer. While it is to a greater extent than probable the House volition accept this course, it is less probable that the Senate would become that far this year. Senate Finance Chair Max Baucus (D-MT) has already told the manufacture the Senate won’t human activity until the afterwards date, as well as he is non inclined to practice anything for 2008 -- but that 2009 Medicare Advantage payments may last on the table.

So, it volition last of import to lookout adult man the early on stages of the budget process. Right instantly it appears that Medicare Advantage payments volition non endure whatever major modify inwards 2008. But the manufacture is non waiting to abide by out how deep the cuts volition be

Expect to listen to a greater extent than most insurers “adjusting” their Medicare offerings – starting now. But the actual budget savings won’t brand it for at to the lowest degree 2 years--after the election. That could play out poorly for Democrats if the timing is off as well as seniors start complaining equally good soon.



Read more:
Why the Democrats Will Cut Medicare Advantage Rates


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