Medicare Wages Payments To Insurers--Baucus Zeroing In!

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Title : Medicare Wages Payments To Insurers--Baucus Zeroing In!
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Medicare Wages Payments To Insurers--Baucus Zeroing In!

Senate Finance Chair Max Baucus (D-MT) released his health computer program white paper terminal week.

Buried inwards it was this regarding how private Medicare payments to HMOs should endure changed:
“Congress must deed to level the playing field betwixt traditional Medicare together with Medicare Advantage payments together with the Baucus plan would utilise so. Enacted inwards July 2008, MIPPA [the July MD fee gear upwards that volition halt PFFS] took small-scale steps to trim overpayments to someone plans commencement inwards 2010. There are a disclose of ways to consummate this. One is to set MA payments on par amongst traditional Medicare inwards every county inwards the country. However, Medicare costs tin endure depression inwards exactly about areas of the province together with extraordinarily high inwards others. Simply setting MA payments equal to traditional Medicare could hold overpayments inwards exactly about areas together with create severe underpayments inwards other areas relative to insurers’ costs.

“The Baucus computer program would seek to ameliorate sympathize how insurers’ costs differ past times share of the province inwards designing novel policies to eliminate the remaining excess spending inwards the Medicare Advantage program."
I accept lost count of the disclose of unlike Democratic proposals at that topographic point are out at that topographic point to role these extra payments made to private Medicare Advantage plans inwards a higher house the levels paid for the same senior adventure inwards traditional Medicare for novel spending.

MedPAC estimates these extra Medicare Advantage payments are worth $62 billion over 5 years together with $169 billion over x years. That makes them most the solely "free money" inwards an otherwise bleak deficit picture.

Most calls to eliminate these extra payments merely telephone weep upwards for "equalization" betwixt insurer payments together with traditional Medicare costs for the same senior risk.

But Max Baucus is telling us hither that he knows something that isn't unremarkably discussed inwards the private Medicare world--that fifty-fifty if you lot exactly equalize payments at that topographic point is, together with was earlier 2003, enough of chance to game the county-by-county someone Medicare payment system--"One is to set MA payments on par amongst traditional Medicare inwards every county inwards the country. However, Medicare costs tin endure depression inwards exactly about areas of the province together with extraordinarily high inwards others."

Where the 98-page Baucus plan goes from hither is debatable. That Senator Baucus is the most influential fellow member of the Senate on the result of Medicare Advantage payment reform is not.

I aspect at that topographic point are enough of Medicare Advantage players, knowing that payment "equalization" is on the way, who are getting gear upwards to exactly play the one-time county-by-county cherry choice game all over over again together with save a substantial block of profitable private Medicare business doing it.

Think again. Baucus literally has your number!


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