Document Detail


The impact of health reform on the Medicare Advantage program: realigning payment with performance.
MedLine Citation:
PMID:  23214179     Owner:  HSR     Status:  In-Process    
Abstract/OtherAbstract:
The Affordable Care Act enacts a new payment system for private health plans available to Medicare beneficiaries through the Medicare Advantage (MA) program. The system, which is being phased in through 2017, aims to (1) reduce the excess pay­ments received by private plans relative to per capita spending in traditional Medicare, and (2) reward plans that earn high performance ratings. Using 2009 data, this issue brief pres­ents analysis of the distributional impact on MA plan payments of these new policies as if they had been fully implemented in that year. We find that, when the polices [sic] are in place, they will bring overall MA plan payments nationwide down from 114 percent to 102 per­cent of what spending would have been for the same enrollees if they had been enrolled in traditional Medicare. While payments will vary across the nation, high-performing MA plans stand to benefit from this new arrangement.
Authors:
Brian Biles; Giselle Casillas; Grace Arnold; Stuart Guterman
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Issue brief (Commonwealth Fund)     Volume:  27     ISSN:  1558-6847     ISO Abbreviation:  Issue Brief (Commonw Fund)     Publication Date:  2012 Oct 
Date Detail:
Created Date:  2012-12-07     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101087100     Medline TA:  Issue Brief (Commonw Fund)     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1-12     Citation Subset:  T    
Affiliation:
Department of Health Policy, School of Public Health and Health Services, The George Washington University. bbiles@gwu.edu
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