Posting date: December 15, 2004
This Article
* Reprint (PDF)
* HTML Version
* Submit a response to this article
* Alert me when this article is cited
* Alert me when Comments are posted
* Alert me if a correction is posted
Services
* E-mail this article to a friend
* Similar articles in this journal
* Similar articles in PubMed
* Alert me to new issues of the journal
* Add to My Personal Archive
* Download to Citation Manager
*Reprints & Permissions
Citing Articles
* Citing Articles via HighWire
* Citing Articles via Google Scholar
Google Scholar
* Articles by Biles, B.
* Articles by Nicholas, L. H.
* Search for Related Content
PubMed
* PubMed Citation
* Articles by Biles, B.
* Articles by Nicholas, L. H.
Related Collections
* Health Reform
* Managed Care - Medicare
* Medicare
* Business Of Health
* Politics
* Consumer Issues
* Insurance Market
Health Affairs, 10.1377/hlthaff.w4.586
Copyright © 2004 by Project HOPE


Web Exclusives

Medicare Advantage: Déjà Vu All Over Again?

Brian Biles 1*, Geraldine Dallek 2, Lauren Hersch Nicholas 3

1 Brian Biles is a professor in the Department of Health Policy, George Washington University, in Washington, D.C.
2 Geraldine Dallek is a Washington,D.C.-based health policy consultant.
3 Lauren Nicholas is a doctoral candidate in the School of Social Work, Columbia University, in New York City.

*Corresponding author.

  Abstract

The Medicare Prescription Drug, Improvement, and Modernization Act (MMA) of 2003 expands the role of private health plans in Medicare through prescription drug plans and a revised Medicare+Choice (M+C), renamed Medicare Advantage, program. This paper discusses the factors responsible for the failure of M+C to develop as intended in 1997 and analyzes the challenges for MMA implementation in light of these factors. They include making a complex program understandable to beneficiaries; addressing plans’ efforts to avoid enrolling high-cost beneficiaries; ensuring stability of benefits, providers, and plans; dealing with beneficiaries enrolled in unsuitable plans; providing equity of health benefits throughout the country; and controlling overall Medicare costs.

Key Words: Business Of Health, Consumer Issues, Health Reform, Managed Care - Medicare, Politics, Insurance Market


Add to CiteULike   Add to Complore   Add to Connotea   Add to Del.icio.us   Add to Digg   Add to Reddit   Add to Technorati    What's this?


This article has been cited by other articles:


Home page
JAMAHome page
J. S. Floyd, S. M. Wolfe, and M. Angell
The Role of Tax Reform in Health Care Reform
JAMA, March 25, 2009; 301(12): 1226 - 1226.
[Full Text] [PDF]