Developing an Information Infrastructure for the Medicare+Choice Program Summary of a Workshop (1999) / Chapter Skim
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9 Letter Report to the Administration of the Health Care Financing Administration on Developing an Information Infrastructure for the Medicare+Choice Program
9 Letter Report to the Administration of the Health Care Financing Administration on Developing an Information Infrastructure for the Medicare+Choice Program
Pages 43-50
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From page 43... ...
Committee on Choice and Managed Care held a one-and-one-half-day workshop on "Developing an Information Infrastructure for Medicare Beneficianes." This workshop followed in the footsteps of the Committee's 1996 report, Improving the Medicare Market: Adding Choice and Protections. One of the 1996 report's seven major recommendations was the following: The Committee recommends that special and major efforts be directed to building the needed consumer-oriented information infrastructure for Medicare beneficiaries.
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From page 44... ...
While managed care enrollment for the over-65 popuration is increasing rapidly, according to May 1998 HCFA data only about 16 percent of people eligible for Medicare are enrolled in a managed care plan, compared to over 70 percent in the under-65 insured population. In addition, unlike most employed people-particularly those working in larger firms whose employers help screen and evaluate their health plan options, most Medicare beneficiaries must rely on their own knowledge and judgment to select a plan wisely.
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From page 45... ...
Despite current rules designed to monitor and control marketing materials sent to Medicare beneficiaries, such mailings can too easily include misleading or incomplete information. Most materials sent to the elderly lack a clear, understandable explanation of what it means to be part of a managed care plan and what coverage or cost trade-offs need to be considered by beneficiaries in order to make a good health plan choice.
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From page 46... ...
85~. Speakers at the workshop cautioned that any political rhetoric emanating from the beneficiaries' confusion may complicate Congress' long-term efforts in the managed care arena.
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From page 47... ...
Jim Mornson, past director of FEHBP, indicated at the March workshop that federal employees in FEHBP trust that the Office of Personnel Management has adequately screened the health plans, thus limiting the likelihood of their making a poor health plan choice. Medicare+Choice introduces several new types of plans, such as preferred provider organizations (PPOs)
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From page 48... ...
Given that the vast majority of people eligible for Medicare have no! had to change plans, and bearing in mind the anger and opposition that resulled from an earlier attempt to substantially change the program (i.e., the 1988 Medicare Catastrophic Coverage Act)
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From page 49... ...
Dodd The Honorable Richard Durbin The Honorable Mike Enzi The Honorable William H Frist The Honorable Greg Ganske The Honorable Richard Gephardt The Honorable Newt Gingnch The Honorable Bob Graham The Honorable Phi} Gramm The The The The The The The The The The The The The The The The The The The The The The The The The The The The The The Honorable Charles Grassley Honorable Judd Gregg Honorable Tom Harkin Honorable Orr~n G
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