Forum Session

Understanding Medicare Advantage Bidding and Payment: Effects on Plan Choice and Beneficiary Premiums
April 28, 2005

Manager

Nora Super

Summary

This technical briefing provided details on the new Medicare Advantage (MA) bidding and payment calculation process, which is aimed at increasing plan choices for beneficiaries. Speakers presented an overview of Medicare's experience with private plans to date, discussed similarities and differences with the new payment methods enacted as part of the Medicare Modernization Act of 2003, and provided bidding and payment examples.

Speakers

Marsha Gold, ScD, Senior Fellow, Mathematica Policy Research, Inc.; Sally Burner, Special Assistant to the Chief Actuary, Centers for Medicare & Medicaid Services; Jack Ebeler, President and Chief Executive Officer, Alliance of Community Health Plans

Slides from the presentations by Dr. Gold, Ms. Burner, and Mr. Ebeler are available for download.

Related Materials

See also Marsha Gold, Lori Achman, Jessica Mittler, and Beth Stevens, "Monitoring Medicare+Choice: What Have We Learned? Findings and Operational Lessons for Medicare Advantage" (Mathematica Policy Research, Inc., August 2004) and Lori Achman and Lindsay Harris, "Early Effects of the Medicare Modernization Act: Benefits, Cost Sharing, and Premiums of Medicare Advantage Plans, 2005" (AARP Public Policy Institute, April 2005).

More information on the Medicare Advantage program is available from the Kaiser Family Foundation.

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