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Comparative Study
. 2002 Fall;24(1):95-115.

Impact of Medicare managed care market withdrawal on beneficiaries

Affiliations
Comparative Study

Impact of Medicare managed care market withdrawal on beneficiaries

Bridget C Booske et al. Health Care Financ Rev. 2002 Fall.

Abstract

The 2001 Survey of Involuntary Disenrollees was conducted to investigate the impact of Medicare+Choice (M+C) plan withdrawals on Medicare beneficiaries. Eighty-four percent of a total of 4,732 beneficiaries whose Medicare managed care (MMC) plan stopped serving them at the end of 2000 responded to the survey. Their responses indicated that the withdrawal of plans from Medicare affected beneficiaries in terms of concerns about getting and paying for care, increased payments for premiums and out-of-pocket costs, and changes in health care arrangements. Of particular concern were the impacts on those in vulnerable subgroups such as the disabled, less educated, and minorities.

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Figures

Figure 1
Figure 1. Involuntary and Voluntary Disenrollees and Medicare Beneficiaries that Remain with their Managed Care Plan: 2001
Figure 2
Figure 2. Beneficiary Reports of Impact on Access to Care, by Beneficiary Characteristics: 2001

References

    1. Achman L, Gold M. Medicare+Choice 1999-2001: An Analysis of Managed Care Plan Withdrawals and Trends in Benefits and Premiums. The Commonwealth Fund; New York, New York: Feb, 2002. Publication Number 497. Internet address: http://www.cmwf.org.
    1. Barry CL, Kline J. Medicare Managed Care: Medicare+Choice at Five Years. The Commonwealth Fund; New York, New York: Apr, 2002. Issue Brief Number 537. Internet address: http://www.cmwf.org. - PubMed
    1. Booske BC, Lynch J, Kenyon A, Scheffler S. Medicare Beneficiaries Who Involuntarily Disenroll from Their Health Plans. Mar, 2002. Final Report to the Centers for Medicare & Medicaid Services Contract Number 500-95-0061, (TO#10)
    1. Casey M, Astrid K, Moscovice I. Medicare Minus Choice: The Impact of HMO Withdrawals on Rural Medicine Beneficiaries. Health Affairs. 2002 May-Jun;21(3):192–199. - PubMed
    1. Center for Health Systems & Analysis and BTI International. 2001 Survey of Involuntary Disenrollees. Madison, WI.: Winter-Spring. 2001.

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