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来源类型Publication
The Role of National Firms in Medicare+Choice
Debra Draper; Marsha Gold,; John McCoy
发表日期2002-06-01
出版者Menlo Park, CA: The Henry J. Kaiser Family Foundation
出版年2002
语种英语
概述Examines M+C participation issues from the perspective of eight national firms that account for more than 70 percent of M+C enrollment nationwide.",
摘要Examines M+C participation issues from the perspective of eight national firms that account for more than 70 percent of M+C enrollment nationwide. Notes that M+C products generally do not represent a major line of business for most firms, with the exception of Humana and PacifiCare, where M+C enrollees represent more than 20 percent of total HMO enrollment. Although all firms plan to continue offering an M+C product, they are attempting to reduce financial exposure by withdrawing from markets they deem to be unsustainable. Participation decisions are made county-by-county based on payment rates, number and intensity of administrative requirements, and ability of the plan to develop and maintain an adequate provider network. Concludes that the current relationship between national managed care firms and the M+C program is tenuous, and most firms do not envision a long-term relationship.
URLhttps://www.mathematica.org/our-publications-and-findings/publications/the-role-of-national-firms-in-medicarechoice
来源智库Mathematica Policy Research (United States)
资源类型智库出版物
条目标识符http://119.78.100.153/handle/2XGU8XDN/484895
推荐引用方式
GB/T 7714
Debra Draper,Marsha Gold,,John McCoy. The Role of National Firms in Medicare+Choice. 2002.
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