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- Title
Medicare Advantage: Where It's Been; Where Is It Headed?
- Authors
Carpenter, Caryl E.
- Abstract
The Patient Protection and Affordable Care Act included several important Medicare Advantage (MA) provisions: 1) elimination of relatively high payments to plans, 2) financial rewards for high-quality plans, and 3) strengthened consumer protection provisions. To provide consumer protections for Medicare enrollees, MA plans will be prohibited from having higher cost-sharing requirements than traditional Medicare. MA plans will be required to maintain a medical loss ratio of at least 85%. That means at least 85% of federal payments and beneficiary premiums must be spent on medical services.
- Subjects
UNITED States; MEDICARE Part C; PATIENT Protection &; Affordable Care Act; CONSUMER protection; COST shifting; INSURANCE premiums; DEDUCTIBLES (Insurance)
- Publication
Journal of Financial Service Professionals, 2011, Vol 65, Issue 4, p23
- ISSN
1537-1816
- Publication type
Article