Managed Care

 

Extended Deadline 1st Step in Saving Medicare+Choice

MANAGED CARE July 2001. © MediMedia USA
News and Commentary

Extended Deadline 1st Step in Saving Medicare+Choice

MANAGED CARE July 2001. ©MediMedia USA

Managed care plans got a break, until Sept. 17, to decide whether to be in Medicare+ Choice next year. By pushing back the deadline from July 1, the Department of Health and Human Services hoped that plans that are wavering about next year will decide to stay in.

Exiting Medicare isn't a decision plans take lightly; the law prohibits those that leave from coming back for two years. But with costs mounting, 118 plans last year reduced service territory or bolted altogether, which, by the Health Care Financing Administration's own reckoning, displaced 934,000 people.

Expanding M+C tops HCFA administrator Thomas Scully's agenda. "We're going to make a big effort to keep people from bailing out," Scully told the U.S. Chamber of Commerce — boldly predicting that enrollment would double in four years. Long on optimism but short on specifics, Scully said he'd eliminate some administrative requirements that plans have called burdensome. He is noncommittal on the subject of more health plan funding.

Meetings

4th Partnering With ACOs Summit Los Angeles, CA October 27–28, 2014
PCMH & Shared Savings ACO Leadership Summit Nashville, TN November 3–4, 2014
2014 Annual HEDIS® and Star Ratings Symposium Nashville, TN November 3–4, 2014
Medicare Risk Adjustment, Revenue Management, & Star Ratings Fort Lauderdale, FL November 12–14, 2014
World Orphan Drug Congress Europe 2014 Brussels, Belgium November 12–14, 2014
Healthcare Chief Medical Officer Forum Alexandria, VA November 13–14, 2014
Home Care Leadership Summit Atlanta, GA November 17–18, 2014
HealthIMPACT Southeast Tampa, FL January 23, 2015