Fallout from HMOs' Medicare pullout


While most beneficiaries fared all right, a sizable portion of those forced to change coverage because of HMOs' 1998 exodus from Medicare experienced disruptions in care and loss of benefits. In addition, Kaiser Family Foundation researchers found that those experiencing the most problems were those in poor health and those of low socioeconomic status. HMO withdrawals forced 400,000 Medicare beneficiaries to look for new coverage at the end of 1998; when this year ends, another 99 Medicare HMOs will leave the program or reduce service territory — forcing 327,000 more beneficiaries to seek alternate coverage.

Disenrolled beneficiaries who
......now pay higher premiums: 22%
......had to find a new personal physician: 22%

SOURCE: SURVEY OF EXPERIENCES WITH MEDICARE HMOs, KAISER FAMILY FOUNDATION, MENLO PARK, CALIF., 1999

Career Opportunities

HAP, a subsidiary of Henry Ford Health System, is a nonprofit health plan providing coverage to individuals, companies and organizations. This executive develops strategies to meet membership and revenue targets through products, pricing, market segmentation and advertising.  Aligns business among Business Development, Commercial Sales, Medicare and Public Sector Programs and Product Development. Seeks to enhance and be responsible for business development and expansion through the development of an effective product portfolio, strong interpersonal relationships and service excellence.

Apply via email to jfedder1@hfhs.org or online at http://p.rfer.us/HENRYFORDlXqAJA

Subscribe to Our Newsletters

Monthly table of contents

Be notified as each issue of Managed Care is available online.

Biweekly newsletter

Recent topics have included:

PTCommunity news

New drug approvals, clinical trials, drug management. Three times per week.