Extended Deadline 1st Step in Saving Medicare+Choice


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.

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.