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Will Latest Medicare Advantage Cuts Kill the Program?

Joe Cantlupe, for HealthLeaders Media, March 23, 2010

The Senate bill, she says, would reduce payment "over the next decade by cutting payment 3% in 2011 and phasing in a competitive bidding process over three years. Plans should be engaged in scenario planning for their specific service areas right now to better understand the outlook."

Under the new funding scenarios, companies initiating Medicare Advantage may focus on "care coordination and client care management," she says. For those senior citizens who can't afford to stay in the program, "they may go to different Medicare, it's hard to predict now," LeMasurier says, adding that seniors are "savvy shoppers."

One argument about Medicare Advantage is that insurers should be reimbursed based on the quality of their benefits. Trish Doherty, spokeswoman for Kaiser Permanente in California, says there is a need for "incentives for high-quality Medicare Advantage plans and improvements in coverage of preventive care."

"Over the long term, we must look at how we pay for and how we provide care as a nation," Doherty says.


Joe Cantlupe is a senior editor with HealthLeaders Media Online.
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4 comments on "Will Latest Medicare Advantage Cuts Kill the Program?"


L Gallagher (10/12/2012 at 7:21 PM)
We are not able to afford a supplemental plan and a drug plan to take care if what Medicare doesn't cover. If Medicare advantage is eliminated we will not be able to pay for even basic preventative care.

Jean2 (10/4/2012 at 11:55 AM)
Medicare Advantage plans are not just for seniors...they are also for those for example that are disabled and not eligible for supplemental care. It offers us a RX Plan, Part A and B. Everything is billed through them, and they deal with Medicare billing. The Advantage Plans I checked; offered in our state, do not offer extra silly things like a gym plan.

Vi (11/6/2010 at 9:37 AM)
I'm scared witless about rising costs to consumers who choose this option over traditional Medicare. I subscribe to one of the lowest cost Medicare Advantage Plans because that is all I can afford. It is a no frills plan that does not have "luxury" type benefits this article implies. Having set co-pays helps me budget medical expenses better and the co-pays are cheaper than traditional Medicare.