Market watch - Geography and destiny: Local-market perspectives on developing medicare advantage regional plans

Health Affairs

Volumn 24, Issue 4, 2005, Pages 1014-1021

  Hurley, Robert E ^a   Strunk, Bradley C ^b   Grossman, Joy M ^c  

^a VIRGINIA COMMONWEALTH UNIVERSITY   (United States)

^b CENTER FOR STUDYING HEALTH SYSTEM CHANGE   (United States)

^c HSC ^*

Author keywords

[No Author keywords available]

Indexed keywords

AGED; ARTICLE; ECONOMIC ASPECT; ECONOMICS; FINANCIAL MANAGEMENT; GEOGRAPHY; HEALTH CARE COST; HEALTH CARE PLANNING; HEALTH INSURANCE; HEALTH MAINTENANCE ORGANIZATION; HUMAN; LEGAL ASPECT; MEDICARE; UNITED STATES; UTILIZATION REVIEW;

AGED; ECONOMIC COMPETITION; GEOGRAPHY; HEALTH CARE SECTOR; HEALTH MAINTENANCE ORGANIZATIONS; HUMANS; INSURANCE, PHARMACEUTICAL SERVICES; MARKETING OF HEALTH SERVICES; MEDICARE; PREFERRED PROVIDER ORGANIZATIONS; REGIONAL HEALTH PLANNING; UNITED STATES;

EID: 23044452849     PISSN: 02782715     EISSN: None     Source Type: Journal    
DOI: 10.1377/hlthaff.24.4.1014     Document Type: Review

References (14)

1. Centers for Medicare and Medicaid Services, Establishing Regional Medicare PPOs and PDPs under the Medicare Modernization Act, 9 February 2005, www.cms.hhs.gov/medicarereform/mmaregions (18 April 2005).
2. P. Ginsburg et al., Options for Defining Medicare Advantage Regions: An Assessment of Tradeoffs, Report prepared for the Office of the Assistant Secretary for Planning and Evaluation, DHHS (Washington: Center for Studying Health System Change, 2004).
3. J. O'Sullivan et al., Overview of the Medicare Prescription Drug and Reform Conference Agreement (Washington: Congressional Research Service, December 2003).
4. CMS, "Key Projected Dates in the Implementation of Title I and II," www.cms.hhs.gov/medicarereform/mma-tlt2-calendar.pdf (18 April 2005).
5. B. Biles, G. Dallek, and L.H. Nicholas, "Medicare Advantage: Déjà Vu All Over Again," Health Affairs, 15 December 2004, content.healthaffairs.org/cgi/content/abstract/hlthaff.w4.586 (22 February 2005).
6. R.A. Berenson, "Medicare Disadvantaged and the Search for the Elusive 'Level Playing Field'," Health Affairs, 15 December 2004, content.healthaffairs.org/cgi/content/abstract/hlthaff.w4.572 (22 February 2005).
7. P. Kemper et al., "The Design of the Community Tracking Study: A Longitudinal Study of Health System Change and Its Effects on People," Inquiry 33, no. 2 (1996): 195-206.
8. R.E. Hurley, J.M. Grossman, and B.C. Strunk, "Medicare Risk Contracting/Medicare Contracting Risk: A Life-Cycle View from Twelve Markets," Health Services Research 38, no. 1, Part 2 (2003): 395-417. The twelve CTS sites are Boston, Cleveland, Greenville, Indianapolis, Lansing, Little Rock, Miami, northern New Jersey, Orange County (California), Phoenix, Seattle, and Syracuse.
9. J. White, R. Hurley, and B. Strunk, "Getting Along or Going Along: Health Plan-Provider Showdowns Subside," Issue Brief no. 74 (Washington: HSC, January 2004).
10. Medicare Payment Advisory Commission, "Market Variation: Implications for Beneficiaries and Policy Report," chap. 2 in Report to Congress (Washington: MedPAC, June 2003), 19-38.
11. O'Sullivan et al., Overview.
12. R. Pear, "Insurers Object to New Provision in Medicare Law," New York Times, 22 August 2004.
13. J.C. Robinson, "For-Profit Non-Conversion and Regulatory Firestorm at CareFirst BlueCross BlueShield," Health Affairs 23, no. 4 (2004): 68-83.
14. CMS, "Medicare Fact Sheet: Final Rules for Implementing the New Medicare Law," 21 January 2005, www.cms.hhs.gov/medicarereform/pdbma/fs- pdbmafinalrules.pdf (18 April 2005).