Medicare preferred provider organization demonstration: Plan offerings and beneficiary enrollment

Health Care Financing Review

Volumn 27, Issue 3, 2006, Pages 95-109

  Pope, Gregory C ^a   Greenwald, Leslie ^a   Kautter, John ^a   Olmsted, Eric ^a   Mobley, Lee ^a  

^a RTI INTERNATIONAL   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

AGED; ARTICLE; DRUG COST; HEALTH CARE COST; HEALTH CARE POLICY; HEALTH INSURANCE; HEALTH MAINTENANCE ORGANIZATION; HEALTH STATUS; HUMAN; MAJOR CLINICAL STUDY; MANAGED CARE; MEDICAID; MEDICAL FEE; MEDICARE; PATIENT CARE; RISK; RURAL HEALTH CARE; URBAN AREA;

INTERVIEWS; INTERVIEWS AS TOPIC; MEDICARE; PILOT PROJECTS; PREFERRED PROVIDER ORGANIZATIONS; STATISTICS; STATISTICS AS TOPIC; UNITED STATES;

EID: 33646910609     PISSN: 01958631     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Article

References (6)

1. Fu Associates: 2004 Medicare Personal Plan Finder Cohort Selection and Out of Pocket Cost Estimates Development Process Requirements. 2004. Internet address: http://www.cms.hhs.gov/health-plans/2004_OOPC_Specs.pdf. (Accessed 2005.)
2. Greenwald, L., Pope, G., Anderson, W., et al.: Medicare Preferred Provider Organization (PPO) Case Study and Implementation Report. RTI Final Report to the Centers for Medicare & Medicaid Services. January 2004.
3. Medicare Payment Advisory Commission: Report to the Congress: Medicare Payment Policy. Washington, DC. March 2003.
4. Pope, G., Kautter, J., Ellis, R., et al.: Risk Adjustment of Medicare Capitation Payments Using the CMS-HCC Model. Health Care Financing Review 25(4):119-141, Summer 2004a.
5. Pope, G., Olmsted, E., Kautter, J., et al.: The Medicare Preferred Provider Organization Demonstration: Plan Offerings and Enrollment. Report to Centers for Medicare & Medicaid Services. RTI International. Waltham, MA. October 2004b.
6. U.S. Government Accountability Office: Medicare Demonstration PPOs: Financial and Other Advantages for Plans, Few Advantages for Beneficiaries. Report to the Ranking Minority Member, Committee on Finance, U.S. Senate. GAO-04-960. U.S. Government Printing Office. Washington, DC. 2004