Medicare: Medicare Advantage / Private Plans

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Medicare Advantage Fact Sheet
This fact sheet provides an overview of the Medicare Advantage program, describes program changes made by the new drug law in plan participation and beneficiary enrollment, presents data on benefits and premiums and explains changes in Medicare payments to participating plans.

Strategies for Simplifying the Medicare Advantage Market
This report examines arguments for simplifying beneficiary plan choices within the Medicare Advantage program and analyzes implications of potential changes, including several proposed by the Obama Administration.

Recent Documents: (94 results)

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Examining Sources of Coverage Among Medicare Beneficiaries: Supplemental Insurance, Medicare Advantage, and Prescription Drug Coverage -- Findings from the Medicare Current Beneficiary Survey, 2006 -- August 2009
This chartpack presents new information on the sources of supplemental and prescription drug coverage among Medicare beneficiaries in 2007, the most recent year for which national data are available.

Setting Medicare Payment Policy: Is There a Role for an Independent Entity? -- August 2009
This issue brief considers questions associated with the establishment of a new entity to set Medicare payment policy and the implications for beneficiaries, other stakeholders, and program spending. The idea is being considered as part of health form as a way to improve Medicare's efficiency and control health care costs.

Summary of Key Medicare Provisions in H.R. 3200, America’s Affordable Health Choices Act of 2009 -- August 2009
This document provides a description of key Medicare provisions of H.R.3200, America’s Affordable Health Choices Act.

Medicare Health and Prescription Drug Plans Monthly Tracking Report — July 2009 -- July 2009
This brief presents current monthly data on Medicare Advantage plan participation, enrollment and penetration.

A Primer on Medicare Financing -- July 2009
This primer provides an overview of Medicare’s financing, examines several methods of assessing the program’s long-term financial outlook, and looks at various policy options under discussion to control costs both for Medicare and for the nation's overall health care system.

Strategies for Simplifying the Medicare Advantage Market -- July 2009
Strategies for Simplifying the Medicare Advantage Market

Medicare Prescription Drug Plans in 2009 and Key Changes Since 2006: Summary of Findings -- June 2009
This report summarizes findings from a series of Medicare Part D 2009 Data Spotlights documenting changes in drug coverage and costs since 2006 and finds, in many ways, beneficiaries over time are paying more for less generous benefits.

Medicare Spending and Financing Fact Sheet -- May 2009
This updated fact sheet provides an overview of spending on the Medicare program, how the program is financed, and Medicare’s future financial outlook. It includes the latest available data on Medicare financing.

The Obama Administration's 2010 Call Letter for Medicare Advantage and Prescription Drug Plans: Implications for Beneficiaries -- May 2009
The policy brief examines key provisions and proposed changes in plan requirements for Medicare Advantage and Medicare Prescription Drug Plans as outlined in the Obama Administration's call letter for 2010 issued this spring.

Medicare Advantage Fact Sheet -- May 2009
This updated fact sheet provides an overview of the Medicare Advantage program, describes program changes made by the new drug law in plan participation and beneficiary enrollment, presents data on benefits and premiums, and explains changes in Medicare payments to participating plans.

This chartpack presents new information on the sources of supplemental and prescription drug coverage among Medicare beneficiaries in 2007, the most recent year for which national data are available.

This issue brief considers questions associated with the establishment of a new entity to set Medicare payment policy and the implications for beneficiaries, other stakeholders, and program spending. The idea is being considered as part of health form as a way to improve Medicare's efficiency and control health care costs.

This document provides a description of key Medicare provisions of H.R.3200, America’s Affordable Health Choices Act.

This brief presents current monthly data on Medicare Advantage plan participation, enrollment and penetration.

This primer provides an overview of Medicare’s financing, examines several methods of assessing the program’s long-term financial outlook, and looks at various policy options under discussion to control costs both for Medicare and for the nation's overall health care system.

Strategies for Simplifying the Medicare Advantage Market

This report summarizes findings from a series of Medicare Part D 2009 Data Spotlights documenting changes in drug coverage and costs since 2006 and finds, in many ways, beneficiaries over time are paying more for less generous benefits.

This updated fact sheet provides an overview of spending on the Medicare program, how the program is financed, and Medicare’s future financial outlook. It includes the latest available data on Medicare financing.

The policy brief examines key provisions and proposed changes in plan requirements for Medicare Advantage and Medicare Prescription Drug Plans as outlined in the Obama Administration's call letter for 2010 issued this spring.

This updated fact sheet provides an overview of the Medicare Advantage program, describes program changes made by the new drug law in plan participation and beneficiary enrollment, presents data on benefits and premiums, and explains changes in Medicare payments to participating plans.

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Medicare Advantage / Private Plans

Medicare provides health benefits to 45 million elderly and disabled Americans. Currently, most beneficiaries (78%) have their health bills paid directly by the traditional fee-for-service program. The remaining 22% are covered by Medicare Advantage (formerly called Medicare+Choice (M+C)). Medicare Advantage, also known as Medicare Part C, is a program that allows beneficiaries to enroll in private health plans to receive Medicare-covered benefits. Beneficiaries have the option of enrolling in a variety of private plans including health maintenance organizations (HMOs), preferred provider organizations (PPOs), provider-sponsored organizations (PSOs), private fee-for-service (PFFS) plans, and medical savings accounts (MSAs) coupled with high deductible insurance plans. In recent years, the number of Medicare Advantage plans and beneficiaries enrolled in these plans has increased rapidly.