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Diane Publishing Books
Medicare Advantage: Characteristics, Financial Risks, and Disenrollment Rates of Beneficiaries in Private Fee-for-Service Plans
James C. Cosgrove (au)
Medicare Advantage (MA) plans are an alternative to the original Medicare fee-for-service (FFS) program. Private fee-for-service (PFFS) plans -- one type of MA plan -- give beneficiaries an option that is more like Medicare FFS than other MA plans, with a wider choice of providers and less plan management of services and providers. PFFS enrollment increased from about 35,000 beneficiaries in June 2004 to about 2.3 million in June 2008. This report compares PFFS plans to other MA plans and Medicare FFS in 3 areas: (1) characteristics of beneficiaries; (2) financial risks for beneficiaries who do not contact their plans before receiving services; and (3) disenrollment rates. Includes recommendations. Charts and tables.
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