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Diane Publishing Books
Medicare Advantage (MA): Quality Bonus Payment Demonstration Undermined by High Estimated Costs and Design Shortcomings
James C. Cosgrove (au)
The MA program provides health care coverage to Medicare beneficiaries through private health plans offered by org. under contract with the CMS. In 2011, about a quarter of all Medicare beneficiaries were enrolled in approx. 3,300 MA plans sponsored by 175 MA org. This report reviews the cost and design of the MA Quality Bonus Payment Demonstration (demo). It examined: (1) cost estimates that have been developed for the demo; (2) the extent to which the demo conforms to the principles of budget neutrality; (3) how the demo compares in budgetary impact, size, and scope with other Medicare demo; and (4) the extent to which the design of the demo will allow CMS to achieve its stated research goal. Illustrations. This is a print on demand report.
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