GENERAL DISCUSSIONS

Cuts may be in store for Medicare Advantage plans

POSTED BY: GEEZER
UPDATED: Saturday, February 22, 2014 09:03
SHORT URL: http://bit.ly/1hbmPZQ
VIEWED: 2013
PAGE 1 of 1

Saturday, February 22, 2014 9:03 AM

GEEZER

Keep the Shiny side up


Quote:

WASHINGTON (AP) -- Cuts are on the table next year for Medicare Advantage plans, the Obama administration said Friday. The politically dicey move affecting a private insurance alternative highly popular with seniors immediately touched off an election-year fight.

The announcement gave new ammunition to Republican critics of President Barack Obama's health care law, while disappointing some Democratic senators who had called on the administration to hold rates steady. Insurers are still hoping to whittle back the cuts or dodge them altogether.

Late Friday after financial markets closed, Medicare issued a 148-page assessment of cost factors for the private plans next year. It included multiple variables, some moving in different directions, but analyst Matthew Eyles of Avalere Health estimated it would translate to a cut of 1.9 percent for 2015, a figure also cited by congressional staffers briefed on the proposal.

"There's nothing to like here if you're one of the plans," said Eyles.

Administration officials say the plans don't need to be paid as much to turn a profit, because the growth of health care spending has slowed dramatically. They see the cuts as a dividend for taxpayers.

But the political clout of the plans is growing as seniors flock to them seeking better health care value. Medicare Advantage plans now serve nearly 16 million people, or about 30 percent of Medicare beneficiaries. They can offer lower out-of-pocket costs and broader benefits than traditional Medicare, but often restrict choice.

Insurers say they will be forced to pass on higher costs to seniors or cut benefits if their rates are reduced, and some plans may drop out altogether. The impact could vary significantly around the country.

The industry says the cuts come as Medicare Advantage reductions programmed under the health care law are ramping up. The law sought to compensate for prior years in which the plans were overpaid. But it also includes a new tax on insurers, so industry officials fear the combined impact will be much higher.

The largest insurer trade group, America's Health Insurance Plans, is sparing no effort to head off cuts, with an extensive advertising and lobbying campaign.

It has won the support of 40 senators from both parties who, in a Feb. 14 letter, called on the administration to essentially hold Medicare Advantage rates steady. Among the signers were six Democratic senators in contested races whose outcome will determine whether Obama faces a Congress next year that's completely controlled by Republicans.

Final rates won't be released until April 7, so the lobbying will get even more intense. In prior years, Medicare has sometimes pulled back from proposed cuts.

Friday's announcement will help the government decide basic rates for the Medicare Advantage plans. But the actual change individual plans and customers eventually see will vary, depending on factors like a plan's quality rating or where the plan is located.

The plans have become a key source of revenue growth for insurers who sell and administer the subsidized coverage. They offer basic Medicare coverage topped with extras like vision or dental coverage or premiums lower than standard Medicare rates. There are hundreds of different plans around the country, each with its own set of variables like different deductibles, premiums and co-insurance.

UnitedHealth Group Inc. and Humana Inc. are the two largest Medicare Advantage providers. Health insurance stocks that soared in 2013 slipped at the start of this year after Humana Inc., the second-largest in the market, said rate cuts could be deeper than expected.


http://wtop.com/209/3568068/Cuts-may-be-in-store-for-Medicare-Advantag
e-plans



NOTIFY: Y   |  REPLY  |  REPLY WITH QUOTE  |  TOP  |  HOME  

YOUR OPTIONS

NEW POSTS TODAY

USERPOST DATE

OTHER TOPICS

DISCUSSIONS
Is Joss Whedon finished as a film maker, is his future destiny to be some muttering version of Brigitte Bardot, Jane Fonda, Sean Penn, Charlie Sheen, Danny Glover?
Sun, November 24, 2024 06:15 - 13 posts
Bad writers go on strike, late night talk is doomed
Fri, November 22, 2024 13:49 - 22 posts
Here's how it was.....Do you remember & even mourn the humble beginnings?
Mon, November 18, 2024 09:38 - 13 posts
Where are the Extraterrestrial Civilizations
Sat, November 16, 2024 20:08 - 54 posts
Serenity Rescued by Disney!
Fri, November 15, 2024 00:31 - 5 posts
What is your favourite historical or war film/television show???
Fri, November 8, 2024 07:18 - 37 posts
When did you join poll?
Tue, November 5, 2024 04:28 - 69 posts
Joss was right... Mandarin is the language of the future...
Mon, November 4, 2024 09:19 - 34 posts
Best movie that only a few people know about
Mon, November 4, 2024 07:14 - 118 posts
Halloween
Sun, November 3, 2024 15:21 - 43 posts
Teri Garr, the offbeat comic actor of 'Young Frankenstein' has died
Thu, October 31, 2024 20:20 - 5 posts
Poetry in song
Sat, October 26, 2024 20:16 - 19 posts

FFF.NET SOCIAL