Medicare Advantage Plan Payment Rates and Plan Bids Relative to Traditional Medicare, 2009 and 2017
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- Maurice Hopkins
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1 Exhibit 1 Medicare Advantage Plan Payment Rates and Plan Bids Relative to Traditional Medicare, 9 and Note: Medicare Advantage plan bids, by law, represent their expected costs of providing Medicare Part A and Part B benefits to their enrollees (including medical expenditures, administrative costs, and profits). Data: Medicare Payment Advisory Commission, Report to the Congress: Medicare Payment Policy (MedPAC, March 9); and Medicare Payment Advisory Commission, Report to the Congress: Medicare Payment Policy (MedPAC, March 17). Source: S. Guterman, L. Skopec, and S. Zuckerman, Do Medicare Advantage Plans Respond to Payment Changes? A Look at the Data from 9 to 1,
2 Exhibit Changes in Traditional Medicare Spending, Medicare Advantage Benchmarks, Medicare Advantage Plan Payment Rates, and Medicare Advantage Plan Bids, 9 1 Traditional Medicare spending per beneficiary Medicare Advantage benchmarks Note: Medicare Advantage plan bids, by law, represent their expected costs of providing Medicare Part A and Part B benefits to their enrollees (including medical expenditures, administrative costs, and profits). Source: S. Guterman, L. Skopec, and S. Zuckerman, Do Medicare Advantage Plans Respond to Payment Changes? A Look at the Data from 9 to 1,
3 Exhibit 3 Changes in Traditional Medicare Spending, Medicare Advantage Benchmarks, and Medicare Advantage Plan Payment Rates by Traditional Medicare Spending Quartile, Traditional Medicare spending per beneficiary Medicare Advantage benchmarks Lowest 3 Highest 9 traditional Medicare spending quartile Note: Spending quartile comprises equal numbers of counties, ranked by traditional Medicare spending per beneficiary, from low to high. Source: S. Guterman, L. Skopec, and S. Zuckerman, Do Medicare Advantage Plans Respond to Payment Changes? A Look at the Data from 9 to 1,
4 Exhibit Changes in Medicare Advantage Plan Payment Rates and Plan Bids by Traditional Medicare Spending Quartile, Lowest 3 Highest 9 traditional Medicare spending quartile Notes: Spending quartile comprises equal numbers of counties, ranked by traditional Medicare spending per beneficiary, from low to high. Medicare Advantage plan bids, by law, represent their expected costs of providing Medicare Part A and Part B benefits to their enrollees (including medical expenditures, administrative costs, and profits). Source: S. Guterman, L. Skopec, and S. Zuckerman, Do Medicare Advantage Plans Respond to Payment Changes? A Look at the Data from 9 to 1,
5 Exhibit 5 Surplus of Medicare Advantage Plan Payment Rates Relative to Plan Bids by Traditional Medicare Spending Quartile, Lowest 3 Highest 9 traditional Medicare spending quartile Notes: Spending quartile comprises equal numbers of counties, ranked by traditional Medicare spending per beneficiary, from low to high. Medicare Advantage plan bids, by law, represent their expected costs of providing Medicare Part A and Part B benefits to their enrollees (including medical expenditures, administrative costs, and profits). Source: S. Guterman, L. Skopec, and S. Zuckerman, Do Medicare Advantage Plans Respond to Payment Changes? A Look at the Data from 9 to 1,
6 Exhibit Changes in Medicare Advantage Benchmarks, Plan Payment Rates, and Plan Bids by Type of Medicare Advantage Plan, 9 1 Medicare Advantage benchmarks HMO Local PPO Regional PPO Notes: Medicare Advantage plan bids, by law, represent their expected costs of providing Medicare Part A and Part B benefits to their enrollees (including medical expenditures, administrative costs, and profits). HMO = health maintenance organization; PPO = preferred provider organization. Source: S. Guterman, L. Skopec, and S. Zuckerman, Do Medicare Advantage Plans Respond to Payment Changes? A Look at the Data from 9 to 1,
7 Exhibit 7 Surplus of Medicare Advantage Plan Payment Rates Relative to Plan Bids by Type of Medicare Advantage Plan, HMO Local PPO Regional PPO Notes: Medicare Advantage plan bids, by law, represent their expected costs of providing Medicare Part A and Part B benefits to their enrollees (including medical expenditures, administrative costs, and profits). HMO = health maintenance organization, PPO = preferred provider organization. Source: S. Guterman, L. Skopec, and S. Zuckerman, Do Medicare Advantage Plans Respond to Payment Changes? A Look at the Data from 9 to 1,
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