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Medicare Advantage (MA)
Publications
Alphabetical list. You can also view by publication date.
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Contracting with Medicare Advantage Plans: A Brief for Critical Access Hospital Administrators
Author(s): Michelle Mason, Roslyn Fraser-Maginn, Keith Mueller, Jennifer King, Andrea Radford, Rebecca Slifkin, Jennifer Lenardson, Lauren Silver, Curt Mueller
Research centers:
North Carolina Rural Health Research and Policy Analysis Center,
Rural Policy Research Institute (RUPRI) Center for Rural Health Policy Analysis,
Walsh Center for Rural Health Analysis
Topics:
Critical Access Hospitals and Rural Hospital Flexibility Program,
Medicare Advantage (MA)
Date: 12 / 2005
Summarizes the experience of Critical Access Hospital (CAH) administrators with contracts offered by Medicare Advantage (MA) plans. Telephone surveys were conducted with CAH administrators across the country to learn about their experiences with MA plans. This brief includes information about the contract terms administrators have been offered, their experiences negotiating with MA plans, and their advice for others dealing with this issue.
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Critical Access Hospitals' Experience with Medicare Advantage Plans
Research centers:
Rural Policy Research Institute (RUPRI) Center for Rural Health Policy Analysis,
Walsh Center for Rural Health Analysis
Topics:
Critical Access Hospitals and Rural Hospital Flexibility Program,
Hospitals and clinics,
Medicare Advantage (MA)
Date: 03 / 2008
This report details findings from a survey of 60
critical access hospital (CAH) administrators regarding
their experiences with Medicare Advantage
(MA) plans. Findings from this research
identify concerns of CAH administrators that, as
the MA program evolves, may be addressed
through technical assistance and changes in regulation
or legislation.
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Federal Employees' Health Benefits Program: A Model for Competition in Rural America?
Author(s): Keith J. Mueller, Timothy D. McBride, Courtney Andrews, Roslyn Fraser, Liyan Xu
Research center:
Rural Policy Research Institute (RUPRI) Center for Rural Health Policy Analysis
Topics:
Health insurance and the uninsured,
Medicare Advantage (MA)
Citation: Journal of Rural Health, 21(2), 105-113 Date: 2005
Tests the hypothesis that the Federal Employees' Health Benefits Program (FEHBP) has fostered an environment of competing health plans, especially preferred provider organizations (PPOs), in rural areas. There is a strong relationship between the number of FEHBP plans and areas with high population counts and high population density. In many counties with low population counts (under 3,000), most PPOs are not contracting with the nearest primary care provider. The authors conclude that the FEHBP is not a perfect predictor of Medicare Advantage (MA) plan activity because the MA program does not use the FEHBP approach of certifying regional plans that must offer local access. However, the FEHBP experience indicates that plans are attracted to areas with high population counts and high population density.
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Rural Enrollment in Medicare Advantage Continues to Grow Rapidly in 2008, Led by Private Fee-for-Service Plans
Author(s): Yolonda Y. Campbell, Timothy D. McBride, and Keith Mueller
Research center:
Rural Policy Research Institute (RUPRI) Center for Rural Health Policy Analysis
Topics:
Medicare,
Medicare Advantage (MA)
Report Number: Brief No. 2008-3 Date: 08 / 2008
Enrollment of rural beneficiaries into Medicare Advantage (MA) plans has more than quadrupled since the inception of the MA program at the beginning of 2006 and increased 35% in the last year. However, as a percent of all beneficiaries, the enrollment rate in rural areas remains well below the
national enrollment rate. The tremendous growth in rural MA plans over the past two and a half years is mostly attributed to the spread of private fee-for-service plans across the country, which now account for 58% of rural Medicare eligibles. This policy brief provides findings about enrollment in the MA program in rural areas and across the United States and updates findings from analysis of the MA program presented in previous RUPRI Center policy briefs.
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Rural Enrollment in Medicare Advantage Growing Rapidly in 2007, Especially in Private Fee-for-Service Plans
Author(s): Timothy D. McBride, Tanchica L. Terry, Keith J. Mueller
Research center:
Rural Policy Research Institute (RUPRI) Center for Rural Health Policy Analysis
Topic:
Medicare Advantage (MA)
Report Number: Rural Policy Brief Vol. 12, No. 3 (PB2007-3 ) Date: 07 / 2007
Provides findings about enrollment in the newly designed Medicare Advantage (MA) program in rural and urban areas, with state and national data. Updates early findings from analysis of the Medicare+Choice/MA program presented in previous RUPRI Center policy briefs.
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Rural Enrollment in Medicare Advantage Is Concentrated in Private Fee-for-Service Plans
Author(s): Timothy D. McBride, Tanchica L. Terry, Keith J. Mueller
Research center:
Rural Policy Research Institute (RUPRI) Center for Rural Health Policy Analysis
Topic:
Medicare Advantage (MA)
Report Number: Rural Policy Brief Vol. 12, No. 2 (PB2007-2 ) Date: 04 / 2007
Provides findings about enrollment in the newly
designed Medicare Advantage (MA) program in rural and urban areas. Includes rural and urban data on enrollment in Medicare Advantage and other pre-paid plans by type of plan. Also provides state-level information on MA enrollment.
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State Updates on Medicare Advantage Enrollment
Research center:
Rural Policy Research Institute (RUPRI) Center for Rural Health Policy Analysis
Topics:
Medicare Advantage (MA),
Rural statistics and demographics
Date: 12 / 2007
Contains reports for each state with the number of persons enrolled in Medicare Advantage and prepaid plans in December 2005 and September 2007 in rural and urban areas.
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Update on Rural Enrollment in Medicare Advantage: Growth Continues
Author(s): Timothy D. McBride, Keith J. Mueller
Research center:
Rural Policy Research Institute (RUPRI) Center for Rural Health Policy Analysis
Topic:
Medicare Advantage (MA)
Report Number: Rural Policy Brief No. 2007-7 Date: 10 / 2007
Provides findings about rural enrollment in the Medicare Advantage (MA) program and other pre-paid plans, with state and national data. Updates early findings from analysis of the Medicare+Choice/MA program presented in previous RUPRI Center policy briefs. Detailed data about MA enrollment and plans are available at:
http://www.unmc.edu/ruprihealth/Pubs/PB2007-7%20Tables%20110507.pdf.
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