Exhibit 0 NOTE: PFFS is Private Fee-for-Service plans, PPOs are preferred provider organizations, and HMOs are Health Maintenance Organizations. Other.

Slides:

Advertisements

Similar presentations

Medicare Advantage: Background and Current Status by Marsha Gold, Sc.D. Senior Fellow Mathematica Policy Research, Inc. May 4, 2008 Presented at Alliance.

Advertisements

THE COMMONWEALTH FUND 1 An Estimated 116 Million Adults Were Uninsured, Underinsured, Reported a Medical Bill Problem, and/or Did Not Access Needed Health.

Exhibit 1 NOTES: Other setting of usual care includes: neighborhood or family health center, free standing surgery center, rural health clinic, company.

Ana Malinow, MD Associate Professor Pediatrics, BCM Co-founder, Health Care for All Texas September 22, 2009.

Peterson-Kaiser Health System Tracker What is behind the recent slowdown in health spending?

DataBrief: Did you know… DataBrief Series ● February 2011 ● No. 12 Dual Eligibles Across the States In 2008, dual eligibles as a percent of the total Medicare.

Exhibit 9.1 Percentage Distribution of Medicaid Enrollees and Benefit Payments, by Eligibility Status, Fiscal Year 2008 Copyright 2011 for the Foundation.

DataBrief: Did you know… DataBrief Series ● February 2011 ● No. 10 Dual Eligibles – Health Services Utilization In 2008, dual eligibles were 23% more likely.

Session 6 February 10, 2011 Health System Economics and Financing Concepts and Consequences of Insurance 1.

Congressional Budget Office Presentation to the National Health Policy Conference The Outlook for Health Care Spending February 4, 2008.

Medicare spending is 14% of the federal budget Total Federal Spending in 2013: $3.5 Trillion MEDICARE Medicaid Net interest Social Security Defense Nondefense.

Engaging Insurers and Emerging Opportunities Presented on September 2, 2014 to AC Removing Barriers workgroup 1.

U.S. Private Insurance Solutions in the US Social Insurance System for the Aged and Disabled March 5, 2015 David S. Abernethy 1.

Nearly one in four Medicare beneficiaries had a Medigap policy as a supplemental source of coverage in 2010 Multiple Sources of Coverage (without Medigap)

Exhibit 1 NOTE: *Amount corresponds to the estimated catastrophic coverage limit for non-low-income subsidy enrollees ($6,734 for LIS enrollees), which.

Source: Congressional Budget Office, The Budget and Economic Outlook: 2014 to 2024, p. 58, February 4, Note: CBO estimate of $115 billion reflects.

Exhibit 2. Medicare Enrollment, 1970–2080 Enrollment in millions Source: Centers for Medicare and Medicaid Services, 2013 Annual Report of the Boards of.

Figure 1 NOTE: Tests found no statistical difference from estimate for the previous year shown (p

The Marketing of Medicare Advantage and Part D Plans Presented by David Lipschutz and Bonnie Burns Winter/Spring 2007 This California Medicare Coalition.

MEDICARE PRESCRIPTION DRUG BENEFIT Presented by Juliette Cubanski, Ph.D. Principal Policy Analyst Medicare Policy Project The Henry J. Kaiser Family Foundation.

Introduction  The United States has a unique system of health care delivery.  The US health care delivery system is complex and massive.

Medicare: An Overview September 30, 2014 Society for Financial and Professional Development 7 th Annual Financial Literacy Leadership Conference Christina.

Issues and Challenges Facing Medicare Mark L. Hayes.

Excess cost growth in Medicare, Medicaid, and all other health care spending Source: CBO, A Federal Perspective on Health Care Policy and Costs, 2008.

Year Total National Health Expenditures Prescription Drugs Total TotalPer Capita Nominal Dollars (billions) Real Dollars (2) (billions) Nominal Dollars.

Medicare Advantage Overview Diane Rowland, Sc.D. Executive Vice President Kaiser Family Foundation Alliance for Health Reform July 16, 2007.

NOTES: Numbers may not sum to total due to rounding. People with disabilities under age 65 were not eligible for Medicare prior to SOURCE: Centers.

1 MEDICARE ADVANTAGE PLANS: MEDICARE COSTS IN 2007 Brian Biles, MD, MPH Department of Health Policy George Washington University June 3, 2007.

Bruce C. Vladeck, Ph.D. Physicians for a National Health Program Boston, MA November 2, 2013.

Health Care Reform Michael R. Cousineau USC Keck School of Medicine.

Natalie Brisighella. 1.Current System 2.Proposed Plan Details 3.Negative Consequences of Plan 4.Additional Arguments 5.Refutation of Proponents’ Arguments.

Percent of total Medicare population: NOTE: ADL is activity of daily living. SOURCES: Income and savings data from Urban Institute/Kaiser Family Foundation.

Return to Tutorials Tricia Neuman, Sc.D. Director, Medicare Policy Project Vice President, Kaiser Family Foundation For KaiserEDU June 2009 Medicare 101:

Chart 1.1: Total National Health Expenditures, 1980 – 2011 (1) Source: Centers for Medicare & Medicaid Services, Office of the Actuary. Data released.

MEDICARE ADVANTAGE: WHAT CONGRESS INTENDED? by Marsha Gold, Sc.D. Senior Fellow Mathematica Policy Research June 3, 2007 For presentation at Panel on “Medicare.

Exhibit 1 NOTE: Excludes SNPs, employer-sponsored (i.e., group) plans, demonstrations, HCPPs, PACE plans, and plans for special populations (e.g., Mennonites).

Figure 1 SOURCE: Kaiser Family Foundation analysis of the Medicare Current Beneficiary Survey 2010 Cost and Use file. Selected Demographic Characteristics.

The Future of Medicare Advantage The Heritage Foundation September 10, 2008 James C. Capretta Fellow, Ethics and Public Policy Center

SOURCE: Kaiser Family Foundation estimates based on the Census Bureau's March 2014 Current Population Survey (CPS: Annual Social and Economic Supplements).

Figure 1. Enrollment in Medicare Managed Care Plans as a Percentage of Total Medicare Beneficiaries, 1995–2008 BBA 1997MMA 2003 Source: Centers for Medicare.

A-4 Table 1.1: National Health Expenditures, 1980 – 2005 (1) Source: Centers for Medicare & Medicaid Services, Office of the Actuary. Data released.

Congressional Budget Office The Medicare Advantage Program July 16, 2007.

K A I S E R C O M M I S S I O N O N Medicaid and the Uninsured Figure 0 Long-Term Care: Exploring the Possibilities Diane Rowland, Sc.D. Executive Vice.

Presentation at Alliance for Health Reform Briefing Bob Greenstein September 12, 2011.

Medicare Part B Premium and Deductible: What’s in Store for 2016? October 14, 2015 National Coalition on Health Care Tricia Neuman, Sc. D. Director, Program.

ENHANCING VALUE IN MEDICARE Brian Biles, MD, MPH The George Washington University January 14, 2007.

Chart 1.1: Total National Health Expenditures, 1980 – 2013 (1) Source: Centers for Medicare & Medicaid Services, Office of the Actuary. Data released.

Medicare Managed Care. Plan for Medicare Managed Care Today –Enrollment patterns and trends –Pros and cons for beneficiaries –How Medicare has traditionally.

Center on Budget and Policy Priorities cbpp.org Deficits Have Fallen Sharply Since Recession.

Year Total National Health Expenditures Prescription Drugs Total TotalPer Capita Nominal Dollars (billions) Real Dollars (2) (billions) Nominal DollarsReal.

A-4 Table 1.1: Total National Health Expenditures, 1980 – 2007 (1) Source: Centers for Medicare & Medicaid Services, Office of the Actuary. Data released.

Trends in the Overall Health Care Market CHAPTER 1.

Supplementary Data Tables Trends in the Overall Health Care Market APPENDIX 1.

Medicare Enrollment, NOTES: Numbers may not sum to total due to rounding. People with disabilities under age 65 were not eligible for Medicare.

August 3, 2017 How Do Retiree Health Costs Affect People and Programs?

2012 NHE Total Expenditures: $2,793.4 billion

Per Enrollee Growth in Medicare Spending and Private Health Insurance Premiums (for Common Benefits), NOTE: Per enrollee includes primary.

Exhibit 1 Medicare Beneficiaries Spending 20 Percent or More of Income on Premiums and Care, by Poverty Level Percent of Medicare beneficiaries Note: FPL.

Historical and Projected Average Annual Growth Rate in Medicare Spending Per Capita and Other Measures Actual ( ) Projected ( ) 2594, 2956.

Total Medicare Private Health Plan Enrollment,

Exhibit 1 Medicare Advantage Plan Payment Rates and Plan Bids Relative to Traditional Medicare, 2009 and 2017 Percent Note: Medicare Advantage plan bids,

Medicare Enrollment, NOTES: Numbers may not sum to total due to rounding. People with disabilities under age 65 were not eligible for Medicare.

Relative Contributions of Different Types of Health Services to Total Growth in National Health Expenditures, NOTE: Percentages may not.

Relative Contributions of Different Types of Health Services to Total Growth in National Health Expenditures, NOTE: Percentages may not total.

Distribution of Funding for Programs in the U. S

NHE Total Expenditures: $2,700.7 billion

Residency Fellowship in Health Policy Fall 2018

Physician/ Clinical Services Other Personal Health Care

Discussion Topics History of Private Plans in Medicare

Health Care Service Corp.*

Presentation transcript:

Exhibit 0 NOTE: PFFS is Private Fee-for-Service plans, PPOs are preferred provider organizations, and HMOs are Health Maintenance Organizations. Other includes MSAs, cost plans, and demonstration plans. Includes enrollees in Special Needs Plans as well as other Medicare Advantage plans. SOURCE: MPR / KFF analysis of the Centers for Medicare and Medicaid Services (CMS) Medicare Advantage enrollment files, Three in 10 Medicare beneficiaries are enrolled in Medicare Advantage plans, most of whom are in HMOs Total Medicare Advantage Enrollment, 2014 = 15.7 Million Distribution of Enrollment in Medicare Advantage Plans, by Plan Type, 2014

Exhibit 1 NOTE: Includes cost plans, MSAs, demonstrations, and Special Needs Plans, as well as other Medicare Advantage Plans. SOURCE: KFF analysis of the Centers for Medicare and Medicaid Services (CMS) Medicare Advantage enrollment files, , and Congressional Budget Office, “Medicare Baseline,” April Medicare Advantage enrollment has increased rapidly and is projected to continue to rise Actual EnrollmentProjected Enrollment Medicare Advantage Enrollment (in millions),

Exhibit 2 NOTE: Includes cost plans, MSAs, demonstrations, and Special Needs Plans, as well as other Medicare Advantage Plans. SOURCE: KFF analysis of the Centers for Medicare and Medicaid Services (CMS) Medicare Advantage enrollment files, The share of Medicare beneficiaries in Medicare Advantage plans varies greatly across the country U.S. Average Medicare Advantage Penetration= 30% Louisville, 27% Portland, 56% Idaho Falls, 21% Anchorage, 0% Los Angeles, 43% Topeka, 7% Austin, 23% Miami, 59% Milwaukee, 34% Baltimore, 10% Portland, 24% Tucson, 48% Manhattan, 32% Honolulu, 48% 0%-20%21%-40%>41%

Exhibit 3 SOURCE: Medicare Payment Advisory Commission (MedPAC) Report to Congress, Medicare has been paying more for beneficiaries in Medicare Advantage plans than for those in traditional Medicare Traditional Medicare Spending ActualProjected Average Medicare Advantage Payments as a Percentage of Traditional Medicare Spending

Exhibit 4 NOTE: Other includes firms with less than 3% of total enrollment. BCBS are BlueCross BlueShield affiliates and includes Wellpoint BCBS plans that comprise 4% of all enrollment (approximately 600,000 enrollees) in Medicare Advantage plans. Other national insurers includes approximately 428,000 enrollees across the following firms: Wellcare, HealthNet, Universal American, Munich American Holding Corporation, and Wellpoint non-BCBS plans. Accounts for merger between Coventry and Aetna in 2013; Medicare Advantage plans offered by Coventry covered 306,000 beneficiaries and Aetna plans covered 615,000 in Percentages may not sum to 100% due to rounding. SOURCE: MPR/Kaiser Family Foundation analysis of CMS Enrollment files, Medicare Advantage enrollment is concentrated within a small number of firms and affiliates, 2014 Total Medicare Advantage Enrollment, 2014 = 15.7 Million Kaiser Permanente 8% Aetna 7% Other National Insurers 5% Cigna 3%