Performance Improvement 2009. How Has Legislation Changed Medicare Advantage Plan Availability, Participation, Premiums, Benefits Cost Sharing, and Enrollment?


The study examined the impact of legislated changes in the Medicare Modernization Act.

Access to and enrollment in Medicare Advantage plans of all types increased during 2006. Medicare Advantage plans in rural areas increased. Likely causes of higher enrollment included greater availability of plans and plan types offering greater access to providers, the addition of the Part D, and more attractive premiums and benefits. Private-Fee-For-Service and Preferred Provider Organizations were instrumental in achieving universal access. Participation by beneficiaries in the Medicare Advantage program increased significantly between 2005 and 2006. Most beneficiaries received Part C (Medicare Advantage) and Part D (prescription drug) benefits at no additional out of pocket cost to them as a result of changes in plan premiums during 2006.

Report Title: Medicare Advantage Plan Availability, Premiums and Benefits, and Beneficiary Enrollment in 2006, Final Report
Agency Sponsor: CMS-ORDI, Office of Research, Development, and Information
Federal Contact: Melissa Montgomery, 410-786-7596
Performer: Research Triangle Institute
PIC ID: 8959

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"PerformanceImprovement2009.pdf" (pdf, 1.26Mb)

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