Tuesday, February 24, 2009

Curbing Medicare Advantage overpayments could benefit millions of low-income and minority Americans

From Online Summary:
More than 25 million Americans belonging to minority groups lack health coverage; minorities constitute 34 percent of the nation’s population but nearly 55 percent of the uninsured. Enactment of comprehensive health reform that achieves universal coverage would therefore disproportionately benefit minorities.

One way to help finance universal coverage, as President Obama has noted, would be to curb excessive payments to the private insurance companies that serve some Medicare beneficiaries through the Medicare Advantage program. Although private insurers were brought into Medicare to reduce costs, Medicare pays them an average of $1,000 more per beneficiary per year than it costs to treat the same beneficiaries through traditional Medicare. These overpayments threaten Medicare’s finances and increase the premiums paid by participants in traditional Medicare. As a result, Congress’ official expert advisory body on Medicare payment policy, the Medicare Payment Advisory Commission, has recommended “leveling the playing field” and paying private plans the same amounts as traditional Medicare.

Source: Center on Budget and Policy Priorities

Download full pdf report | Link to online summary and key findings

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