Improving the Medicare Market:

Adding Choice and Protections

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Size: 384 pages, 6 x 9

Publication Year:1996

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Authors:
Stanley B. Jones and Marion Ein Lewin, Editors; Committee on Choice and Managed Care: Assuring Public Accountability and Information for Informed Purchasing by and on Behalf of Medicare Beneficiaries, Institute of Medicine
Authoring Organizations

Description:
Medicare beneficiaries are rapidly moving into managed care, as attempts to restrain the growth of this costly entitlement program progress.
However, advocates for patients question whether the necessary information and structures are in place to enable Medicare consumers to select wisely ...
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Reviews:
"I highly recommend this book to those who are interested in a broad overview of the potential and the concerns of expanded choice under Medicare managed care." Anne M. Wilkinson, Ph.D., MS Center to Improve Care of the Dying, George ...
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Table of Contents
Select a link below to start reading online free!
Front Matter	i-xvi
Executive Summary	1-10	(skim)
1 Overview	11-38	(skim)
2 Symposium Summary	39-79	(skim)
3 Findings and Reccomendations	80-110	(skim)
References	111-115	(skim)
References Consulted	116-120	(skim)
A Additional Commentary Regarding Choice Facilitating Organizations	121-124	(skim)
B Invitational Symposium Agenda	125-130	(skim)
C Symposium Participants	131-135	(skim)
D Commissioned Papers	136	(skim)
E The Structure and Accountability for Medicare Health Plans: Government, the Market, and Professionalism	137-158	(skim)
F Best Practices for Structuring and Facilitating Consumer Choice of Health Plans	159-194	(skim)
G Medicare Managed Care: Issues for Vulnerable Populations	195-235	(skim)
H Reaching and Educating Medicare Benificiaries About Choice	236-269	(skim)
I What Information Do Consumers Want and Need: What Do We Know About How They Judge Quality and Accountability?	270-289	(skim)
J Medicare Managed Care: Protecting Consumers and Enhancing Satisfaction	290-325	(skim)
K Medicare Managed Care: Current Requirements and Practices to Ensure Accountability	326-337	(skim)
L What Should Be the Basic Ground Rules for Plans Being Able to Participate in the Medicare Managed Care Market? Case Study: The California Public Employees' Retirement System	338-352	(skim)
Index	353-368	(skim)

Description

Medicare beneficiaries are rapidly moving into managed care, as attempts to restrain the growth of this costly entitlement program progress.
However, advocates for patients question whether the necessary information and structures are in place to enable Medicare consumers to select wisely among private-sector managed care options. Improving the Medicare Market examines how to give Medicare beneficiaries the same choice of health plan options enjoyed in the private sector--yet protect them as consumers and patients.
This book recommends approaches to ensuring accountability and informed purchasing for Medicare beneficiaries in an environment of broader choice and managed care--how the government should evaluate and approve plans, what role the traditional Medicare program should play, how to help to elderly understand their options, and many other practical matters.
The committee discusses the information requirements of Medicare beneficiaries and explores in detail how best to respond to their special needs. And it examines the procedures that should be developed to provide the necessary protections for the elderly in a managed care system.

Reviews

"I highly recommend this book to those who are interested in a broad overview of the potential and the concerns of expanded choice under Medicare managed care." Anne M. Wilkinson, Ph.D., MS Center to Improve Care of the Dying, George Washington University

Authoring Organizations

Institute of Medicine (IOM)

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