tci Medicare Compliance & Reimbursement - 2004 Issue 5

Health Plans: Health Plans Planning Their Moves Into Medicare

What managed care organizations are thinking as they prepare to remake Medicare.Medicare has finally been reformed, and reimbursement rates are looking a lot more attractive for health plans. So is now the time for health plans to get back into Medicare? Many in the industry are asking that very question. There are three major categories of plans that will be among the entrants, predicts John Gorman, president of Gorman Health Group in Washington. The first category is made up of plans that already have a substantial bit of business in another government program, such as Medicaid or...

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