tci Medicare Compliance & Reimbursement - 2004 Issue 3

Medicare+Choice: A NEW WAY TO LURE BENEFICIARIES INTO MEDICARE+CHOICE

M+COs get another benefit option. Health plans often have a hard time encouraging Medicare beneficiaries to enroll in their Medicare+Choice product lines - but a new regulation from the Centers for Medicare & Medicaid Services could help make things just a little bit easier. Published in the Nov. 28 Federal Register, the reg permits M+C organizations to offer a reduction in the Part B premium as an additional benefit under their M+C plans. To reduce - or eliminate - an enrollee's Part B premium, the M+CO must accept a reduction of its monthly capitation payment. Eighty percent of the...

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