tci Medicare Compliance & Reimbursement - 2003 Issue 14

Medicare+Choice: MOST POPULAR M+C PLANS TO GET TWO PERCENT RAISE

In 2004, managed care plans serving the majority of Medicare+Choice beneficiaries will again see only the minimum two percent increase guaranteed by federal law, the Centers for Medicare & Medicaid Services announced in preliminary estimates March 28. M+C plans in most counties will see bigger increases: In counties where reimbursement is determined by the statutory "floor" amount, for elderly beneficiaries plans will see increases from $547.54 to $592.29 for any area in a metropolitan statistical area with a population of at least 250,000, and from $495.39 to $535.88 for other areas. However, M+C enrollees...

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