Assess the differences in benefits and costs, which are available to Medicare

Assess the differences in benefits and costs, which are available to Medicare

Assess the differences in benefits and costs, which are available to Medicare patients based upon the patent selecting either the “Traditional” Medicare program or Medicare Part C (Advantage Plan). Once a patient makes a choice, is he or she locked into the choice?

• Evaluated at least two valuable elements to both programs and two negative elements to both programs.

• Demonstrate which program would be more attractive to a physician and to a hospital as well as why.

• Discuss Capitation and evaluate if either program reimburses using a capitation model.

Resources: Use these and others from the library.

Berenson, R. A., Sunshine, J. H., Helms, D., & Lawton, E. (2015). Why medicare advantage plans pay hospitals traditional medicare prices. Health Affairs, 34(8), 1289-1295. doi:http://dx.doi.org.southuniversity.libproxy.edmc.edu/10.1377/hlthaff.2014.142

Afendulis CC, Landrum MB, Chernew ME. The Impact of the Affordable Care Act on Medicare Advantage Plan Availability and Enrollment. Health services research. 2012;47(6):2339-2352. doi:10.1111/j.1475-6773.2012.01426.x.

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