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Medicare is quickly approaching insolvency, in Chapter because the program pays too much for the services it provides. In Bring Market Prices to Medicare, Robert Coulam, Roger Feldman, and Bryan E. Dowd propose a groundbreaking solution: Use market-based arrangements to set prices for Medicare plans. The authors contend that the federal government should pay only the cost of the most economical health plan in each market area. To accomplish this, both traditional fee-for-service (FFS) Medicare and private Medicare Advantage (MA) would submit bids for the government's business; the federal…mehr

Produktbeschreibung
Medicare is quickly approaching insolvency, in Chapter because the program pays too much for the services it provides. In Bring Market Prices to Medicare, Robert Coulam, Roger Feldman, and Bryan E. Dowd propose a groundbreaking solution: Use market-based arrangements to set prices for Medicare plans. The authors contend that the federal government should pay only the cost of the most economical health plan in each market area. To accomplish this, both traditional fee-for-service (FFS) Medicare and private Medicare Advantage (MA) would submit bids for the government's business; the federal contribution to premiums would be set to equal the lowest bid in each market area. This competitive pricing system would penalize plans that bid too high--their beneficiaries would pay higher premiums--providing an incentive for plans to offer their best prices.
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Autorenporträt
Robert F. Coulam is a research professor and director of the Center for Health Policy Research at the Simmons School of Health Sciences in Boston. Roger Feldman is Blue Cross Professor of Health Insurance and professor of economics in the Division of Health Policy and Management in the School of Public Health, University of Minnesota. Bryan E. Dowd is a professor in the Division of Health Policy and Management in the School of Public Health, University of Minnesota.