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Medicare Beneficiaries and HMOs: A Case Study of the Tampa-St. Petersburg Market


This case study of the evolution of Medicare managed care in Tampa-St. Petersburg, Florida, is one of four in a series being prepared by Mathematica Policy Research, Inc., for the Kaiser Family Foundation to examine the growth and impact of Medicare managed care. The Medicare risk (HMO) program has developed at different rates and with different degrees of success across the country. The four unique market areas selected for the project include two with high Medicare plan payment rates and two with moderate rates. The two with high adjusted average per capita cost rates (AAPCC) are Los Angeles and New York City. The two areas with more moderate AAPCC rates are Portland, Oregon and Tampa-St. Petersburg, Florida. Medicare managed care plans in Tampa-St. Petersburg have developed only recently, and they appear to be growing rapidly and prospering.