The Role of Private Plans in Medicare
Enrollment in private health plans has grown sharply since the enactment of the Medicare Modernization Act in 2003, which created a Medicare drug benefit to be provided by private plans and created incentives for new private plans to enter the Medicare market.
Today, virtually all Medicare beneficiaries–including those living in rural areas–have access to one or more private plans (known as Medicare Advantage plans), such as a Medicare HMO, PPO, special-needs plan or a private fee-for-service plan. A record 8.3 million beneficiaries are enrolled in a Medicare Advantage plan, up from 5.3 million in 2003.
To explore specific aspects of the Medicare private plan marketplace, the Kaiser Family Foundation commissioned four papers:
In addition, Kaiser held a March 16 policy workshop at its Washington, D.C., offices to discuss the growth in private fee-for-service Medicare plans.
An archived webcast and transcript of the workshop is available online.
also of interest
- The Rising Cost of Living Longer: Analysis of Medicare Spending by Age for Beneficiaries in Traditional Medicare
- Visualizing Health Policy: Medicare Spending: A Look at Present, Short-Term and Long-Term Trends
- Health Affairs Article: At Least Half of New Medicare Advantage Enrollees Had Switched From Traditional Medicare During 2006-11
- The Role of Medicare and the Indian Health Service for American Indians and Alaska Natives: Health, Access and Coverage