Medicare Advantage Plans Essay

According to the article, health investment banker stocks slip over possible Medi manage Advantage wages cuts, after a bad week at the stocks it may lead to Medic are Advantage retribution cuts in 2014. That could lead to reduced coverage or fewer prepare plans for persons 65 grades and older, the disabled and people who have end-stage renal disease. The Centers for Medi alimony and Medicaid run said after markets closed costs per person for Medicare Advantage plans to magnetic dip more than 2 percent in 2014, a bigger cutpurse than many analysts who cover the industry anticipated (Associated Press, 2013).Medicare Advantage plans could see payment reductions topping 5 percent, considering they are also facing cuts from the wellness care reform and from steep federal budget cuts liven as requisition that are slated to start in March (Associated Press, 2013). Medicare Advantage plans are a key source of growth for insurers. It whollyows Medicare to offer basic coverage e xcel with vision or dental coverage, or offer premiums lower than metre Medicare Rates (Associated Press, 2013). The Advantage plans help cuts costs and negotiate reimbursement with suppliers to help have got costs down.A Medicare Advantage Plan is a type of Medicare health plan offered by a private company that contracts with Medicare to provide the citizen with all their Part A and Part B benefits. Medicare Advantage Plans include wellness Maintenance Organizations, Preferred Provider Organizations, Private Fee-for-Service Plans, Special Needs Plans, and Medicare health check Savings Account Plans. If enrolled in a Medicare Advantage Plan, Medicare services are covered through the plan and arent paid for under pilot program Medicare (Medicare.gov, n.d.).Under each plan there are different coverages. For guinea pig under a PPO you pay less for use of doctors, hospitals, and other health care providers that belong in your plans net income. If you choose to go elsewhere youll pay a larger premium. With an HMO, you cant get your health care from any doctor, other health care provider or hospital. You must get your care and services from providers in that network (Medicare.gov, n.d.).Per Medicare News Watch, the annual estimated out-of-pocket costs for Medicare Advantage Plan members in 2013, including applicable copayments, deductibles, and premiums entrust vary from acres to state. This website ranks all plans within the state and gives you an average on how lots youll play per plan whether your health is good, equitable or poor. For Massachusetts, a citizen can pay anywhere from $727-6712 on average per year depending on their health attitude.In the West treat Beach area of Florida, it will costs between $106-4178 a year (Hmos4seniors.com, 2013). Considering a good majority of these patients dont have much expendable income its hard to think that these prices may increase and that there will be fewer options as well. I personally know elderly and disabled on these types of plans and they have expressed that any increases will be a hardship on all of them. The health status is defined per the chart below (Hmos4seniors.com, 2013) wellness Status GOODRequiring occ. mundane care Health Status FAIRRequiring episodic care for non-chronic conditions Health Status POOR Requiring chronic diseasecare and management broken annual utilization- 4 Doctor persona confabs (in-network) 1 Urgent care visit (out-of-area) 0 Inpatient admissions 0 firm health visits 6 Prescriptions (30 day supply) 1 Vision, hearing exams 1 alveolar prevention visit Moderate annual utilization- 12 Doctor office visits (in-network) 1 requisite room visit 1 Inpatient admission (5 days) 4 spot health visits 24 Prescriptions (2 per month) 1 Vision, hearing exam 1 alveolar prevention visit High annual utilization- 24 Doctor office visits (in-network) 2 Emergency room visits 3 Inpatient admissions (15 days) 12 Home health visits 72 Prescriptions (6 per month) 1 Vision, hearing exam 1 Dental prevention visitReferencesHmos4seniors.com (2013). MedicareNewsWatch.com Medicare Advantage Plan Cost Comparisons in major Cities throughout the United States. online Retrieved from http//www.hmos4seniors.com/costcomparisons.html Accessed 25 Feb 2013. Medicare.gov (n.d.). Medicare Advantage Plans Medicare.gov. online Retrieved from http//www.medicare.gov/sign-up-change-plans/medicare-health-plans/medicare-advantage-plans/medicare-advantage-plans.html Accessed 25 Feb 2013. Associated Press (2013). Health insurer stocks slip over possible Medicare Advantage payment cuts. The capital of the United States Post, 19th February.