About 215,000 enrollees in Medicare health maintenance organizations will be affected this year by HMOs leaving the program, the fourth year in a row that the Medicare+Choice program has seen a negative enrollment change and the fifth consecutive year that insurers have pulled back from participating.
What does M+C stand for?
M+C stands for Medicare+Choice Program
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4985, a bill with the dull but accurate title of "To Amend Title XVIII of the Social Security Act to Revitalize the Medicare+Choice Program, Establish a Medicare+Choice Competition Program, and to Improve Payments to Hospitals and.
In testimony before the Senate Finance Committee, AAHP President Karen Ignagni said, "The only certain path to long-term, structural reform of the Medicare program, including the addition of a prescription drug benefit, lies with a strong and stable Medicare+Choice program.
This change will have broad effects for Medicare beneficiaries, since they will have to select another HMO in the Medicare+Choice program before November 30, 1998, or choose a different type of Medicare insurance before December 31, 1998 to prevent a lapse in coverage.
Johnson and Stark seek numerous changes, including a more streamlined regulatory process, such as the regular issuance of rules and regulations; more accountability within Centers for Medicare and Medicaid Services (formerly the Healthcare Financing Administration); increased contractor oversight; simplified cost reporting and data collection; and several changes to the Medicare+Choice program.