In January 2003, the Centers for Medicare and Medicaid initiated the Preferred Provider Organization Demonstration with the intent of testing alternatives to the payment methods used in the Medicare+Choice program.
This AARP Public Policy Institute Issue Paper by Marsha Gold, Lori Achman and Jim Verdier of Mathematica Policy Research, Inc. provides a detailed description of the demonstration project, with information about the geographic scope of the project; plan sponsors and profiles of participating PPOs; benefits, premiums, and cost sharing; payment methods and risk sharing; and other issues to consider in evaluating the effects of the demonstration. (160 pages)
Discounts & Benefits
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