The medicare advantage success story - Looking beyond the cost difference

GuramJ.S.; MoffitR.E.

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The medicare advantage success story - Looking beyond the cost difference

机译：医疗保险优势成功案例-超越成本差异

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Medicare Advantage plans submit bids to the Centers for Medicare and Medicaid Services (CMS). These plans, which include health maintenance organizations (65% of Medicare Advantage enrollment in 2011), preferred-provider organizations (27%), private fee-for-service plans (5%), and other types of plans (3%), must cover the same services as traditional Medicare. A bid is the amount a plan predicts it will spend in the upcoming year to cover these services for the average enrollee in a particular county.

机译：Medicare Advantage计划将投标提交给Medicare和Medicaid服务中心（CMS）。这些计划包括健康维护组织（2011年占Medicare Advantage计划的65％），优先提供者组织（27％），私人有偿服务计划（5％）和其他类型的计划（3％），必须提供与传统医疗保险相同的服务。出价是计划预测的来年为特定县的普通入学者提供这些服务所需的费用。

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《The New England journal of medicine》 |2012年第13期|共3页
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GuramJ.S.; MoffitR.E.;
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1. The medicare advantage success story - Looking beyond the cost difference [J] . GuramJ.S., MoffitR.E. The New England journal of medicine . 2012,第13期

机译：医疗保险优势成功故事 - 超出成本差异
2. Untangling Differences in Quality of Care in Medicare Advantage Versus Traditional Medicare Programs [J] . Huckfeldt Peter, Sood Neeraj Annals of Internal Medicine . 2019,第2期

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3. Mortality Differences Between Traditional Medicare and Medicare Advantage: A Risk-Adjusted Assessment Using Claims Data: [J] . Roy A. Beveridge, Sean M. Mendes, Arial Caplan, Inquiry: a journal of medical care organization, provision and financing . 2017,第3期

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7. Medicare Advantage: Increased Spending Relative to Medicare Fee-for-Service May Not Always Reduce Beneficiary Out-of-Pocket Costs [R] . 2008

机译：医疗保险优势：与医疗保险服务费相关的支出增加可能并不总能降低受益人自付费用

The medicare advantage success story - Looking beyond the cost difference

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