Medicare Advantage flourished in the second George W Bush administration, creating new siphons of revenue for third parties in a rampantly robust healthcare marketplace. Although choices for plans presented to potential beneficiaries were touted as beneficial and desirable, confusion over eligibility and extent of coverage made participation mildly risky for seniors who felt traditional coverage was inadequate for certain services even Medigap plans couldn’t provide. Within the scope of the Obama reform law, MA plans will have to increase quality assurance parameters to remain viable.

Are the majority of MA beneficiaries getting that quality currently?

According to a recent survey commissioned by a public policy group, about one-quarter of beneficiaries were enrolled in plans that received either four- or five-star quality indicators. Metrics were very broad and covered everything from telephone customer service to follow up on beneficiary preventive medical services those plans explicitly underwrote. As payment to private insurers begins a new era tied to quality, numbers like these are sure to improve. | LINK

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