Predicting How Changes in Medicare's Payment Rates Would Affect Risk-Sector Enrollment and Costs.
Abstract
This Congressional Budget Office (CBO) memorandum describes Medicare's risk-based sector, in which health maintenance organizations and other competitive health plans provide services at a set price per enrollee. Specifically, the memorandum estimates how enrollment in Medicare's risk-based plans might change in response to changes in Medicare's payment policies. The analysis uses predicted changes in enrollment to estimate how different payment rates would affect Medicare's costs, both in the risk-based sector and overall. The estimates presented here are valid only under the assumption that all Medicare policies other than payment rates remain the same in both the risk and fee-for-service sectors. If other policies changed as well, the effects of changing Medicare's payment rates would differ from those estimated here. In accordance with CBO's mandate to provide objective and impartial analysis, this memorandum makes no recommendations.
Document Details
- Document Type
- Technical Report
- Publication Date
- Mar 01, 1997
- Accession Number
- ADA347280
Entities
People
- Sandra Christensen
Organizations
- Congressional Budget Office