Fee-for-service Medicare in a competitive market environment

Bryan E. Dowd, Robert F. Coulam, Roger Feldman, Steven D. Pizer

Research output: Contribution to journalReview articlepeer-review

6 Scopus citations

Abstract

Since its inception, the Medicare Program has allowed for the participation of private health plans, but the relationship of private plans to the government-sponsored fee-for-service (FFS) plan has been the subject of debate. Increased payments to private plans, the introduction of regional preferred provider organizations (PPOs), and a mandated demonstration of price competition that includes FFS Medicare reflect an ongoing attempt to define the role of private plans. The purpose of this article is to explore the roles of private plans and FFS Medicare and to attempt to identify the advantages and disadvantages of each.

Original languageEnglish (US)
Pages (from-to)113-126
Number of pages14
JournalHealth Care Financing Review
Volume27
Issue number2
StatePublished - Dec 2005

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