Brian Biles, Jennifer Stuber and Andrew Dennington
Medicare+Choice in New York City: So Far, So Good?, Jennifer Stuber, Andrew Dennington, and Brian Biles, The Commonwealth Fund, September 2002
While withdrawals of managed care plans from Medicare+Choice have weakened the program in many regions of the country, New York City's five-year-old Medicare+Choice program continues to perform relatively well. Indeed, the 200,000 enrollees in the city enjoy a greater choice of M+C plans, lower monthly premiums, and more generous benefits than their counterparts in other major cities or even in New York suburbs. According to this new study, however, there are several signs that New Yorkers may soon face the ills that afflict the program nationally.
In the Commonwealth Fund field report Medicare+Choice in New York City: So Far, So Good?, health policy analysts Jennifer Stuber of the New York Academy of Medicine, and Andrew Dennington and Brian Biles, M.D., of George Washington University, chart major trends that threaten the viability of Medicare managed care in the city, including:
New York City's Medicare+Choice program has been strengthened through high payments to plans and through the city's large pool of physicians and hospitals, thereby fostering competition. National trends indicate, however, that these strengths may not hold up much longer. According to the report, elderly and disabled Medicare HMO enrollees will likely soon feel the effects of large-scale health plan withdrawals, premium increases, benefit reductions, and instability in provider networks, as have beneficiaries in most other markets.
Facts and Figures