Medicare HMO withdrawals: what happens to beneficiaries?

Health Aff (Millwood). 1999 Nov-Dec;18(6):150-7. doi: 10.1377/hlthaff.18.6.150.

Abstract

More than 400,000 Medicare beneficiaries had to seek other insurance arrangements when their health maintenance organization (HMO) withdrew from Medicare at the end of 1998. According to a new survey of 1,830 involuntarily disenrolled Medicare beneficiaries, two-thirds subsequently enrolled in another Medicare HMO; one-third experienced a decline in benefits, and 39 percent reported higher monthly premiums. One in seven lost prescription drug coverage; about one in five had to switch to a new primary care doctor or specialist. Those with traditional Medicare by itself or with Medigap, the disabled under age sixty-five, the oldest old, and the near-poor experienced the greatest hardship after their HMO withdrew.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Aged, 80 and over / statistics & numerical data
  • Attitude to Health
  • Continuity of Patient Care / organization & administration
  • Cost Sharing / statistics & numerical data
  • Financing, Personal / statistics & numerical data
  • Health Care Sector / trends
  • Health Maintenance Organizations / organization & administration*
  • Health Services Accessibility / statistics & numerical data
  • Humans
  • Insurance Benefits / statistics & numerical data
  • Insurance Coverage / organization & administration*
  • Insurance, Medigap / statistics & numerical data
  • Medicare / organization & administration*
  • Middle Aged
  • Persons with Disabilities / statistics & numerical data
  • Poverty / statistics & numerical data
  • Surveys and Questionnaires
  • United States