Visit this website: http://www.medhealthinsurance.com/anthemmaine.htm to learn more about HMO’s . It is preferred that you research the “Anthem” from your respective state. If you are not from the State of Maine, you can visit your State Anthem website through this website.
Research the “Types of Plans” listed on the left hand side of the home page in order to get a better understanding of the different types of Managed Care plans.
Read the attached PDF on Medicare Advantage linked above:
Medicare Advantage 2011 Data Spotlight: Plan Availability and Premiums
This Medicare Advantage Data Spotlight provides an overview of recent changes made to the Medicare Advantage program and examines trends in plan participation, premiums and certain benefits. About 12 million people, or nearly a quarter of the Medicare population, are enrolled in Medicare Advantage, the privately administered plans that are an alternative to the traditional fee-for-service Medicare program.
The analysis was conducted by a team researchers at Mathematica Policy Research, Inc. and the Kaiser Family Foundation
Read the attached PDF on Medicaid Managed Care linked above:
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Medicaid and Managed Care: Key Data, Trends, and Issues
This policy brief provides an overview of the Medicaid program’s increasing reliance on managed care to deliver services. The goal of this approach is to improve access to care and coordination of care by assuring that enrollees have a “medical home” with a primary care provider, and to rely more heavily on preventive and primary care. Adopting managed care also gives states more cost predictability and control over their Medicaid programs, and contracts with managed care plans offer states a mechanism, through quality measurement and improvement requirements, for holding plans accountable for the quality of care they provide to Medicaid enrollees.
Medicaid provides health and long-term care coverage to nearly 60 million low-income individuals, or roughly 1 in 5 Americans. About 70 percent of Medicaid enrollees receive some or all of their services through managed care.http://search.yahoo.com/r/_ylt=A0oG7jkA061RYAQAVvtXNyoA;_ylu=X3oDMTE1MG5wdmYzBHNlYwNzcgRwb3MDMQRjb2xvA2FjMgR2dGlkA1ZJUDIzNF8xNjM-/SIG=1130n6ica/EXP=1370375040/**http%3a//kff.org/
Write a two-page paper comparing the HMO-type coverage of the Anthem BC/BS plans with those of Medicare and Medicaid, as described in the “ Kaiser” articles. The information on Wikipedia will give you great background for this paper.
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