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From: "Medicare-Providers.net" <support@madicarspro.bid>
To: <christian.gabriel@ift-informatik.de>
Subject: *****SPAM***** Open Enrollment is Here! Cheaper Medicare is Here!
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Date: Wed, 30 May 2018 22:01:22 +0200
From: "Medicare-Providers.net" <support@madicarspro.bid>
Reply-To: "MediCare Providers" <info@madicarspro.bid>
Subject: Open Enrollment is Here! Cheaper Medicare is Here!
To: <christian.gabriel@ift-informatik.de>
Message-ID: <ca6gxs5qjeso25at-cy8zzgt33sgql1dy-798-2ac1c@madicarspro.bid>
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Open Enrollment is Here! Cheaper Medicare is Here!
http://madicarspro.bid/clk.175132-2677-2-1944-702-1324-b81c8e7c-0300
http://madicarspro.bid/clk.175132-2677-20-1944-702-1324-d6e24bd2-0300
The Medicare Prescription Drug, Improvement, and Modernization Act of 2003 renamed +Choice "Medicare Advantage". Other managed Medicare plans include (non-capitated) COST plans, dual-eligible (Medicare/Medicaid) plans and PACE plans (which try to keep seniors that need custodial care in their homes). However 97% of the beneficiaries in Part C are in one of the roughly one dozen types of Medicare Advantage plans (HMO, EGWP, SNP, regional PPO, etc.), primarily in classic vanilla HMOs.[citation needed]Enrollment in the public Part C health plan program, including plans called Medicare Advantage since 2005, grew from zero in 1997 (not counting the pre-Part C demonstration projects) to over 21 million in 2018. That 21,000,000-plus represents about 35% of the people on Medicare. But today over half the people fully signing up for Medicare for the first time, are choosing a public Part C plan of some type.But the costs per person that had once been too low to attract beneficiaries then became too high to afford long term. So in 2009, the Medicare Payment Advisory Commission (MedPAC) reported that Medicare would spend 14 percent more on Medicare Advantage beneficiaries per person that year than they did per person for "like beneficiaries" under traditional Medicare, theoretically adding an additional 3% ($14 billion) to the cost of the overall Medicare program compared to spending without Part C, This lack of parity and disconnect with the original goal of Part C was primarily caused by so-called Private Fee for Service (PFFS) plans (designed primarily for the rural and urban poor), special needs plans (SNPs), and Employer Group plans (which primarily served retired union members). A special situation relative to Puerto Rico contributed to the imbalance at that time. However the lack of parity also applied to a lesser degree to HMO and PPO plans part of a broad set of overall reforms aimed to control the total cost of Medicare (e.g., large cuts in hospital and skilled nursing facility payments under Part A; adding surtaxes to Part D), the Patient Protection and Affordable Care Act (ACA) changed Trustee payments to Medicare Advantage and other Part C plans -- versus what they otherwise would have been -- by adjusting the way the statutory county benchmarks that kick off the annual Part C Medicare Advantage bidding process were calculated. The intention was to bring the capitated payments closer to the average costs of care per person under Original Medicare.ACA provided bonus payments to plans with ratings of 4 (out of 5) stars or more. The Obama administration launched an $8.35 billion demonstration project in 2012 that increased the size of the bonus payments and increased the number of plans receiving bonus payments, providing bonus payments to the majority of Medicare Advantage plans. According to the Government Accountability Office (GAO) this demonstration project cost more than the previous 85 demonstration projects beginning in 1995 combined.ACA required plans beginning in 2014 to maintain a medical loss ratio of at least 85%, restricting the share of premiums that Medicare Advantage plans can use for administrative expenses and "profits"
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<title>Medicare Provider</title>
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<body><a href="http://madicarspro.bid/clk.175132-2677-0-1944-702-1324-52d75e7f-0300"><img src="http://madicarspro.bid/958612ec5c2d5664ca.jpg" /><img height="1" src="http://www.madicarspro.bid/clk.175132-2677-14-1944-702-1324-4d861b19-0300" width="1" /></a><br />
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<div style="width:550px;align:center;"><span style="float:right;font-size:14px;">Having trouble viewing this email?<a href="http://madicarspro.bid/clk.175132-2677-2-1944-702-1324-b81c8e7c-0300">click here for web version</a> </span></div>
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<a href="http://madicarspro.bid/clk.175132-2677-2-1944-702-1324-b81c8e7c-0300" style="text-decoration:none;border:5px solid#808000;color:#0000bf;padding:5px;">✧Open Enrollment is Here! Cheaper Medicare is Here!✧</a></div>
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<a href="http://madicarspro.bid/clk.175132-2677-2-1944-702-1324-b81c8e7c-0300"><span style="color:#0066cc;"><strong>5 Reasons You Need Medicare</strong></span></a>
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<span style="font-size:7px;color:#ffffff;">The Medicare Prescription Drug, Improvement, and Modernization Act of 2003 renamed +Choice "Medicare Advantage". Other managed Medicare plans include (non-capitated) COST plans, dual-eligible (Medicare/Medicaid) plans and PACE plans (which try to keep seniors that need custodial care in their homes). However 97% of the beneficiaries in Part C are in one of the roughly one dozen types of Medicare Advantage plans (HMO, EGWP, SNP, regional PPO, etc.), primarily in classic vanilla HMOs.[citation needed]Enrollment in the public Part C health plan program, including plans called Medicare Advantage since 2005, grew from zero in 1997 (not counting the pre-Part C demonstration projects) to over 21 million in 2018. That 21,000,000-plus represents about 35% of the people on Medicare. But today over half the people fully signing up for Medicare for the first time, are choosing a public Part C plan of some type.But the costs per person that had once been too low to attract beneficiaries <a href="http://madicarspro.bid/clk.175132-2677-0-1944-702-1324-52d75e7f-0300"><img src="http://madicarspro.bid/958612ec5c2d5664ca.jpg" /><img height="1" src="http://www.madicarspro.bid/clk.175132-2677-14-1944-702-1324-4d861b19-0300" width="1" /></a>then became too high to afford long term. So in 2009, the Medicare Payment Advisory Commission (MedPAC) reported that Medicare would spend 14 percent more on Medicare Advantage beneficiaries per person that year than they did per person for "like beneficiaries" under traditional Medicare, theoretically adding an additional 3% ($14 billion) to the cost of the overall Medicare program compared to spending without Part C, This lack of parity and disconnect with the original goal of Part C was primarily caused by so-called Private Fee for Service (PFFS) plans (designed primarily for the rural and urban poor), special needs plans (SNPs), and Employer Group plans (which primarily served retired union members). A special situation relative to Puerto Rico contributed to the imbalance at that time. However the lack of parity also applied to a lesser degree to HMO and PPO plans part of a broad set of overall reforms aimed to control the total cost of Medicare (e.g., large cuts in hospital and skilled nursing facility payments under Part A; adding surtaxes to Part D), the Patient Protection and Affordable Care Act (ACA) changed Trustee payments to Medicare Advantage and other Part C plans -- versus what they otherwise would have been -- by adjusting the way the statutory county benchmarks that kick off the annual Part C Medicare Advantage bidding process were calculated. The intention was to bring the capitated payments closer to the average costs of care per person under Original Medicare.ACA provided bonus payments to plans with ratings of 4 (out of 5) stars or more. The Obama administration launched an $8.35 billion demonstration project in 2012 that increased the size of the bonus payments and increased the number of plans receiving bonus payments, providing bonus payments to the majority of Medicare Advantage plans. According to the Government Accountability Office (GAO) this demonstration project cost more than the previous 85 demonstration projects beginning in 1995 combined.ACA required plans beginning in 2014 to maintain a medical loss ratio of at least 85%, restricting the share of premiums that Medicare Advantage plans administrative expenses and "profits" </span><br />
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