Teamwork in Managed Care

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As enrollment in Medicare managed care grows (by 2003, 33% of all Medicare recipients will be in managed care), physicians and health care providers working in outpatient and in-patient settings will begin seeing an increasing number of older patients enrolled in such programs.

For older patients living on restricted incomes, the Medicare managed programs offer attractive benefits that are not available in Medicare fee-for-service. Medicare beneficiaries join Medicare managed care programs for a variety of reasons including:TEAMS00000004.gif

  1. Outpatient drug benefit

  2. Doctor in network

  3. Vision benefit

  4. Anticipated value

  5. Breadth of coverage

  6. Convenient locations

  7. Affordability

  8. Dental coverage

  9. Hospital affiliations

After enrollment, Medicare managed care members stay in these programs for three reasons:TEAMS00000004.gif

  1. Customer service

  2. Access to and choice of specialists

  3. Outpatient drug benefit

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