How would YOU design a better healthcare system for Medicare members? Join this interactive session, learn some facts, and express your opinions.
Traditional Medicare [TM] has many coverage gaps and no out-of-pocket maximum. Hence, most members purchase an expensive Medicare Supplement Plan and a Part D plan for pharmacy coverage, or have extra benefits through Medicaid or an employer. Over 50% of members have opted for a Medicare Advantage [MA] plan that replaces TM and the need to spend extra for a Supplement and (in most cases) a Part D plan. All this for less cost to the member, but at a greater overall cost to the federal government, even though MA plans claim to provide TM benefits for less than it costs the government. Given these facts, the focus of the session will be on the future of Medicare: namely, should the parameters regarding MA bids and payments be limited to what is paid for TM, or can we take the best of MA and TM to provide more robust benefits for all Medicare members at a cost no greater than the government is currently paying? Or are there better solutions?
Participants will be seated at tables. Following a 15-minute presentation, participants will discuss 1-3 questions among themselves for 15 minutes. Tables and/or individuals will report back for the remaining 30 minutes.