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Related Experiment Videos

Is the Medicare SELECT program a stepping-stone to managed care?

D S Kolb1, J E Belt

  • 1Jennings Ryan and Kolb, Atlanta, GA, USA.

Healthcare Financial Management : Journal of the Healthcare Financial Management Association
|September 4, 1997
PubMed
Summary

Medicare SELECT programs offer supplemental coverage with reduced premiums for seniors enrolling in preferred networks. Provider participation requires understanding program incentives, economics, and market position for strategic alignment with Medicare managed care transitions.

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Area of Science:

  • Health Policy
  • Healthcare Management
  • Medicare Programs

Background:

  • Medicare SELECT and standardized Medigap policies were introduced by the Omnibus Budget Reconciliation Act of 1990.
  • Medigap policies supplement Medicare benefits, while SELECT offers a PPO-like option with lower premiums for network enrollment.

Purpose of the Study:

  • To evaluate the strategic implications for healthcare providers regarding participation in Medicare SELECT programs.
  • To assess the alignment of Medicare SELECT with broader Medicare managed care transition strategies.

Main Methods:

  • Analysis of HCFA's evaluation of the Medicare SELECT program.
  • Assessment of enrollment rates and cost-effectiveness.
  • Review of program incentives and contract economics.

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Main Results:

  • Medicare SELECT program demonstrated variable success in enrollment and cost-effectiveness.
  • Provider participation requires strategic consideration of program specifics and market dynamics.

Conclusions:

  • Healthcare providers must develop a strategic position for Medicare SELECT participation.
  • Consideration of SELECT program incentives, economics, and market standing is crucial.
  • Assessment of SELECT's consistency with Medicare managed care transition strategies is recommended.