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Summary
The Competitive Medical Plan (CMP) is a new Medicare option allowing eligible organizations to contract with HCFA. These plans serve Medicare recipients through cost or risk contracts.
Area of Science:
- Healthcare Administration
- Health Policy
Background:
- The Competitive Medical Plan (CMP) represents a novel alternative healthcare delivery system.
- CMPs are designed to offer new options for Medicare recipients.
Purpose of the Study:
- To introduce the Competitive Medical Plan (CMP) as a new healthcare delivery model.
- To outline the eligibility and contracting mechanisms for CMPs with HCFA.
Main Methods:
- The study describes the framework and operational principles of CMPs.
- It details the criteria for organizations to be deemed "eligible" CMPs.
Main Results:
- Eligible CMPs can enter into agreements with the Health Care Financing Administration (HCFA).
- These agreements can be structured as either cost contracts or risk contracts.
Conclusions:
- CMPs provide a new pathway for organizations to serve Medicare beneficiaries.
- The contracting flexibility (cost or risk) allows for varied operational models.