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Medicare program; changes to the Medicare+Choice program. Health Care Financing Administration (HCFA), HHS. Final
Federal Register
|November 11, 1999
Summary
This final rule revises Medicare+Choice regulations, addressing provider participation, beneficiary enrollment, and care coordination. Key changes clarify access issues and specialist termination notifications for the Medicare+Choice program.
Area of Science:
- Health Policy
- Healthcare Administration
- Regulatory Affairs
Background:
- Medicare+Choice (M+C) program established by the Balanced Budget Act of 1997.
- Initial interim final rule published June 26, 1998.
- Public comments identified areas needing clarification or revision.
Purpose of the Study:
- To implement limited changes to existing Medicare+Choice regulations.
- To address specific issues raised by commenters on the 1998 interim final rule.
- To provide timely clarifications on critical program elements.
Main Methods:
- Review of public comments on the June 26, 1998 interim final rule.
- Identification of specific regulatory areas requiring modification or clarification.
- Development of a final rule incorporating necessary changes.
Main Results:
- Revisions to provider participation procedures.
- Clarifications on beneficiary enrollment options.
- Updates to access-related issues, including specialist termination notifications and care coordination.
Conclusions:
- The final rule refines Medicare+Choice program operations.
- Addresses key concerns regarding provider and beneficiary interactions.
- Aims to improve the administration and accessibility of the Medicare+Choice program.