HMO-type coverage of the Anthem BC/BS plans

HMO-type coverage of the Anthem BC/BS plans

HMO-type coverage of the Anthem BC/BS plans

Visit this website: to learn more about HMO’s . It is preferred that you research the “Anthem” from your respective state. If you are not from the State of Maine, you can visit your State Anthem website through this website.

Research the “Types of Plans” listed on the left hand side of the home page in order to get a better understanding of the different types of Managed Care plans.

Read the attached PDF on Medicare Advantage linked above:

Medicare Advantage 2011 Data Spotlight: Plan Availability and Premiums

This Medicare Advantage Data Spotlight provides an overview of recent changes made to the Medicare Advantage program and examines trends in plan participation, premiums and certain benefits. About 12 million people, or nearly a quarter of the Medicare population, are enrolled in Medicare Advantage, the privately administered plans that are an alternative to the traditional fee-for-service Medicare program.

The analysis was conducted by a team researchers at Mathematica Policy Research, Inc. and the Kaiser Family Foundation

Read the attached PDF on Medicaid Managed Care linked above:

Medicaid and Managed Care: Key Data, Trends, and Issues

This policy brief provides an overview of the Medicaid program’s increasing reliance on managed care to deliver services. The goal of this approach is to improve access to care and coordination of care by assuring that enrollees have a “medical home” with a primary care provider, and to rely more heavily on preventive and primary care. Adopting managed care also gives states more cost predictability and control over their Medicaid programs, and contracts with managed care plans offer states a mechanism, through quality measurement and improvement requirements, for holding plans accountable for the quality of care they provide to Medicaid enrollees.

Medicaid provides health and long-term care coverage to nearly 60 million low-income individuals, or roughly 1 in 5 Americans. About 70 percent of Medicaid enrollees receive some or all of their services through managed care.;_ylu=X3oDMTE1MG5wdmYzBHNlYwNzcgRwb3MDMQRjb2xvA2FjMgR2dGlkA1ZJUDIzNF8xNjM-/SIG=1130n6ica/EXP=1370375040/**http%3a//
Write a two-page paper comparing the HMO-type coverage of the Anthem BC/BS plans with those of Medicare and Medicaid, as described in the “ Kaiser” articles. The information on Wikipedia will give you great background for this paper.

You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes.

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The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument.


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