plans are indemnity plans (like TM) that were prohibited from having restrictive provider networks and from actively managing care.
Because changes in PFFS
offerings and enrollment may impact HMO and PPO offerings and especially enrollment, we also control for percent of Medicare beneficiaries in a county enrolled in a PFFS
plans in 2010.
In the MMA, Congress created conditions favorable for rapid growth of MA plans in general and PFFS
plans in particular.
While it makes substantial changes to the PFFS
alternative within Medicare Advantage, it retains the right of older Americans to add their own money so as to get insurance less likely to ration lifesaving treatment.
We also find that CCP market concentration decreases the entry probability of the other two plan types, PFFS
plans and PDPs, which is consistent with joint decision making across products within firms, possibly due to economies of scope.
plans have become widespread only in the last year or so, and some doctors' offices may confuse them with other private Medicare plans (the managed care plans that pay lower rates and that have contracts with only some providers).
earnings of $11 million from agreements pursuant to which we assumed PFFS
business, the last of which expired on January 1, 2010;
In addition, stronger earnings and premium reductions due to the exit from the PFFS
business led to risk-based capitalization improvement.
Today's Options PPO, Today's Options PFFS
, Today's Options HMO, TexanPlus HMO, Generations Healthcare HMO, Today's Health HMO, Tribute HMO SNP, and Fresenius Health Partners PPO SNP are Medicare-approved PPO, PFFS
and HMO plans and Community CCRx(SM) PDP is a federally qualified Medicare Contracting Prescription Drug Plan offered by the following organizations that contract with the Federal government: The Pyramid Life Insurance Company; SelectCare Health Plans (d/b/a TexasFirst Health Plans and d/b/a Today's Options of Indiana, in Texas and Indiana, respectively); SelectCare of Oklahoma, Inc.
Prime Health Services, one of the nation's largest workers' compensation, group health, Medicare PFFS
, inmate corrections, and first party auto liability PPO networks, is pleased to announce it has acquired majority interest in CoreChoice, a specialty network for Radiology.
Most seniors with PFFS
plans will need to choose a new Medicare Advantage plan or consider a supplement plan and Part D plan.
pursuant to which we will no longer be assuming PFFS
business effective January 1, 2010