ࡱ> %` \bjbjNN ,,uH$$$88LD$8TtX$MTOTOTOTOTOTOT$VhX$sT$@^sTT&jl$MTMTF,$Ih `S׫;vG"TLT<TGZ|ZDIZ$I, .hJ<...sTsT-v...T888d $888888    Congress Should Reject Cuts to Medicare Advantage Rural, Low-income, and Minority Beneficiaries Would Be Hardest Hit by Funding Cuts Issue: Today, 10 million people are enrolled in the Medicare Advantage (MA) program. MA plans provide comprehensive benefits, coordinated care services and protection from the high out-of-pocket cost-sharing found in traditional Medicare. Even though Congress has already cut nearly $30 billion in MA funding over the last four years that will continue to impact the program for years to come, some are calling for even larger cuts to the program this year as part of the health reform debate. Position: BCBSA urges Congress to reject MA funding cutbacks. Cuts would result in increased beneficiary cost-sharing, reduced benefits and or loss of MA coverage altogether. Congress should protect MA options for beneficiaries because: 10 million people depend on MA, which provides coordinated care not available in FFS Medicare. Rural, low-income and minority beneficiaries depend on MA and would be hardest hit by funding cuts. $30 billion in cuts already enacted by Congress will have a significant impact on the MA program. 10 Million People Depend on MA for Comprehensive, Coordinated Benefits Medicare Advantage provides comprehensive, coordinated care not available in traditional Medicare. Care under traditional Medicare is fragmented with little incentive to manage chronic illnesses. MA provides comprehensive, coordinated benefits and disease management programs to improve care and outcomes for those with chronic conditions such as heart disease, diabetes, and asthma. Beneficiaries rely on enhanced benefits and lower out-of-pocket costs under MA. The Centers for Medicare & Medicaid Services (CMS) found that MA enrollees saved, on average, $86 a month when compared to beneficiaries in traditional Medicare. In addition, 98 percent of all beneficiaries have access to MA plans with annual out-of-pocket cost limits: critical protection not available in traditional Medicare. Medicare Advantage enrollees are highly satisfied with the program. MA is a valued option for more than 10 million seniors. An overwhelming majority of enrollees (97 percent) say it is important for Congress to fund it adequately. Rural, Low-income and Minority Beneficiaries Would Be Hardest Hit by Funding Cuts Funding cuts would cause huge disruptions in rural America where multiple Congresses and multiple Presidents have raised rates to give all beneficiaries in the country access to a MA plan. In 2009, all rural Medicare beneficiaries have access to at least one MA plan, up from 25 percent in 1999. Low-income beneficiaries rely on MA. A 2005 study by Ken Thorpe found that 37 percent of beneficiaries with incomes under $30,000, without Medicaid or employer coverage, rely on MA for comprehensive benefits and protection from high cost sharing in traditional Medicare. MA serves a high proportion of minorities. Forty percent of African Americans and 53 percent of Hispanic beneficiaries without Medicaid or employer coverage rely on MA. Funding cuts would disproportionately harm minority beneficiaries, forcing many to experience the high out-of-pocket expenses in traditional Medicare. $30 billion in cuts already enacted by Congress will have a significant impact on the MA program. IME cuts in last years Medicare bill will disproportionately affect urban areas where there are higher proportions of low-income Medicare beneficiaries. Teaching hospitals have higher underlying costs and thus charge higher rates to health plans. By phasing-out this funding, beneficiaries in urban areas will face premium increases and benefit reductions. Budget neutrality funding is nearly gone. Budget neutrality funding was intended to ensure level MA program funding as CMS implemented risk adjusted payments to plans. Congress phased-out this funding which will be fully eliminated by 2011. Private fee-for-service (PFFS) network requirements. Currently, group PFFS is critical because it is the only option available today for large employer and unions to offer the same integrated, coordinated benefits they offer to the under 65 population to their retirees across the country. Beginning in 2011, all group PFFS plans will be required to have contracted networks of providers nation-wide virtually eliminating coordinated care options for large employer and union retirees. Regional PPO Stabilization Fund eliminated. In the MMA, Congress enacted a regional PPO stabilization fund to help ensure participation in the regional PPO program providing broader access to health plans across the country. Congress eliminated this important tool even before any funding was used from the fund. The Blue Cross and Blue Shield Association is a national federation of 39 independent, community-based and locally operated Blue Cross and Blue Shield companies that collectively provide healthcare coverage for more than 102 million individuals nearly one-in-three of all Americans. For more information on the Blue Cross and Blue Shield Association and its member companies, please visit HYPERLINK "http://www.bcbs.com/"www.BCBS.com.     Blue Perspective on Medicare Advantage 1/22/09  PAGE 2 1310 G Street, N.W. 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