Variance in Medicare pharmacy benefits is wide


As Congress wrestles with Medicare prescription-drug coverage, HMOs are considering how such a mandate would affect Medicare HMOs' ability to compete for fee-for-service enrollees. A Barents Group study of HCFA data, current as of May, notes that 83 percent of Medicare HMOs' basic plans offer a prescription benefit — perhaps Medicare HMOs' most powerful lure — with widely varying coverage and copayments. The days of zero-copayments are waning, though; all Medicare HMOs will institute some kind of copayment in 2000.

SOURCE: ANALYSIS OF BENEFITS OFFERED BY MEDICARE HMOs: COMPLEXITIES AND IMPLICATIONS, THE KAISER FAMILY FOUNDATION, MENLO PARK, CALIF., 1999

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HAP, a subsidiary of Henry Ford Health System, is a nonprofit health plan providing coverage to individuals, companies and organizations. This executive develops strategies to meet membership and revenue targets through products, pricing, market segmentation and advertising.  Aligns business among Business Development, Commercial Sales, Medicare and Public Sector Programs and Product Development. Seeks to enhance and be responsible for business development and expansion through the development of an effective product portfolio, strong interpersonal relationships and service excellence.

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