Innovative concepts in public-private coordination of benefits for retirees

Benefits--in the broadest and most literal sense of the word--can be coordinated between Medicare and employer group health plans. What that may entail, however, ranges from (1) researching complementary plans' effect on Medicare utilization and costs; to (2) incorporating those findings into r...

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Bibliographic Details
Published inAdvances in health economics and health services research Vol. 9; p. 45
Main Authors Edington, B M, Deacon, R W
Format Journal Article
LanguageEnglish
Published Netherlands 1988
Subjects
Aged
Capitation Fee
Deductibles and Coinsurance
Health Benefit Plans, Employee - organization & administration
Humans
Insurance Benefits
Medicare - organization & administration
Models, Theoretical
Retirement
United States
United States
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Summary:Benefits--in the broadest and most literal sense of the word--can be coordinated between Medicare and employer group health plans. What that may entail, however, ranges from (1) researching complementary plans' effect on Medicare utilization and costs; to (2) incorporating those findings into rate setting for the Medicare capitation payment that would be administered by the EGHPs; to (3) some potential cost-containing redesign of complementary plans that would be acceptable to employees/retirees and their unions and would involve improvements in information provided to consumers; to (4) some consideration given to allowing savings achieved through capitation to become part of a trust that would prefund the EGHP retiree plan.
ISSN:0731-2199