Innovative concepts in public-private coordination of benefits for retirees

Adv Health Econ Health Serv Res. 1988:9:45-67.

Abstract

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.

Publication types

  • Review

MeSH terms

  • Aged
  • Capitation Fee
  • Deductibles and Coinsurance
  • Health Benefit Plans, Employee / organization & administration*
  • Humans
  • Insurance Benefits
  • Medicare / organization & administration*
  • Models, Theoretical
  • Retirement*
  • United States