Purchase Solution

Medicare Advantage v. Medicaid MCO Plan

Not what you're looking for?

Ask Custom Question

1. What is the major difference between the Medicare Advantage plan and the Medicaid managed care plan?
2. If you had to choose one which would it be? What would be an example?
3. If you were a physician which of these plans would you want your patients to have and why?

Purchase this Solution
Solution Summary

This solution discusses the differences between Medicare Advantage and Medicaid managed care plans.

Solution Preview

http://www.medicaid.gov/medicaid-chip-program-information/by-topics/delivery-systems/managed-care/managed-care-site.html

What is the major difference between the Medicare Advantage plan and the Medicaid managed care plan?

Medicare Advantage plans are predicated upon set doctors that must be seen by a patient within a prescribed network that is mandated by the Medicare Plan wherein the plans are managed care, which require the patient to obtain services from doctors that belong to certain hospitals. Most of these plans are predicted upon extra benefits and lower co-payments than in the Original Medicare Plan. Enrollment probably mandates that the ...

Solution provided by:
Stephen Washington, MS
Education
  • BS, Sam Houston State University, 1903 University Avenue, Huntsville, Tx 77340
  • MS, Prairie View A&M University
Recent Feedback
  • "awesome"
  • "awesome"
  • "Awesome appreciate the assistance."
  • "Thanks awesome. more to follow"
  • "awesome, Thanks for the assistance"
Purchase this Solution
Free BrainMass Quizzes
Test your health planning and program evaluation knowledge

Health planning and program evaluation is an important aspect of the Health Sciences' field. Organizations and communities must understand the needs of their audiences, and a way to obtain this datum is through proper design and assessment. This quiz will test your ability to understand the importance of planning and evaluation in the health sector.

Vitals about a Patient's Vitals

Basic questions about blood pressure and measurements.

Celiac Disease

This quiz will provide a brief introduction to Celiac Disease. Questions will focus on definitions and symptoms.

Fibromyalgia

This quiz provides a brief overview of Fibromyalgia. Research is currently evolving regarding this diagnosis.

Tumor Markers

This quiz help you memorize common tumor markers used to detect and diagnose some types of cancer.

View More Free Quizzes
Related BrainMass Solutions

  • Capitation Payment Methodologies

    511620 Capitation Payment Methodologies Discuss capitation payment methodologies between payers and providers, and Medicare or Medicaid with commercial Managed Care organizations (MCO).

  • Policy Making Process

    Management (CMM) for fee-for-service Part A and Part B issues and the Center for Drug and Health Plan Choice (CDHPC) for Part D and Medicare Advantage issues.

  • Medicare managed care plan

    The plans must cover all Medicare Part A and Part B health care and some have prescription coverage. One advantage to enroll on a managed health plan is probably cost. With Medicare you have to pay for part B and part D (drug coverage) monthly.

  • State Licensure Requirements for Medicare Advantage Plan

    The solution discusses the state licensure requirements for medicare advantage plan.

  • Managed Care Contract Model

    ii.)a "percentage of Medicare."

  • Health Care Budgeting Paper

    Two of the most important provisions of the Medicare Modernization Act (MMA) are the new voluntary drug benefit and the enhanced health plan choices in Medicare Advantage.

  • HMOs, PPOs and govenment

    Medicare advantage 2010 data spotlight plan enrollment patterns and t. Retrieved from http://www.kff.org/medicare/upload/8080.pdf KFF.org. (1997). Overview of Medicaid Managed Care Provisions in the Balanced Budget Act of 1997.

  • Oregon Medicaid

    Finally, a participant maybe charged a small fee for certain charges (The information was obtained at http://www.nolo.com/legal-encyclopedia/medicare-medicaid-whats-difference-29615.html 'Medicare and Medicaid: What's the Difference?'.)

  • Medicare and Medicaid in the U.S.

    In order to receive these benefits a person must enroll in a Prescription Drug Plan or a Medicare Advantage Plan with coverage for this. The coverage is usually adminstered by private companies.

View More Related Solutions