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Congressional Budget Office. The Medicare Advantage Program July 16, 2007. Total Federal Spending for Medicare and Medicaid Under Assumptions About the Health Cost Growth Differential. Percent of Gross Domestic Product. Recent Enrollment in Medicare Advantage and Other Group Health Plans. - PowerPoint PPT Presentation
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Congressional Budget Office
The Medicare Advantage Program
July 16, 2007
Total Federal Spending for Medicare and Medicaid Under Assumptions About the Health Cost Growth Differential
1966 1972 1978 1984 1990 1996 2002 2008 2014 2020 2026 2032 2038 2044 2050
0
5
10
15
20
25Actual Baseline
Projection
2.5 Percentage Points
1 Percentage Point
Zero
Differential of:
Percent of Gross Domestic Product
Recent Enrollment in Medicare Advantage and Other Group Health Plans
Additions
Total, Dec. 2005
During 2006
During 2007
Total, June 2007
Medicare Advantage
Local HMOs and PPOs 5,160 840 190 6,190
Private fee for service 210 660 720 1,590
Regional PPOs 0 100 60 160
Total for All
Group Health Plans 6,120 1,470 960 8,560
Enrollment in Medicare Advantage as a Percentage of Enrollment in Medicare
Percentage of Part A Enrollment
1994 1996 1998 2000 2002 2004 2006 2008 2010 2012 2014 2016
0
5
10
15
20
25
30
PFFS Plans
HMOs and PPOs
Estimated Budgetary Effects of Policies Capping the Benchmarks under the Medicare Advantage Program
Source: Dartmouth Atlas of Health Care.
Limit on MA
Benchmarks as a Change in Direct Spending (Billions of dollars)Percentage of FFS Costs 2008–2012 2008–2017
100 -54 -149
110 -32 -90
120 -15 -42
130 -6 -18
140 -2 -7
150 -2 -4
Medicare Spending per Capita in the United States, by Hospital Referral Region, 2003
Source: Dartmouth Atlas of Health Care.
$7,000$7,000 to to 11,35211,352 (63)(63)
6,5006,500 to < to < 7,0007,000 (53)(53)
6,0006,000 to < to < 6,5006,500 (56)(56)
5,5005,500 to < to < 6,0006,000 (64)(64)
4,2724,272 to < to < 5,5005,500 (70)(70)
Not PopulatedNot Populated
www.dartmouthatlas.org
