TITLE

Medicare Subvention Demonstration: Enrollment in DOD Pilot Reflects Retiree Experiences and Local Markets: HEHS-00-35

PUB. DATE
January 2000
SOURCE
GAO Reports;1/31/2000, p1
SOURCE TYPE
Government Document
DOC. TYPE
Article
ABSTRACT
Many military retirees would like to use their Medicare benefits at military medical facilities, but federal law does not allow Medicare to pay the Defense Department (DOD). Many retirees can get health care at military facilities only when space is available and cannot rely on them for comprehensive, continuous care. DOD is willing to provide such care to these retirees if the law is changed so that Medicare could reimburse DOD. In light of these concerns, recent legislation authorized a three-year, six-site demonstration project, called Medicare subvention, which allows Medicare-eligible military retirees to enroll in a new, DOD-run health maintenance organization (HMO). Medicare can pay DOD for the health care provided to retirees enrolled in the demonstration project, subject to certain conditions. The demonstration's goal is to implement an alternative for delivering accessible and quality care to these "dual-eligible" retirees without increasing the cost to Medicare or DOD. This report examines enrollment in DOD's pilot HMOs for seniors. GAO discusses (1) how successful the demonstration has been in enrolling eligible beneficiaries, (2) what influenced retirees to join DOD's pilot HMOs, and (3) what factors accounted for differences in enrollment rates across demonstration sites.
ACCESSION #
18207655

 

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