The Nebraska Center for Rural Health Research

Changing the Medicare Program:
Will Rural Beneficiaries Be Better Off?

July 14, 2000

Author: Keith J. Mueller, Ph.D.

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Table of Contents:

Changing the Medicare Program: Will Rural Beneficiaries Be Better Off?

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What is the Problem?

Accentuated for Rural Beneficiaries

Accentuated for Rural Beneficiaries

Rural Beneficiaries Lack Supplemental Coverage

Rural Beneficiaries Lack Supplemental Coverage

Rural Seniors Spend More On Medication

Defining Reasonable Level of Spending

Rural Issue of Access

The Elements of Change

Market Reform: M+C Experience Change in Medicare +Choice Enrollment: December 1997 to March 2000*

Changes in Medicare +Choice Enrollment, by Location, 1993-2000

Medicare+Choice in Rural Areas: March 2000

Implications of Market Application

Implications of Market Application

Implications of Market Application

Implications of Market Application

Additional Benefits for Rural Beneficiaries?

Comments Regarding Additional Benefits

Comments Regarding Additional Benefits

Comments Regarding Additional Benefits

Comments Regarding Additional Benefits

Implications of Savings in Reform Plans

Implications of Savings in Reform Plans

Implications of Savings in Reform Plans

Implications of Savings in Reform Plans

Governance

Conclusion: Laying the Groundwork

Rural Policy Research Institute and Nebraska Center for Rural Health Research