{
  "id": "RL32039",
  "type": "CRS Report",
  "typeId": "REPORTS",
  "number": "RL32039",
  "active": false,
  "source": "EveryCRSReport.com",
  "versions": [
    {
      "source": "EveryCRSReport.com",
      "id": 101695,
      "date": "2003-08-08",
      "retrieved": "2016-04-08T14:40:15.060544",
      "title": "Medicare Managed Care Provisions of Title II of S. 1, as Passed by the Senate, and H.R. 1, as Passed by the House",
      "summary": "On June 27, 2003, the Senate passed the Prescription Drug and Medicare Improvement Act of\n2003\n( S. 1 ) and the House passed the Medicare Prescription Drug and Modernization Act of\n2003 ( H.R. 1 ).\n  Title II of each bill would establish a new Medicare managed care program to replace the\ncurrent Medicare+Choice program. Under  S. 1 , Title II would establish the\nMedicareAdvantage (MA) program to replace the M+C program. The MA program would continue\nto offer coordinated care and other plans on a county-wide basis as under current law. The bill\nwould also establish regional Preferred Provider Organizations (PPOs), to be offered in regions. \nBeginning in 2008, the bill would establish a limited competition program, in designated highly\ncompetitive areas. Under  H.R. 1 , Title II would establish the Medicare Advantage\n(MA) program to replace the M+C program, which would also continue to offer coordinated care\nand other plans on a county-wide basis as under current law. The bill would establish the Medicare\nEnhanced Fee-for-Service (EFFS) program, under which Medicare beneficiaries would be provided\naccess to a range of regional EFFS plans that could include preferred provider networks. Beginning\nin 2010, it would also use competitive bidding, in the same style of the Federal Employees Health\nBenefits program (FEHBP) for certain EFFS plans and MA plans.\n  There are considerable differences in the specifics of the MA provisions in  S. 1 \nand  H.R. 1 . These differences are at issue in a pending conference between the two\nHouses.\n  This report provides a side-by-side comparison of the Title II provisions of both bills, and will\nbe updated as necessary.",
      "type": "CRS Report",
      "typeId": "REPORTS",
      "active": false,
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      "topics": []
    }
  ],
  "topics": []
}