title: What does voluntary disenrollment from Medicare+Choice plans mean to beneficiaries?
abstract: The Balanced Budget Act (BBA) of 1997 required CMS to report publicly Medicare managed care (MMC) plan voluntary disenrollment rates. To ensure disenrollment rates would be meaningful to beneficiaries in health plan choice, CMS funded the development of surveys and reporting formats to identify and present the reasons that beneficiaries voluntarily leave plans. Public reporting of reasons on the Medicare Web site began in 2002. We discuss results from extensive audience testing of disenrollment rates and reasons materials. Medicare beneficiaries do not easily understand disenrollment. We also discuss challenges in presenting useful disenrollment information and policy implications for public reporting.
authors.affiliation: RTI International, 1615 M. St., NW, Suite 740, Washington, DC 20036, USA. lauren@RTI.org
authors.forename: Lauren D
authors.initials: LD
authors.lastname: Harris-Kojetin
authors.forename: Elizabeth M F
authors.initials: EM
authors.lastname: Jaël
authors.forename: Fiona
authors.initials: F
authors.lastname: Smith
authors.forename: Beth
authors.initials: B
authors.lastname: Kosiak
authors.forename: Julie
authors.initials: J
authors.lastname: Brown
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D001294:Attitude to Health; D014487:Centers for Medicare and Medicaid Services, U.S.; D002755:Choice Behavior; D003258:Consumer Behavior / Q000706:statistics & numerical data*; D005260:Female; D017144:Focus Groups; D019538:Health Care Surveys; D006279:Health Maintenance Organizations / Q000458:organization & administration / Q000706:statistics & numerical data* / Q000639:trends; D006801:Humans; D008297:Male; D020398:Medicare Part C / Q000458:organization & administration / Q000706:statistics & numerical data* / Q000639:trends; D014481:United States