title: An analysis of availability of Medicare+Choice, commercial HMO, and FEHBP plans in rural areas: implications for Medicare reform.
abstract: This Policy Brief examines the viability of introducing private competition into the Medicare program by studying the availability of Medicare+Choice (M+C), commercial HMO, and Federal Employees Health Benefits Program (FEHBP) plans in rural (nonmetropolitan) counties. The Brief also presents evidence regarding the variables that influence plan availability and impact plan choice across counties in the U.S. The findings in this Brief will be useful to policymakers considering using a competitive model to design a Medicare prescription drug benefit or to redesign the entire Medicare program. As changes in the Medicare program are considered, the information in this Brief will provide background regarding rural participation in earlier Medicare program changes and in other programs said to be models for change.
authors.forename: Timothy
authors.initials: T
authors.lastname: McBride
authors.forename: Courtney
authors.initials: C
authors.lastname: Andrews
authors.forename: Keith
authors.initials: K
authors.lastname: Mueller
authors.forename: Michael
authors.initials: M
authors.lastname: Shambaugh-Miller
mesh_terms: D004465:Economic Competition; D006264:Health Benefit Plans, Employee / Q000706:statistics & numerical data*; D006279:Health Maintenance Organizations / Q000706:statistics & numerical data*; D006291:Health Policy; D006297:Health Services Accessibility; D006801:Humans; D020398:Medicare Part C / Q000706:statistics & numerical data*; D019035:Rural Health Services / Q000600:supply & distribution*; D014481:United States