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 <subject>Health care programs</subject>
 <subject>Education or training</subject>
 <subject>Internet</subject>
 <subject>Information resources management</subject>
 <subject>Beneficiaries</subject>
 <subject>HCFA Consumer Assessments of Health</subject>
 <subject>Plans Study</subject>
 <subject>HCFA Regional Education About Choice in</subject>
 <subject>Health Initiative</subject>
 <subject>Medicare Choice Program</subject>
 <subject>Medicare Current Beneficiary Survey</subject>
 <subject>Medicare Program</subject>
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<titleInfo>
 <title>Medicare: Program Designed to Inform Beneficiaries and Promote Choice Faces Challenges</title>
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<abstract>The Balanced Budget Act of 1997 (BBA) established the
Medicare+Choice (M+C) program to expand health plan choices	 
available to beneficiaries. BBA permitted Medicare participation 
by preferred provider organizations, provider-sponsored 	 
organizations, and insurers offering private fee-for-service	 
plans or medical savings accounts. It also included provisions	 
designed to encourage the wider availability of health		 
maintenance organizations, which have long been an option for	 
many beneficiaries. To help beneficiaries understand and consider
all of their Medicare options, the National Medicare Education	 
Program (NMEP) organizes a toll-free help line, informational	 
mailings to beneficiaries, an Internet site, and educational and 
publicity campaigns. During each of the fiscal years 1998 through
2000, the Health Care Financing Administration (HCFA) spent an	 
average of $107.8 million for NMEP, for a total of $323.3	 
million. Most of the expenditures were funded from user fees	 
collected from M+C plans, with the rest coming from other HCFA	 
accounts. Reaction to NMEP has generally been positive among	 
beneficiaries and beneficiary advocacy groups, but		 
representatives of M+C plans offered a mixed assessment. NMEP	 
activities have increased the amount and type of information	 
regarding Medicare, the M+C program, and specific health plans	 
that is available to beneficiaries and facilitated access to such
information. However, the extent to which NMEP has spurred	 
beneficiaries to actively consider their health plan options is  
unknown.</abstract>
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 <topic>Health care programs</topic>
 <topic>Education or training</topic>
 <topic>Internet</topic>
 <topic>Information resources management</topic>
 <topic>Beneficiaries</topic>
 <topic>HCFA Consumer Assessments of Health</topic>
 <topic>Plans Study</topic>
 <topic>HCFA Regional Education About Choice in</topic>
 <topic>Health Initiative</topic>
 <topic>Medicare Choice Program</topic>
 <topic>Medicare Current Beneficiary Survey</topic>
 <topic>Medicare Program</topic>
 <topic>HCFA National Medicare Education Program</topic>
 <topic>State Health Insurance Assistance</topic>
 <topic>Program</topic>
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