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  • Title: Innovative concepts in public-private coordination of benefits for retirees.
    Author: Edington BM, Deacon RW.
    Journal: Adv Health Econ Health Serv Res; 1988; 9():45-67. PubMed ID: 10304446.
    Abstract:
    Benefits--in the broadest and most literal sense of the word--can be coordinated between Medicare and employer group health plans. What that may entail, however, ranges from (1) researching complementary plans' effect on Medicare utilization and costs; to (2) incorporating those findings into rate setting for the Medicare capitation payment that would be administered by the EGHPs; to (3) some potential cost-containing redesign of complementary plans that would be acceptable to employees/retirees and their unions and would involve improvements in information provided to consumers; to (4) some consideration given to allowing savings achieved through capitation to become part of a trust that would prefund the EGHP retiree plan.
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