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Even in their most comprehensive forms, managed-care plans have demonstrated an ability to achieve only modest savings delivering Medicare benefits, according to a recent article posted on the Web site of the academic journal Health Affairs by Marsha Gold, a senior fellow at Mathematica Policy Research.
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Under Medicare Advantage, private plans deliver Medicare services directly to patients.
Republicans, now in control of Congress and the White House, feel immense pressure to deliver Medicare drug benefits to the elderly, a critical voting bloc, before the next election.
Senators of both parties said they would have to answer to voters this fall for their failure to deliver Medicare drug benefits.
The main provision of the benefit -- the use of private health plans to deliver Medicare prescription drug benefits -- is tailor-made to the industry's specifications.
Today, a Republican-controlled Congress is preparing to send a Republican president a measure with a central provision -- the use of private health plans to deliver Medicare prescription drug benefits -- that is tailor-made to the industry's specifications.
"Almost everybody else agrees that private health plans should be used in some way to deliver Medicare drug benefits, but the insurance industry is lobbying against the idea," said Lisa J. Raines, senior vice president of the biotechnology company Genzyme.
Baucus even included a special clause in the ACA to deliver Medicare without the Congressional Budget Office scoring it.
And several said the Bush administration's policy of delivering the Medicare drug benefit through myriad private plans made the effort that much more difficult.
We will work constructively with health professionals and patients to deliver genuine Medicare reform".
Three presidencies later, Lyndon B. Johnson managed to deliver on Medicare and Medicaid, helped by huge Democratic majorities in the Congress.
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