.IU_Health officials hope the new plan will lead to overall decreased costs of care for patients with advanced kidney disease.
Medicare-eligible, be enrolled in Medicare Part B, which provides outpatient medical coverage, and live in one of the nine Central Indiana counties. Enrollees who are under the care of a participating nephrologist, who belong to the IU Health Plans Care Management program, and who have advanced to stage three of chronic kidney disease or beyond receive additional benefits.The goal is to break even
IU Health officials say that they are aware of only one other plan in the country, for Arizona patients, that like this one targets advanced kidney disease.IU Health’s clinical chief of nephrology, has watched his patients struggle to afford the high health costs of treatment for kidney care. “The pressure point for each patient is a little bit different,” Miller said. “Their overall cost of care is very expensive. ... I didn’t realize this was happening in my waiting room, but I have people that are stressed and tearful over a $25 copay to see me.”About 250 people had opted for the plan by the Medicare Advantage enrollment ended earlier this month.
“I’m OK with it being a relatively small program from the beginning because it’s so innovative,” he said. “This is actually taking care of people so I want to make sure we get it right.”Over the past decade, Medicare Advantage plans, which are offered by private insurers rather than the government, have been increasing in popularity, saiddistinguished professor at the O’Neill School of Public and Environmental Affairs at Indiana University Bloomington.
“It doesn’t matter whether it’s $1 or $20, as long as I’m being asked to pay something,” she said, “even if preventive care in the long run will save me a lot of pain and expense. ... I simply may not go seek health care that could have resulted in an earlier diagnosis if I feel I need to pay out of pocket.”The plan carries a $90 copay for emergency care and $295 copay for an ambulance.
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