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Brian Biles

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Recent Articles
1.
Biles B, Casillas G, Guterman S
Issue Brief (Commonw Fund) . 2016 Mar; 2:1-9. PMID: 26934756
The costs of providing benefits to enrollees in private Medicare Advantage (MA) plans are slightly less, on average, than what traditional Medicare spends per beneficiary in the same county. However,...
2.
Biles B, Casillas G, Guterman S
Issue Brief (Commonw Fund) . 2015 Sep; 25:1-14. PMID: 26372971
Competition among private Medicare Advantage (MA) plans is seen by some as leading to lower premiums and expanded benefits. But how much competition exists in MA markets? Using a standard...
3.
Biles B, Casillas G, Guterman S
Health Aff (Millwood) . 2015 Jan; 34(1):56-63. PMID: 25561644
Concern about the future growth of Medicare spending has led some in Congress and elsewhere to promote converting Medicare to a "premium support" system. Under premium support, Medicare would provide...
4.
Biles B, Casillas G, Arnold G, Guterman S
Issue Brief (Commonw Fund) . 2012 Dec; 27:1-12. PMID: 23214179
The Affordable Care Act enacts a new payment system for private health plans available to Medicare beneficiaries through the Medicare Advantage (MA) program. The system, which is being phased in...
5.
Biles B, Arnold G, Guterman S
Issue Brief (Commonw Fund) . 2011 Apr; 5:1-14. PMID: 21456325
Payments to private Medicare Advantage (MA) plans have exceeded Medicare fee-for-service (FFS) costs since those payments were increased by the Medicare Modernization Act of 2003 (MMA). Payments to MA plans...
6.
Biles B, Arnold G
Issue Brief (Commonw Fund) . 2010 Feb; 74:1-12. PMID: 20183948
The Medicare Advantage (MA) program, which enables Medicare beneficiaries to enjoy private health plan coverage, is a major element of the current health care reform discussion on Capitol Hill--in large...
7.
Biles B, Pozen J, Guterman S
Issue Brief (Commonw Fund) . 2009 Aug; 65:1-12. PMID: 19685587
Private health plans that enroll Medicare beneficiaries--known as Medicare Advantage (MA) plans--are being paid $11 billion more in 2009 than it would cost to cover these beneficiaries in regular fee-for-service...
8.
Biles B, Pozen J, Guterman S
Issue Brief (Commonw Fund) . 2009 May; 51:1-18. PMID: 19449498
The Medicare Modernization Act of 2003 explicitly increased Medicare payments to private Medicare Advantage (MA) plans. As a result, MA plans have, for the past six years, been paid more...
9.
Biles B, Adrion E, Guterman S
Issue Brief (Commonw Fund) . 2008 Oct; 48:1-12. PMID: 18953765
Like the private managed care plans offered under Medicare Advantage, private fee-for-service (PFFS) plans are paid more per beneficiary than those individuals would be expected to cost if they were...
10.
Biles B, Adrion E, Guterman S
Issue Brief (Commonw Fund) . 2008 Sep; 43:1-15. PMID: 18807648
The Medicare Modernization Act of 2003 explicitly increased Medicare payments to private Medicare Advantage (MA) plans. As a result, every MA plan in the nation is paid more for its...