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. Author manuscript; available in PMC: 2013 Feb 1.
Published in final edited form as: JAMA. 2012 Aug 1;308(5):459–460. doi: 10.1001/jama.2012.7909

Table 1.

Table Comparison of the 5 lowest plan bids to traditional Medicare costs, 2006–2009*

Year Average Traditional Medicare costs ($ per month) Average plan bid (% of traditional Medicare costs)
Lowest bid plan 2nd-lowest plan 3rd-lowest plan 4th-lowest plan 5th-lowest plan
2009 $717 87% 91% 94% 95% 96%
2008 $721 82% 87% 89% 91% 91%
2007 $705 84% 89% 92% 94% 95%
2006 $699 82% 88% 90% 93% 94%
*

We used Medicare Advantage plan payment data and actual fee-for-service Medicare spending data from the Centers for Medicare and Medicaid Services.8 All costs are adjusted to 2009 U.S. dollars.

Under the Ryan-Wyden plan, the second-lowest bidding private health plan in a county (or the county’s Traditional Medicare costs, whichever is lower) serves as the benchmark. All plans bidding above the benchmark must charge beneficiaries a premium, equal to the difference between the plan’s bid and the benchmark. The lowest bidding private plan, in counties where Traditional Medicare is not the lowest bidder, would offer a rebate to plan beneficiaries.