RT Journal A1 Hoadley J T1 PErformance ratings and plan selection by medicare beneficiaries JF JAMA JO JAMA YR 2013 FD January 16 VO 309 IS 3 SP 287 OP 288 DO 10.1001/jama.2012.217002 UL http://dx.doi.org/10.1001/jama.2012.217002 AB Much of the US health system allows consumers to select among various competing plans. This approach is used in some employer-based health insurance arrangements, in some state Medicaid programs, and in Medicare. In addition, the insurance exchanges that will begin operation in 2014 under the Affordable Care Act will be based on a similar marketplace arrangement. In Medicare, most beneficiaries have the option of enrolling in the Medicare Advantage program, which offers them a choice among multiple private health plans that contract with the government to furnish enrollees with their Medicare benefits. Beneficiaries who elect the traditional fee-for-service Medicare program must also select from competing drug plans if they wish to participate in the Part D drug benefit.