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    Journal Article

    The Effect of Prospective Payment on Admission and Treatment Policy

    Provider responses to the Medicare inpatient rehabilitation facility prospective payment system were found to simultaneously reduce marginal reimbursement and increase average reimbursement.

    Sep 1, 2013

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    Journal Article

    Does the Racial/Ethnic Composition of Medicare Advantage Plans Reflect Their Areas of Operation?

    Investigating if the racial/ethnic composition of Medicare Advantage plans reflect the composition of their areas of operation revealed little evidence that health plans are selectively underenrolling blacks, Latinos, or Asians to a substantial degree.

    Aug 28, 2013

  • hands on walker

    Research Brief

    Major Changes to Medicare Would Cut Costs, Squeeze Enrollment, Raise Spending for Seniors

    Potential policy changes, such as raising the eligibility age of Medicare from 65 to 67, would save Medicare from $400 billion to $4 trillion between 2012 and 2036 but would also reduce the number of seniors enrolled.

    Aug 26, 2013

  • lightbulb and stethoscope

    Report

    CMS Innovation Center Health Care Innovation Awards

    The Centers for Medicare & Medicaid Services (CMS) has funded 108 Health Care Innovation Awards through the Affordable Care Act. Award recipients are those who propose compelling new models of service delivery or payment improvements that promise to deliver better health, better health care, and lower costs through improved quality of care for Medicare, Medicaid, and Children's Health Insurance Program enrollees.

    Aug 15, 2013

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    Testimony

    The Monetary Costs of Dementia in the United States

    How do today's costs for treating patients with Alzheimer's disease compare to those of decades past?

    Jul 12, 2013

  • Journal Article

    Journal Article

    Brand-name Prescription Drug Use Among Veterans Affairs and Medicare Part D Patients with Diabetes: A National Cohort Comparison

    Medicare beneficiaries with diabetes use 2 to 3 times more brand-name drugs than a comparable group within the VA, at substantial excess cost.

    Jul 1, 2013

  • nurse with patient

    Brochure

    Assessing Patients' Experiences with Care

    Understanding how patients experience care can encourage delivery of high-quality services. It also helps payers, including the Centers for Medicare & Medicaid Services, ensure that they pay for effective and efficient care.

    Jun 26, 2013

  • magnifying glass and charts

    Brochure

    Evaluating Medicare Demonstration Projects

    RAND works closely with the Centers for Medicare & Medicaid Services to design, test, implement, and evaluate demonstration projects that span a wide range of care settings and issues.

    Jun 26, 2013

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    Brochure

    Improving Medicare Payment Policies

    RAND's work on Medicare payment policies has played a major role in improving payment systems, helping to better align incentives for providers and promote delivery of high-value care for patients.

    Jun 26, 2013

  • doctor writing

    Brochure

    Measuring the Quality of Health Care

    RAND is engaged in developing and supporting the use of quality measures by the Centers for Medicare & Medicaid Services (CMS)

    Jun 26, 2013

  • News Release

    News Release

    Strategies Could Curb Medicare Costs, but Also Drive Seniors Out of Insurance Program

    The rising cost of Medicare can be cut through strategies such as increasing premiums and raising the eligibility age, but those moves could drive many elderly Americans from the program, leaving them with limited access to health services.

    May 6, 2013

  • Doctor examining female senior patient with elbow pain

    Journal Article

    Strategies Could Curb Medicare Costs, but Also Drive Seniors Out of the Program

    The rising cost of Medicare can be cut through strategies such as increasing premiums and raising the eligibility age, but those moves could drive many elderly Americans from the program, leaving them with limited access to health services.

    May 1, 2013

  • an elderly woman with a caretaker

    Testimony

    The Monetary Costs of Dementia in the United States

    Identifying the costs of dementia is challenging because persons who have it are likely to have co-existing chronic health problems, making isolating the costs among other costs difficult. Also, it is unclear how to attribute a monetary cost to informal caregiving.

    Apr 24, 2013

  • an elderly couple, man possibly with dementia

    Journal Article

    Cost of Dementia Tops $159 Billion Annually in the United States

    The monetary cost of dementia in the United States ranges from $159 billion to $215 billion annually, making the disease more costly to the nation than either heart disease or cancer. The greatest cost is associated with providing institutional and home-based long-term care rather than medical services.

    Apr 1, 2013

  • Prescription pills spilled out over $20 bills.

    Commentary

    Remove Medicare's Straitjacket

    Removing the constraints on Medicare would not only lead to lower prices at the drugstore, hospital and doctor's office, it could spark a new era of healthcare innovation, writes Arthur Kellermann.

    Mar 29, 2013

  • doctor consoling elderly man

    Commentary

    A Health Care Entitlement Worth Ending

    The health care “entitlement” we need to reform is the notion that America's health care system is entitled to an ever-growing share of America's wealth, writes Arthur Kellermann.

    Feb 27, 2013

  • Elderly Woman with Caregiver

    Journal Article

    Care Experiences of Managed Care Medicare Enrollees Near the End of Life

    Research based primarily on reports from an individual's surviving relatives often suggests that end-of-life care experiences are particularly poor. However, this examination of reports from patients found that those who died within a year of being surveyed reported slightly better experiences than other enrollees.

    Feb 4, 2013

  • Journal Article

    Journal Article

    Spending and Mortality in US Acute Care Hospitals

    Greater hospital spending is associated with lower risk-adjusted inpatient mortality for major medical conditions in the United States.

    Feb 1, 2013

  • Arkansas flag

    Report

    The Economic Impact of the ACA on Arkansas

    For Arkansas, the Affordable Care Act will result in an increase in GDP of around $550 million and the creation of about 6,200 jobs. The new law will also increase health insurance coverage by 400,000 newly insured individuals.

    Jan 3, 2013

  • doctor exam

    Journal Article

    Medicare Payment Reform and Provider Entry and Exit

    An investigation of the impacts of Medicare payment reform on post-acute providers found that payment reforms reducing average and marginal payments reduced entries and increased exits from the market, which may affect market structure, access to care, quality and cost of care, and patient outcomes.

    Jan 1, 2013