Medicare

Journal Article

Aug 29, 2024

Medicare Advantage Customer Service Is Used Most by Higher-Need Patients

Medicare Advantage (MA) enrollees who are in poorer general and mental health and who have greater medical complexity are more likely to use their plan's customer service.

Journal Article

Aug 15, 2024

Ground Ambulance Industry Trends, 2017-2020: Analysis of Medicare Fee-for-Service Claims

This report includes descriptive analyses of ground ambulance trends from 2017 to 2022.

Journal Article

Aug 15, 2024

Ground Ambulance Industry Trends, 2017–2022: An Analysis of Ground Ambulance Organization Entrance and Exit

This report includes descriptive analyses of ground ambulance trends from 2017 to 2022.

Journal Article

Aug 5, 2024

Factors Associated with Self-Reports of Limitations in Activities of Daily Living Among Medicare Fee-for-Service Recipients

Physical function is an important indicator of physical health and predicts mortality. This study identified characteristics associated with limitations in Medicare recipients' activities of daily living.

Journal Article

Jul 31, 2024

The Effects of Physician Vertical Integration on Referral Patterns, Patient Welfare, and Market Dynamics

Our counterfactual analysis implies that if all primary care physicians become integrated, total Medicare spending will increase by $315 million.

Journal Article

Jul 29, 2024

A Longitudinal Multivariable Analysis: State Policies and Opioid Dispensing in Medicare Beneficiaries Undergoing Surgery

This study examines trends in the perioperative opioid dispensing rates for fee-for-service Medicare beneficiaries and the effects of select state policies.

Journal Article

Jun 27, 2024

Patient-Reported Denials, Appeals, and Complaints: Associations With Overall Plan Ratings

Patients who reported denials of needed care gave low ratings to their care, and especially their plan, regardless of whether they appealed the denial.

Report

May 13, 2024

Medical staff are seen inside Emory University Hospital in Atlanta, Georgia, November 12, 2019, photo by Elijah Nouvelage/Reuters

Prices Paid to Hospitals by Private Health Plans: Findings from Round 5 of an Employer-Led Transparency Initiative

The lack of transparency of prices in the health care market limits employers’ ability to knowledgeably develop or implement benefit design decisions. This report can be used to compare hospital prices using a single metric.

Journal Article

May 8, 2024

Which Medicare Advantage Enrollees Are at Highest One-Year Mortality Risk?

Medicare Advantage enrollees over age 85, in fair or poor health or with recent urgent care needs, are far more likely to be in a high mortality risk group.

Journal Article

May 1, 2024

Health System Implementation of the PROMIS Cognitive Function Screener in the Medicare Annual Wellness Visit: Framing as Abilities Versus Concerns

Given the time and resource constraints in the Medicare AWV, findings suggest the PRO-CS may be useful as the first step to engage providers, patients, and families in conversations about cognition.

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Medicare

Medicare

Private Health Plans Paid Hospitals 254 Percent of What Medicare Would Pay

Why Won't Health Insurance Companies Pay for New Drugs?

Explore RAND’s Work on this Topic

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Medicare Advantage Customer Service Is Used Most by Higher-Need Patients

Ground Ambulance Industry Trends, 2017-2020: Analysis of Medicare Fee-for-Service Claims

Ground Ambulance Industry Trends, 2017–2022: An Analysis of Ground Ambulance Organization Entrance and Exit

Factors Associated with Self-Reports of Limitations in Activities of Daily Living Among Medicare Fee-for-Service Recipients

The Effects of Physician Vertical Integration on Referral Patterns, Patient Welfare, and Market Dynamics

A Longitudinal Multivariable Analysis: State Policies and Opioid Dispensing in Medicare Beneficiaries Undergoing Surgery

Patient-Reported Denials, Appeals, and Complaints: Associations With Overall Plan Ratings

Research on Aging and Longevity

Private Health Plans During 2022 Paid Hospitals 254 Percent of What Medicare Would Pay

Prices Paid to Hospitals by Private Health Plans: Findings from Round 5 of an Employer-Led Transparency Initiative

Which Medicare Advantage Enrollees Are at Highest One-Year Mortality Risk?

Health System Implementation of the PROMIS Cognitive Function Screener in the Medicare Annual Wellness Visit: Framing as Abilities Versus Concerns

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