Allowing Americans aged 50 to 64 to buy into Medicare would lower health care premiums for the group. But it would also drive up costs for younger people who buy health insurance on Affordable Care Act exchanges.
Medicare appears to be overpaying surgeons for many medical procedures. Federal officials should incorporate ways to more objectively measure the amount of postoperative care surgeons provide to patients.
Health insurance characteristics shift at age 65 as most people become eligible for Medicare. The authors measure the impacts of these changes on patients who are admitted to hospitals through emergency departments for conditions with similar admission rates on weekdays and weekends.
This study found that a high percentage of nursing home residents hospitalized for hip fracture and stroke (80% and 64% respectively) used Medicare-paid skilled nursing facilities, yet had outcomes similar to those who did not use such care.
Uses the Consumer Assessments of Healthcare Providers and Systems survey to examine the experiences of Hispanics enrolled in Medicare managed care. Hispanics face barriers to care; however, their experiences with care vary by language and region.
This research brief summarizes studies showing that medical innovations will improve health and extend life but will likely increase Medicare spending; eliminating obesity and better prevention could save Medicare money and improve health.
One should treat proxy responses to subjective ratings cautiously. Even seemingly innocuous reading, writing, and translation by proxies may influence answers. Spouses may be accurate proxies for the elderly in evaluations of health care.
A multi-pronged effort composed of mail screening (using the PHQ-2), self-reported antidepressant use, and claims diagnoses of depression may capture the greatest number of chronically ill Medicare enrollees with possible depression.
Gender disparities in expenditures are generally small at the end of life for lung cancer decedents. The bigger observed differences are by age. Higher expenditures for women on social-supportive services may reflect fewer informal supports.
Examined whether reimbursement for Provider Counseling, Pharmacotherapies, and a telephone Quitline increase smoking cessation relative to Usual Care. A telephone Quitline in conjunction with low-cost Pharmacotherapy was found to be the most effective means of reducing smoking in the elderly.
Uses data from California to compare actual prices paid by uninsured patients with prices paid by commercial and Medicare patients. Uninsured patients pay prices similar to those of Medicare patients, and hospital prices to the uninsured have risen.
Medicare beneficiaries who died while enrolled in independent practice association model HMOs, including the Kaiser model, had many fewer hospital days during the two years before death than beneficiaries who died with fee-for-service coverage.
Examines financial implications of the Centers for Medicare & Medicaid Services Hierarchical Condition Categories risk-adjustment model on Medicare payments for individuals with comorbid chronic conditions. Some payments were underpredicted.