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.
On November 19, 2020, the RAND Corporation convened a Technical Expert Panel (TEP) web meeting to gather input about stratified reporting of performance and approaches to reduce disparities in Medicare Advantage (MA) and Part D Contracts.
RAND researchers used data from 49 states and Washington, D.C., to assess hospital prices paid by private health plans. Data sources included $33.8 billion in spending from 3,112 community hospitals—more than half of community hospitals nationwide.
Examples of low-value health care include prescribing opioids for acute back pain and antibiotics for upper respiratory infections. Despite efforts to better educate clinicians and discourage wasteful care, spending on such services among Medicare recipients dropped only marginally from 2014 to 2018.
The effect of the 2018 CHRONIC Care Act and how it may evolve before implementation begins in 2020 remains uncertain as we wait to see how MA plans will interpret eligibility criteria and services offered without any additional allotted funding.
The authors of this report summarize patterns of post-operative visits where Medicare bundles payment for post-operative care into payment for surgical procedures. The results suggest fewer visits occur than Medicare assumes in its payment rates.
The study objectives are to determine whether Black Medicare beneficiaries undergo fewer hip and knee replacements across regions, and whether disparities affected all or mainly affected socioeconomically disadvantaged Black beneficiaries.
Our aim was to determine if the Medicare Shared Savings Program is associated with changes in readmissions and mortality for patients hospitalized with ischemic stroke, and whether it has a different impact on safety net hospitals and non-SNHs.
We examined whether hospitals at risk of relatively large penalties from this expansion experienced greater declines in joint replacement readmissions compared with hospitals at risk of smaller penalties.
We provide new evidence on causal factors behind geographic variation in health care utilization by examining changes in health care use for the near-elderly as they transition from being uninsured into Medicare.
We assessed whether safety net hospitals, which serve vulnerable patients, were more likely to be penalized and less likely to receive rewards compared with non-safety net hospitals that serve few vulnerable patients.
This article determines whether Medicare's Nonpayment Program was associated with decline in venous thromboembolism following hip and knee replacements, and whether the decline was greater among hospitals at risk of larger financial losses from the Program.
This study determined potential racial and ethnic disparities in risk for all-cause 30-day readmission among traditional Medicare and Medicare Advantage beneficiaries initially hospitalized for acute myocardial infarction, congestive heart failure, or pneumonia.