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.
Care provided by primary care practitioners accounts for a small fraction of total spending among Medicare beneficiaries. Depending on the definition used, primary care spending represents 2.12% to 4.88% of total medical and prescription spending by Parts A, B and D of the Medicare program.
How are the needs of dually enrolled beneficiaries in Medicare and Medicaid met? This report presents ways that Medicare Advantage (MA) plans and Medicare-Medicaid plans can meet the needs of dually enrolled beneficiaries.
This report identifies the types of services that Medicare Advantage plans implement to meet the needs of dually enrolled and other high-cost, high-need beneficiaries and presents a typology of the services that plans implement.
The Centers for Medicare & Medicaid Services recently launched its Quality Payment Program (QPP), which changes how physicians are paid under Medicare. Researchers interviewed rural physicians to determine if their practices could successfully participate and how the program could be modified to support small rural practices.
On October 30, 2018, the RAND Corporation convened a Technical Expert Panel (TEP) web meeting to gather input on analyses that could be conducted to further enhance the Medicare Advantage (MA) and Part D Contract Star Ratings program.
Traditional Medicare is popular and therefore can lend a good brand name to coverage expansion proposals, but its limits can be significant for some patients. Those proposing and evaluating “Medicare for All” proposals should consider whether and how these limits are addressed.
Older, less educated, and lower-income Medicare beneficiaries are less likely to disagree with or change doctors; to help prevent disparities, doctors and advocates should encourage vulnerable populations to express their concerns and perspectives.
On May 31, 2018, the RAND Corporation convened a Technical Expert Panel (TEP) to gather input on analyses that could be conducted to further enhance the Medicare Advantage (MA) and Part D Contract Star Ratings program.
The RAND Hospital Data tool is an effort to enhance data from the Centers for Medicare & Medicaid Services Healthcare Provider Cost Reporting Information System to make them more useful and accessible to a broad audience.
Results of the Alpha 2 feasibility test, used to help develop standardized assessment-based data elements to meet the requirements of the Improving Medicare Post-Acute Care Transformation(IMPACT) Act of 2014.
Prior to the ACA, Medicare Advantage (MA) enrollment growth led to small reductions in inpatient for the entire population over age 65. After the ACA, this impact diminished, contrary to the hypothesis that the MA ACA payment would amplify this effect.
This report proposes alternative methodologies for determining the practice expense (PE) component of the Medicare Physician Fee Schedule in order to avoid misvalued payment rates. A main concern is the allocation of indirect practice costs.