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.
Patient experience points related to improvement and consistency have a small but important effect on payments to hospitals serving large proportions of disadvantaged patients under the Medicare Hospital Value-Based Purchasing program.
Including supplemental insurance payments in the calculation of Medicare patients' out-of-pocket costs substantially lowers the proportion that exceed the Part A deductible, in comparison to previous analyses.
The total cost of caring for people in the United States with dementia in 2010 was estimated to be between $159 billion and $215 billion. As the nation's population ages, these costs will soar. Lawmakers could consider policy changes that support family caregivers and expand Medicaid eligibility.
In this Events @ RAND podcast, Joe Newhouse, a Professor of Health Policy and Management, discusses reforms in the mid-2000s that had a surprising—and some would say counterintuitive—effect on Medicare Advantage Plans.
Americans spend billions of dollars out of pocket seeking relief from chronic conditions in alternative schools of health, such as acupuncture or chiropractic. What would it take to more fully integrate such practices into the mainstream?
The policy challenges associated with coverage, licensure, scope of practice, institutional privileges, and research may prevent complementary and alternative medicine professionals from practicing to the full extent of their capabilities.
We developed a comprehensive four-step algorithm for identifying episodes of care for fall-related injuries and associated costs, using fee-for-service Medicare and Medicare Advantage health plan claims data for 2,011 patients from 5 medical groups between 2005 and 2009.
A Medicare patient who receives a comprehensive health assessment at home is less likely to be hospitalized or admitted to a nursing home over the next year. Such a program results in patients seeing doctors more often, but is likely to reduce costs by trimming the amount of care provided in the most costly settings.
The difference between private and public (Medicare and Medicaid) payment rates for inpatient hospital stays widened between 1996 and 2012. Medical Expenditure Panel Survey data reveal that standardized private insurer payment rates in 2012 were approximately 75 percent greater than Medicare's—a sharp increase from the differential of approximately 10 percent in the period 1996–2001.