“Medicare Part D Roulette: Potential Implications of Random Assignment and Plan Restrictions,” by Rajul A. Patel, Mark P. Walberg, Joseph A. Woelfel, Michelle M. Amaral, and Paresh Varu (Medicare & Medicaid Research Review, Vol. 3, No. 2, 2013, .pdf format, 14p.).
April 22, 2013
April 18, 2013
April 16, 2013
CAAR – US Department of Health and Human Services, Office of Inspector General Report – April 16, 2013
“Impact on Medicare Program for Investment Income That Medicare Part D Plans Earned and Retained From Medicare Funds in 2009,” (A-07-11-05017, April 2013, .pdf format, 19p.).
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CAAR – Robert Wood Johnson Foundation/American Enterprise Institute Reports – April 16, 2013
A. “Preserving Medicare for Future Generations: Market-Based Approaches to Reform,” (April 2013, .pdf format, 5p.).
B. “The Role of Medicare Fee-for-Service in Inefficient Health Care Delivery,” by James C. Capretta (April 2013, .pdf format, 14p.).
C. “A Competitive Bidding Approach to Medicare Reform,” by Roger Feldman, Bryan Dowd, and Robert Coulam (April 2013, .pdf format, 22p.).
D. “Plan Competition and Consumer Choice in Medicare: The Case for Premium Support,” by Joseph Antos (April 2013, .pdf format, 22p.).
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CAAR – Heritage Foundation Issue Brief – April 16, 2013
“Medicare Savings: 5 Steps to a Down Payment on Structural Reform,” by Robert E. Moffit and Rea S. Hederman, Jr. (Issue Brief No. 3908, April 2013, .pdf and HTML format, 3p.).
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CAAR – US Department of Health and Human Services, Office of the Inspector General Report – April 16, 2013
“Impact on Medicare Program for Investment Income That Medicare Part D Plans Earned and Retained From Medicare Funds in 2009″ (A-07-11-05017, April 2013, .pdf format, 19p.).
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April 11, 2013
CAAR – US House Committee on Energy and Commerce, Subcommittee on Health Hearing Testimony – April 11, 2013
“Strengthening Medicare for Seniors: Understanding the Challenges of Traditional Medicare’s Benefit Design,” a hearing held April 11, 2013 (witness statements available in .pdf format, full hearing can be viewed in Flash format, running time 1 hour 36 minutes).
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CAAR – Kaiser Family Foundation Brief – April 11, 2013
“Medicare and the Federal Budget: Comparison of Medicare Provisions in Recent Federal Debt and Deficit Reduction Proposals,” (April 2013, .pdf format, 15p.).
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April 8, 2013
CAAR – US Medicare Payment Advisory Committee Hearing Transcript – April 8, 2013
A transcript of the Apr. 4-5, 2013 meeting is available (.pdf format, 496p.).
www.medpac.gov/meeting_search.cfm?SelectedDate=2013-04-04 00:00:00.0
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April 4, 2013
CAAR – AARP Reports – April 4, 2013
A. “Two-Thirds of States Integrating Medicare and Medicaid Services for Dual Eligibles,” by Jenna Walls, Diana Scully, Eunhee (Grace) Cho, John Michael Hall, Wendy Fox-Grage, and Kathleen Ujvari (April 2013, .pdf format, 16p.).
B. “An Uphill Climb: Women Face Greater Obstacles to Retirement Security,” by Mikki Waid (April 2013, .pdf format, 3p.).
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April 2, 2013
CAAR – US Bureau of Economic Analysis Working Paper – April 2, 2013
“A Regression-Based Medical Care Expenditure Index for Medicare Beneficiaries,” by Anne E. Hall, Tina Highfill (WP2013-4, March 2013, .pdf format, 39p.).
Abstract:
We construct a disease-based price index for Medicare beneficiaries using data from the Medicare Current Beneficiary Survey from 2001-2005. We create the index by modeling total health-care expenditure as a function of the diagnoses of 27 illnesses. The coefficients from the regression are used to divide up each beneficiary’s spending (following the method outlined in Trogdon et al. 2008) among his or her diagnosed illnesses. Spending for each illness is then aggregated over beneficiaries. An average price for each illness is calculated by dividing the total expenditure by the number of patients with the illness. We then use the prices to construct a Laspeyres price index for medical care indexed to 2001. This index grows at an average annual rate of about 6% from 2001 to 2005. Average nominal expenditure by Medicare beneficiaries grows at an average annual rate of 8.6% but, after nominal expenditure is deflated with the price index, average real expenditure grows by only 2.3% per year.
www.bea.gov/papers/pdf/a_regression_base_medical_care_expenditure_index_for_medicare.pdf
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April 1, 2013
CAAR – Medicare Payment Advisory Commission Report – April 1, 2013
“Report to the Congress: Medicare Payment Policy,” (March 2013, .pdf format, 407p.).
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March 29, 2013
CAAR – AARP Factsheet – March 29, 2013
“Recent Medicare Initiatives to Improve Care Coordination and Transitional Care for Chronic Conditions,” by Keith D. Lind (March 2013, .pdf format, 9p.).
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March 27, 2013
CAAR – US Department of Health and Human Services, Office of Inspector General Report – March 27, 2013
“Surety Bonds Remain an Underutilized Tool To Protect Medicare From Supplier Overpayments,” (OEI-03-11-00350, March 2013, .pdf format, 23p.).
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March 26, 2013
CAAR – Kaiser Family Foundation Issue Brief – March 26, 2013
“Medicare Spending Limits: Issues and Implications,” by Chapin White (March 2013, .pdf format, 24p.).
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March 21, 2013
CAAR – Kaiser Family Foundation Report, Map – March 21, 2013
A. “Medicare Health Plans and Dually Eligible Beneficiaries: Industry Perspectives on the Current and Future Market,” by Marsha Gold, Winnie Wang, and Gretchen Jacobson (March 2013, .pdf format, 24p.).
B. “State Demonstration Proposals to Integrate Care and Align Financing for Dual Eligible Beneficiaries” (March 2013).
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March 20, 2013
CAAR – US Senate Committee on Finance Hearing Testimony – March 20, 2013
“Reforming the Delivery System: The Center for Medicare and Medicaid Innovation,” a hearing held March 20, 2013 (witness statements available in .pdf format, full hearing available in Flash format, running time 1 hour 14 minutes).
www.finance.senate.gov/hearings/hearing/?id=f9225683-5056-a032-52f7-0807beda4511
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CAAR – Heritage Foundation Issue Brief – March 20, 2013
“Medicare Drugs: Why Congress Should Reject Government Price Fixing,” by Robert E. Moffit (Issue Brief No. 3880, March 2013, .pdf and HTML format, 3p.).
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March 19, 2013
CAAR – Kaiser Family Foundation Policy Brief, Report – March 19, 2013
“Illinois, Massachusetts, Ohio, and Washington: Financial Alignment Demonstrations for Dual Eligible Beneficiaries Compared” (Policy Brief, March 2013, .pdf format, 8p.).
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March 18, 2013
CAAR – Kaiser Family Foundation Report – March 18, 2013
“Medicare and the Federal Budget: Comparison of Medicare Provisions in Recent Federal Debt and Deficit Reduction Proposals,” (March 2013, .pdf format, 13p.).
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CAAR – National Bureau of Economic Research Working Paper – March 18, 2013
“Can Amputation Save the Hospital? The Impact of the Medicare Rural Flexibility Program on Demand and Welfare,” by Gautam Gowrisankaran, Claudio Lucarelli, Philip Schmidt-Dengler, and Robert Town (w18894, March 2013, .pdf format, 35p.).
Abstract:
This paper seeks to understand the impact of the Medicare Rural Hospital Flexibility (Flex) Program on rural resident hospital choice and welfare. The Flex program created a new class of hospital, the Critical Access Hospital (CAH), which receives more generous reimbursement in return for limits on capacity and length of stay. A hospital that converted to CAH status would see its inpatient admissions drop by a mean of 5.4%, of which almost all was driven by factors other than capacity. The program increased consumer welfare if it reduced the closure rate by at least 4 percentage points.
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March 15, 2013
CAAR – US House Committee on Ways and Means Hearing Testimony – March 15, 2013
“MedPAC’s Annual March Report to Congress,” a hearing held March 15, 2013 (witness statements are available in .pdf format,).
waysandmeans.house.gov/calendar/eventsingle.aspx?EventID=323110
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CAAR – Commonwealth Fund Report – March 15, 2013
“Paying for Value: Replacing Medicare’s Sustainable Growth Rate Formula with Incentives to Improve Care,” by Stuart Guterman, Mark A. Zezza, and Cathy Schoen (March 2013, .pdf format, 10p.).
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CAAR – Center for Health Care Strategies Brief – March 15, 2013
“Innovations in Integration: State Approaches to Improving Care for Medicare-Medicaid Enrollees,” by Michelle Herman and Brianna Ensslin (February 2013, .pdf format, 14p.).
www.chcs.org/publications3960/publications_show.htm?doc_id=1261484#.UUISZcVupqw
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March 12, 2013
CAAR – US Center for Medicare and Medicaid Services Final Decision Memo – March 12, 2013
“Decision Memo for Positron Emission Tomography” (CAG-00065R2, March 2013, HTML and .pdf format, 25p.).
www.cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?NCAId=261
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March 11, 2013
CAAR – US Centers for Medicare and Medicaid Services Decision Memorandum – March 11, 2013
“National Coverage Analysis (NCA) for Positron Emission Tomography (CAG-00065R2),” (March 7, 2013).
www.cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?NCAId=261
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CAAR – Urban Institute Brief – March 11, 2013
“Can Medicare Be Preserved While Reducing the Deficit?” by Robert A. Berenson, John Holahan, and Stephen Zuckerman (March 2013, .pdf format, 16p.).
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March 5, 2013
CAAR – US Department of Health and Human Services, Office of Inspector General Report – March 5, 2013
“Gaps in Oversight of Conflicts of Interest in Medicare Prescription Drug Decisions,” (OEI-05-10-00450, March 2013, .pdf format, 32p.).
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CAAR – Journal Table of Contents – March 5, 2013
Health Affairs (Vol. 32, No. 3, March/April 2013).
content.healthaffairs.org/content/vol32/issue3/index.dtl?etoc
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March 4, 2013
CAAR – US Government Accountability Office Report – March 4, 2013
“Medicare Advantage: Substantial Excess Payments Underscore Need for CMS to Improve Accuracy of Risk Score Adjustments,” (GAO-13-206, January 2013, .pdf format, 26p.).
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CAAR – Robert Wood Johnson Foundation Report – March 4, 2013
“Report of the National Commission on Physician Payment Reform,” (March 2013, .pdf format, 21p.).
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CAAR – Journal Tables of Contents – March 4, 2013
Clinical Gerontologist (Vol. 36, No. 2, 2013).
www.tandfonline.com/toc/wcli20/36/2
Journal of Alzheimer’s Disease (Vol. 33, Nos. 3 & 4, January 2013).
No. 3:
www.j-alz.com/issues/33/vol33-3.html
No. 4:
www.j-alz.com/issues/33/vol33-4.html
Medical Care Research and Review (Vol. 70, No. 2, April 2013).
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February 28, 2013
CAAR – US Department of Health and Human Services, Office of Inspector General Report – February 28, 2013
“Skilled Nursing Facilities Often Fail To Meet Care Planning and Discharge Planning Requirements,” (OEI 02 09 00201, February 2013, .pdf format, 28p.).
oig.hhs.gov/oei/reports/oei-02-09-00201.asp
Related Podcast:
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CAAR – US Senate Finance Committee Hearing Testimony – February 28, 2013
“Delivery System Reform: Progress Report from CMS,” a hearing held February 28, 2013 (witness statements available in .pdf format, full hearing can be viewed in Flash Player format, running time 1 hour 24 minutes).
www.finance.senate.gov/hearings/hearing/?id=f4d0fb58-5056-a032-527d-82eb37b66ba4
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February 27, 2013
CAAR – Brookings Institution Report – February 27, 2013
“Transitioning to Bundled Payments in Medicare,” by Michael Chernew and Dana Goldman (February 2013, .pdf format, 8p.).
www.brookings.edu/research/papers/2013/02/transition-bundled-payments-medicare
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CAAR – US Senate Special Committee on Aging Hearing Testimony – February 27, 2013
“Strengthening Medicare for Today and the Future,” a hearing held February 27, 2013 (witness statements are available in .pdf format, full hearing can be viewed in Flash format, running time 2 hours 49 minutes).
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CAAR – US House Committee on Energy and Commerce, Subcommittee on Health Hearing Testimony – February 27, 2013
“Fostering Innovation to Fight Waste, Fraud, and Abuse in Health Care,” a hearing held February 27, 2013 (witness statements available in .pdf format, full hearing can be viewed in Flash Player format, running time).
energycommerce.house.gov/hearing/fostering-innovation-fight-waste-fraud-and-abuse-health-care
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February 26, 2013
CAAR – US House Committee on Ways and Means, Subcommittee on Health Hearing Testimony – February 26, 2013
“Examining Traditional Medicare’s Benefit Design,” a hearing held February 26, 2013 (witness statements available in .pdf format).
waysandmeans.house.gov/calendar/eventsingle.aspx?EventID=320447
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CAAR – US Congressional Budget Office Article – February 26, 2013
“How Have CBO’s Projections of Spending for Medicare and Medicaid Changed Since the August 2012 Baseline?” by Doug Elmendorf (February 2013).
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February 25, 2013
CAAR – US Department of Health and Social Services, Office of the Inspector General Report – February 25, 2013
“Comparison of Average Sales Prices and Average Manufacturer Prices: An Overview of 2011″ (OEI-03-12-00670, February 2013, .pdf format, 29p.).
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February 21, 2013
CAAR – US Deparment of Health and Human Services, Office of the Inspector General Report – February 21, 2013
“Part B Payments for Drugs Infused Through Durable Medical Equipment” (OEI-12-12-00310, February 2013, .pdf format, 18p.).
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February 15, 2013
CAAR – Kaiser Family Foundation Reports, Video – February 15, 2013
A. “Medigap: Spotlight on Enrollment, Premiums and Recent Trends,” (February 2013, .pdf format, 30p.).
B. Public Opinion Polling on Raising the Age of Medicare Eligibility: Historic Trends and Current Nuances” (Data Note, February 2013, .pdf format, 4p.).
www.kff.org/kaiserpolls/8411.cfm
C. “Medicare 101: What You Need to Know” (February 2013, video and audio transcript, running time: 1 hour, 37 minutes, 48 seconds).
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February 14, 2013
CAAR – US House Committee on Energy and Commerce, Subcommittee on Health Hearing Testimony – February 14, 2013
“SGR: Data, Measures and Models; Building a Future Medicare Physician Payment System,” a hearing held February 14, 2013 (witness statements available in .pdf format, full hearing can be viewed in Flash format running time ).
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February 12, 2013
CAAR – Robert Wood Johnson Foundation Report – February 12, 2013
“The Revolving Door: A Report on U.S. Hospital Readmissions,” by Dartmouth Atlas Project and Lake Research Group (February 2013, .pdf format, 56p.).
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January 31, 2013
CAAR – US Centers for Medicare and Medicaid Services Article – January 31, 2013
“Impact of Continued Biased Disenrollment from the Medicare Advantage Program to Fee-for-Service,” by Gerald F. Riley (Medicare & Medicaid Research Review, Vol. 2, No. 4, 2012, .pdf format, 17p.).
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January 30, 2013
CAAR – Kaiser Family Foundation Report – January 30, 2013
“Policy Options to Sustain Medicare for the Future,” (January 2013, .pdf format, 216p.).
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CAAR – Kaiser Family Foundation Report – January 30, 2013
“Policy Options to Sustain Medicare for the Future” (January 2013, .pdf format 216p.).
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January 24, 2013
CAAR – US Department of Health and Human Services, Office of Inspector General Reports – January 24, 2013
A. “Medicare Improperly Paid Providers Millions of Dollars for Incarcerated Beneficiaries Who Received Services During 2009 Through 2011,” (A-07-12-01113, January 2013, .pdf format, 22p.).
oig.hhs.gov/oas/reports/region7/71201113.asp
B. “Medicare Improperly Paid Providers Millions of Dollars for Unlawfully Present Beneficiaries Who Received Services During 2009 Through 2011,” (A-07-12-01116, January 2013, .pdf format, 17p.).
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January 23, 2013
CAAR – Commonwealth Fund Report – January 23, 2013
“The Visiting Nurse Service of New York’s Choice Health Plans: Continuous Care Management for Dually Eligible Medicare and Medicaid Beneficiaries,” by Marian Bihrle Johnson and Douglas McCarthy (January 2013, .pdf format, 16p.).
www.commonwealthfund.org/Publications/Case-Studies/2013/Jan/VNSNYs-Choice-Program.aspx
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