CDHA CAAR

April 18, 2018

CAAR – US Department of Health and Human Services, Office of Inspector General Reports – April 18, 2018

Filed under: Reports and Articles — Tags: — admin @ 4:49 pm

A. “CMS Paid Practitioners for Telehealth Services That Did Not Meet Medicare Requirements,” (A-05-16-00058, April 2018, .pdf format, 20p.).

oig.hhs.gov/oas/reports/region5/51600058.asp

B. “CMS’s Policies and Procedures Were Generally Effective in Ensuring That Prescription Drug Coverage Capitation Payments Were Not Made After the Beneficiaries’ Dates of Death,” (A-07-16-05088, April 2018, .pdf format, 12p.).

oig.hhs.gov/oas/reports/region7/71605088.asp

April 10, 2018

CAAR – Medicare Payment Advisory Commission Hearing Transcript – April 10, 2018

Filed under: Reports and Articles — Tags: — admin @ 4:56 pm

A transcript of the March 1-2, 2018 meeting is available.

www.medpac.gov/-public-meetings-/meeting-details/march-2018-public-meeting

View transcript (.pdf format, 413p.):

www.medpac.gov/docs/default-source/default-document-library/april-2018-meeting-transcript.pdf?sfvrsn=0

April 9, 2018

CAAR – National Bureau of Economic Research Working Paper – April 9, 2018

Filed under: Working Papers — Tags: — admin @ 5:01 pm

Links to an abstract are available. For full text availability check your organization’s library.
Multimarket Contact in Health Insurance: Evidence from Medicare Advantage,” by Haizhen Lin and Ian M. McCarthy (w24486, April 2018, .pdf format, 42p.).

www.nber.org/papers/w24486

April 5, 2018

CAAR – US Government Accountability Office Report – April 5, 2018

Filed under: Reports and Articles — Tags: , — admin @ 4:42 pm

Electronic Health Information: CMS Oversight of Medicare Beneficiary Data Security Needs Improvement,” (GAO-18-210, March 2018, .pdf format, 42p.).

www.gao.gov/products/GAO-18-210

March 23, 2018

CAAR – US House of Committee on Ways and Means, Health Subcommittee Hearing Testimony – March 23, 2018

Filed under: Legislation Information Updates — Tags: — admin @ 4:59 pm

Hearing on Implementation of MACRA’s Physician Payment Policies,” a hearing held March 21, 2018 (witness statements available in .pdf format, video of the full hearing available at the site running time 1 hour 40 minutes). Note: The hearing begins at the 11:16 mark.

waysandmeans.house.gov/event/hearing-implementation-macras-physician-payment-policies/

CAAR – US Department of Health and Human Services, Office of the Inspector General Report – March 23, 2018

Filed under: Reports and Articles — Tags: — admin @ 4:57 pm

Many Medicare Claims for Outpatient Physical Therapy Services Did Not Comply With Medicare Requirements,” (A-05-14-00041, March 2018, .pdf format, 23p.).

oig.hhs.gov/oas/reports/region5/51400041.asp

March 20, 2018

CAAR – US Department of Health and Human Service, Office of Inspector General Report – March 20, 2018

Filed under: Reports and Articles — Tags: — admin @ 4:58 pm

Hospitals Did Not Comply With Medicare Requirements for Reporting Certain Cardiac Device Credits,” (A-05-16-00059, March 2018, .pdf format, 17p.).

oig.hhs.gov/oas/reports/region5/51600059.asp

CAAR – US Centers for Medicare and Medicaid Service Decision Memorandum – March 20, 2018

Filed under: Reports and Articles — Tags: — admin @ 4:58 pm

National Coverage Analysis (NCA) for Next Generation Sequencing (NGS) for Medicare Beneficiaries with Advanced Cancer (CAG-00450N),” (March 2018).

www.cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?NCAId=290

 

March 19, 2018

CAAR – Medicare Payment Advisory Commission Report – March 19, 2018

Filed under: Reports and Articles — Tags: — admin @ 4:49 pm

Report to the Congress: Medicare Payment Policy,” (March 2018, .pdf format, 529p.).

www.medpac.gov/docs/default-source/reports/mar18_medpac_entirereport_sec.pdf

 

March 16, 2018

CAAR – Commonwealth Fund Issue Brief – March 16, 2018

Filed under: Reports and Articles — Tags: — admin @ 5:23 pm

Do Medicare Advantage Plans Respond to Payment Changes? A Look at the Data from 2009 to 2014,” by Stuart Guterman, Laura Skopec, and Stephen Zuckerman (March 2018, .pdf format, 11p.).

www.commonwealthfund.org/publications/issue-briefs/2018/mar/do-medicare-advantage-plans-respond-to-payment-changes

CAAR – Table of Contents – March 16, 2018

Filed under: Journal Table of Contents — Tags: — admin @ 5:22 pm

Medical Care Research and Review (Vol. 75, No. 2, April 2018).

journals.sagepub.com/toc/mcrd/75/2

March 8, 2018

CAAR – US Department of Health and Human Services, Office of Inspector General Report – March 8, 2018

Filed under: Reports and Articles — Tags: — admin @ 4:20 pm

Reliance on Unverified Patient Lists Creates a Vulnerability in Home Health Surveys,” (OEI-05-16-00510, March 2018, .pdf format, 13p.).

oig.hhs.gov/oei/reports/oei-05-16-00510.asp

 

February 26, 2018

CAAR – National Bureau of Economic Research Working Paper – February 26, 2018

Filed under: Working Papers — Tags: — admin @ 4:43 pm

Links to an abstract are available. For full text availability check your organization’s library.
Industry Input in Policymaking: Evidence from Medicare,” by David C. Chan, Jr. and Michael J. Dickstein (w24354, February 2018, .pdf format, 47p.).

papers.nber.org/papers/w24354

February 21, 2018

CAAR – US Centers for Medicare and Medicaid Services Decision Memorandum – February 21, 2018

Filed under: Reports and Articles — Tags: — admin @ 4:53 pm

National Coverage Analysis (NCA) for Implantable Cardioverter Defibrillators (CAG-00157R4),” (February 2018).

www.cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?NCAId=288

CAAR – Kaiser Family Foundation Issue Brief – February 21, 2018

Filed under: Reports and Articles — Tags: — admin @ 4:50 pm

Summary of Recent and Proposed Changes to Medicare Prescription Drug Coverage and Reimbursement,” (February 2018, .pdf format, 3p.).

www.kff.org/medicare/issue-brief/summary-of-recent-and-proposed-changes-to-medicare-prescription-drug-coverage-and-reimbursement/

February 20, 2018

CAAR – US Department of Health and Human Services, Office of Inspector General Report – February 20, 2018

Filed under: Reports and Articles — Tags: , — admin @ 2:35 pm

Medicare Needs Better Controls To Prevent Fraud, Waste, and Abuse Related to Chiropractic Services,” (A-09-16-02042, February 2018, .pdf format, 25p.).

oig.hhs.gov/oas/reports/region9/91602042.asp

February 15, 2018

CAAR – US Department of Health and Human Service, Office of Inspector General Report – February 16, 2018

Filed under: Reports and Articles — Tags: — admin @ 4:31 pm

Review of Medicare Administrative Contractor Information Security Program Evaluations for Fiscal Year 2016,” (A-18-17-11300, February 2018, .pdf format, 13p.).

oig.hhs.gov/oas/reports/region18/181711300.asp

February 13, 2018

CAAR – National Bureau of Economic Research Working Papers – February 13, 2018

Filed under: Working Papers — Tags: , , , — admin @ 5:15 pm

Links to an abstract are available. For full text availability check your organization’s library.

A. “The Comparative Advantage of Medicare Advantage,” by Joseph P. Newhouse, Mary Beth Landrum, Mary Price, J. Michael McWilliams, John Hsu, and Thomas McGuire (w24289, February 2018, .pdf format, 33p.).

www.nber.org/papers/w24289

B. “Earnings Test, Non-actuarial Adjustments and Flexible Retirement, by Axel H. Boersch-Supan, Klaus Haertl, and Duarte N. Leite (w24294, February 2018, .pdf format, 49p.).

www.nber.org/papers/w24294

C. “How Persistent Low Expected Returns Alter Optimal Life Cycle Saving, Investment, and Retirement Behavior,” by Vanya Horneff, Raimond Maurer, and Olivia S. Mitchell (w24311, February 2018, .pdf format, 18p.).

www.nber.org/papers/w24311

February 8, 2018

CAAR – US Government Accountability Office Report – February 8, 2018

Filed under: Reports and Articles — Tags: — admin @ 4:52 pm

Medicare Fee-For-Service: Modernizing Cost-sharing Design Would Involve Trade-offs, the Results of Which Would Depend on Time Horizon,” (GAO-18-100, January 2018, .pdf format, 34p.).

www.gao.gov/products/GAO-18-100

CAAR – US House Committee on Ways and Means, Subcommittee on Health Hearing Testimony – February 8, 2018

Filed under: Legislation Information Updates — Tags: , — admin @ 4:51 pm

Hearing on the Opioid Crisis: Removing Barriers to Prevent and Treat Opioid Abuse and Dependence in Medicare,” a hearing held February 6, 2018 (witness statements available in .pdf format, video of the full hearing available at the site). Note: Hearing begins at the 8:37 and goes to the 1:23 mark (Panel 1). The second half of the hearing begins at the 2:26:27 mark and ends at the 3:32:50 mark.

waysandmeans.house.gov/event/hearing-opioid-crisis-removing-barriers-prevent-treat-opioid-abuse-dependence-medicare/

February 6, 2018

CAAR – Table of Contents – February 6, 2018

Filed under: Journal Table of Contents — Tags: — admin @ 4:18 pm

Health Affairs (Vol. 37, No. 2, February 2018).

www.healthaffairs.org/toc/hlthaff/37/2

February 1, 2018

CAAR – Urban Institute – February 1, 2018

Filed under: Reports and Articles — Tags: , — admin @ 4:39 pm

A. “Why Does Medicare Advantage Work Better Than Marketplaces?” by John Holahan, Laura Skopec, Erik Wengle, and Linda J. Blumberg (January 2018, .pdf format, 9p.).

www.urban.org/research/publication/why-does-medicare-advantage-work-better-marketplaces

B. “Tax Credits for Caregivers’ Out-of-Pocket Expenses and Respite Care Benefits: Design Considerations and Cost and Distributional Analyses,” by Melissa M. Favreault and Brenda C. Spillman (January 2018, .pdf format, 66p.).

www.urban.org/research/publication/tax-credits-caregivers-out-pocket-expenses-and-respite-care-benefits-design-considerations-and-cost-and-distributional-analyses

January 31, 2018

CAAR – Kaiser Family Foundation Report – January 31, 2018

Filed under: Reports and Articles — Tags: — admin @ 4:59 pm

Medicare Beneficiaries’ Out-of-Pocket Health Care Spending as a Share of Income Now and Projections for the Future,” by Juliette Cubanski, Tricia Neuman, Anthony Damico, and Karen Smith (January 2018, .pdf format, 24p.).

www.kff.org/medicare/report/medicare-beneficiaries-out-of-pocket-health-care-spending-as-a-share-of-income-now-and-projections-for-the-future/

January 29, 2018

CAAR – National Bureau of Economic Research Working Papers – January 29, 2018

Links to an abstract are available. For full text availability check your organization’s library.

A. “Targeting with In-kind Transfers: Evidence from Medicaid Home Care,” by Ethan M.J. Lieber and Lee M. Lockwood (w24267, January 2018, .pdf format, 74p.).

www.nber.org/papers/w24267

B. “Household Time Use Among Older Couples: Evidence and Implications for Labor Supply Parameters,” by Richard Rogerson and Johanna Wallenius (w24263, January 2018, .pdf format, 55p.).

www.nber.org/papers/w24263

C. “High-Priced Drugs in Medicare Part D: Diagnosis and Potential Prescription,” by Richard G. Frank and Richard J. Zeckhauser (w24240, January 2018, .pdf format, 41p.).

www.nber.org/papers/w24240

 

January 19, 2018

CAAR – US Government Accountability Office Reports – January 19, 2018

Filed under: Reports and Articles — Tags: , — admin @ 4:42 pm

A. “Medicare Part B: Medicare Represented at Least Half of the Market for 22 of the 84 Most Expensive Drugs in 2015,” (GAO-18-83, December 2017, .pdf format, 37p.).

www.gao.gov/products/GAO-18-83

B. “Medicaid: CMS Should Take Additional Steps to Improve Assessments of Individuals’ Needs for Home- and Community-Based Services,” (GAO-18-103, December 2017, .pdf format, 44p.).

www.gao.gov/products/GAO-18-103

CAAR – US Congressional Budget Office Working Paper – January 19, 2018

Filed under: Working Papers — Tags: — admin @ 4:41 pm

An Analysis of Private-Sector Prices for Physicians’ Services,” by Daria Pelech (Working Paper 2018-01, January 2018, .pdf format, 43p.). Note: Links to the abstract and the full text of the paper available at:

www.cbo.gov/publication/53441

January 18, 2018

CAAR – Medicare Payment Advisory Commission Report – January 18, 2018

Filed under: Reports and Articles — Tags: , , — admin @ 4:56 pm

Beneficiaries Dually Eligible for Medicare and Medicaid: Data Book,” (January 2018, .pdf format, 74p.).

www.medpac.gov/docs/default-source/data-book/jan18_medpac_macpac_dualsdatabook_sec.pdf

CAAR – US Department of Health and Human Services, Office of Inspector General Report – January 18, 2018

Filed under: Reports and Articles — Tags: — admin @ 4:55 pm

Medicare Advantage Encounter Data Show Promise for Program Oversight, But Improvements Are Needed,” (OEI-03-15-00060, January 2018, .pdf format, 37p.).

oig.hhs.gov/oei/reports/oei-03-15-00060.asp

CAAR – Commonwealth Fund Issue Brief – January 18, 2018

Filed under: Reports and Articles — Tags: — admin @ 4:54 pm

How Medicare Could Provide Dental, Vision, and Hearing Care for Beneficiaries,” by Amber Willink, Cathy Schoen, and Karen Davis (January 2018, .pdf format, 11p.).

www.commonwealthfund.org/publications/issue-briefs/2018/jan/medicare-dental-vision-hearing

CAAR – New England Journal of Medicine Article Abstract – January 18, 2018

Filed under: Reports and Articles — Tags: , , — admin @ 4:51 pm

Elimination of Cost Sharing for Screening Mammography in Medicare Advantage Plans,” by Amal N. Trivedi, Bryan Leyva, Yoojin Lee, Orestis A. Panagiotou, and Issa J. Dahabreh (Vol. 378, No. 3, January 18, 2018, p. 262-269).

www.nejm.org/doi/full/10.1056/NEJMsa1706808#t=abstract

January 17, 2018

CAAR – Medicare Payment Advisory Commission Hearing Transcript – January 17, 2018

Filed under: Reports and Articles — Tags: — admin @ 4:47 pm

A transcript of the Jan. 11-12, 2018 meeting is available.

www.medpac.gov/-public-meetings-/meeting-details/january-2018-public-meeting

Transcript (.pdf format, 468p.):

www.medpac.gov/docs/default-source/default-document-library/jan-2018-meeting-transcript.pdf

January 9, 2018

CAAR – Table of Contents – January 9, 2017

Filed under: Journal Table of Contents — Tags: — admin @ 4:51 pm

Health Affairs (Vol. 37, No. 1, January 2018).

www.healthaffairs.org/toc/hlthaff/37/1

January 2, 2018

CAAR – Employee Benefit Research Institute Periodical – January 2, 2018

Filed under: Reports and Articles — Tags: , — admin @ 4:56 pm

EBRI Note (Vol. 38, No. 10, December 2017, .pdf format, 9p.). Note: “Savings Medicare Beneficiaries Need for Health Expenses: Some Couples Could Need as Much as $370,000, Up from $350,000 in 2016,” by Paul Fronstin and Jack VanDerhei.

www.ebri.org/publications/notes/index.cfm?fa=notesDisp&content_id=3525

December 29, 2017

CAAR – Urban Institute/Commonwealth Fund Report – December 29, 2017

Filed under: Reports and Articles — Tags: — admin @ 4:28 pm

Do Medicare Advantage Plans Minimize Costs? Investigating the Relationship Between Benchmarks, Costs, and Rebates,” by Stephen Zuckerman, Laura Skopec, and Stuart Guterman (December 2017, .pdf format, 10p.).

www.urban.org/research/publication/do-medicare-advantage-plans-minimize-costs-investigating-relationship-between-benchmarks-costs-and-rebates

December 19, 2017

CAAR – Tables of Contents – December 19, 2017

Filed under: Journal Table of Contents — Tags: , — admin @ 4:36 pm

Health Affairs (Vol. 36, No. 12, December 2017).

www.healthaffairs.org/toc/hlthaff/36/12

Journal of Pension Economics & Finance (Vol. 17, No. 1, January 2018).

www.cambridge.org/core/journals/journal-of-pension-economics-and-finance/issue/B82759AF1F79E98C569AC60629649677

December 12, 2017

CAAR – Urban Institute Report – December 12, 2017

Filed under: Reports and Articles — Tags: — admin @ 4:52 pm

Medicare’s Evolving Approach to Paying for Primary Care,” by Rachel A. Burton, Robert A. Berenson, and Stephen Zuckerman (December 2017, .pdf format, 14p.).

www.urban.org/research/publication/medicares-evolving-approach-paying-primary-care

CAAR – Commonwealth Fund Issue Brief – December 12, 2017

Filed under: Reports and Articles — Tags: — admin @ 4:51 pm

The Evolution of Private Plans in Medicare,” by Yash M. Patel and Stuart Guterman (December 2017, .pdf format, 12p.).

www.commonwealthfund.org/publications/issue-briefs/2017/dec/evolution-of-private-plans-in-medicare

December 11, 2017

CAAR – Medicare Payment Advisory Commission Hearing Transcript – December 11, 2017

Filed under: Reports and Articles — Tags: — admin @ 4:45 pm

A transcript of the Dec. 7-8, 2017 meeting is available.

www.medpac.gov/-public-meetings-/meeting-details/december-2017-public-meeting

Transcript (.pdf format, 456p.):

www.medpac.gov/docs/default-source/default-document-library/december-transcripst.pdf?sfvrsn=0

 

December 7, 2017

CAAR – US Government Accountability Office Report – December 7, 2017

Filed under: Reports and Articles — Tags: , , — admin @ 4:42 pm

Medicare and Medicaid: CMS Needs to Fully Align Its Antifraud Efforts with the Fraud Risk Framework,” (GAO-18-88, December 2017, .pdf format, 63p.).

www.gao.gov/products/GAO-18-88

CAAR – Journal of the American Medical Association Article – December 7, 2017

Filed under: Reports and Articles — Tags: , , — admin @ 4:40 pm

Note: The link below is to the table of contents for the current issue of JAMA (Vol. 318, No. 21, December 5, 2017). Check with your organization’s information center for availability.

jamanetwork.com/journals/jama/issue/318/21

Association Between Treatment by Locum Tenens Internal Medicine Physicians and 30-Day Mortality Among Hospitalized Medicare Beneficiaries,” by Daniel M. Blumenthal, Andrew R. Olenski, Yusuke Tsugawa, and Anupam B. Jena (p. 2119-2129).

November 30, 2017

CAAR – US Department of Health and Human Services, Office of Inspector General Report – November 30, 2017

Filed under: Reports and Articles — Tags: — admin @ 4:53 pm

Excluding Noncovered Versions When Setting Payment for Two Part B Drugs Would Have Resulted in Lower Drug Costs for Medicare and its Beneficiaries,” (OEI-12-17-00260, November 2017, .pdf format, 15p.).

oig.hhs.gov/oei/reports/oei-12-17-00260.asp

November 27, 2017

CAAR – AARP Public Policy Institute Reports – November 27, 2017

Filed under: Reports and Articles — Tags: , , — admin @ 5:01 pm

A. “Medicare Spends More on Socially Isolated Older Adults,” by Lynda Flowers, Ari Houser, Claire Noel-Miller, Jonathan Shaw, Jay Bhattacharya, Lena Schoemaker, and Monica Farid (November 2017, .pdf format, 15p.).

www.aarp.org/ppi/info-2017/medicare-spends-more-on-socially-isolated-older-adults.html

B. “Medicare Beneficiaries’ Out-of-pocket Spending for Health Care,” by Claire Noel-Miller (November 2017, .pdf format, 7p.).

www.aarp.org/ppi/info-2017/medicare-beneficiaries-out-of-pocket-spending-for-health-care.html

CAAR – Kaiser Family Foundation Issue Brief – November 27, 2017

Filed under: Reports and Articles — Tags: — admin @ 4:56 pm

An Overview of Medicare,” (November 2017, .pdf format, 6p.).

www.kff.org/medicare/issue-brief/an-overview-of-medicare/

November 20, 2017

CAAR – National Bureau of Economic Research Working Paper – November 20, 2017

Filed under: Working Papers — Tags: — admin @ 4:54 pm

Links to an abstract are available. For full text availability check your organization’s library.
Service-level Selection: Strategic Risk Selection in Medicare Advantage in Response to Risk Adjustment,” by Sungchul Park, Anirban Basu, Norma Coe, and Fahad Khalil (w24038, November 2017, .pdf format, 46p.).

www.nber.org/papers/w24038

November 16, 2017

CAAR – Congressional Budget Office Working Paper – November 16, 2017

Filed under: Working Papers — Tags: — admin @ 4:53 pm

Effects of Medicare Advantage Enrollment on Beneficiary Risk Scores,” by Alice Burns and Tamara Hayford (Working Paper 2017-08, November 2017, .pdf format, 18p.). Note: Links to the abstract and the full text of the paper available at:

www.cbo.gov/publication/53270

CAAR – Commonwealth Fund Issue Brief – November 16, 2017

Filed under: Reports and Articles — Tags: , , — admin @ 4:50 pm

Use of Paid and Unpaid Personal Help by Medicare Beneficiaries Needing Long-Term Services and Supports,” by Amber Willink, Karen Davis, John Mulcahy, and Jennifer L. Wolff (November 2017, .pdf format, 8p.).

www.commonwealthfund.org/publications/issue-briefs/2017/nov/paid-unpaid-help-medicare-ltss

November 13, 2017

CAAR – AARP Public Policy Institute Report – November 13, 2017

Filed under: Reports and Articles — Tags: — admin @ 4:46 pm

Understanding Medicare’s Home Health Benefit,” by Olivia Dean and Keith Lind (November 2017, .pdf format, 6p.).

www.aarp.org/ppi/info-2017/understanding-medicares-home-health-benefit.html

November 7, 2017

CAAR – Medicare Payment Advisory Commission Hearing Transcript – November 7, 2017

Filed under: Reports and Articles — Tags: — admin @ 5:14 pm

A transcript of the Nov. 5-6, 2017 meeting is available.

www.medpac.gov/-public-meetings-/meeting-details/november-2017-public-meeting

Transcript (.pdf format, 423p.):

www.medpac.gov/docs/default-source/default-document-library/november-2017-transcriptsf1b311adfa9c665e80adff00009edf9c.pdf

CAAR – Kaiser Family Foundation Issue Brief – November 7, 2017

Filed under: Reports and Articles — Tags: , — admin @ 5:13 pm

No Limit: Medicare Part D Enrollees Exposed to High Out-of-Pocket Drug Costs Without a Hard Cap on Spending,” by Juliette Cubanski, Tricia Neuman, Kendal Orgera, and Anthony Damico (November 2017, .pdf and HTML format, 13p.).

www.kff.org/medicare/issue-brief/no-limit-medicare-part-d-enrollees-exposed-to-high-out-of-pocket-drug-costs-without-a-hard-cap-on-spending/

November 6, 2017

CAAR – US Government Accountability Office Report – November 6, 2017

Filed under: Reports and Articles — Tags: , — admin @ 3:04 pm

Prescription Opioids: Medicare Needs to Expand Oversight Efforts to Reduce the Risk of Harm,” (GAO-18-15, October 2017, .pdf format, 35p.).

www.gao.gov/products/GAO-18-15

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