“CMS Could Have Saved $192 Million by Targeting Home Health Claims for Review With Visits Slightly Above the Threshold That Triggers a Higher Medicare Payment,” (A-09-18-03031, July 2020, .pdf format, 22p.).
July 27, 2020
CAAR – US Department of Health and Human Services, Office of the Inspector General Report – July 27, 2020
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July 24, 2020
CAAR – Medicare Payment Advisory Commission Report – July 24, 2020
“Health Care Spending and the Medicare Program: A Data Book,” (July 2020, .pdf format, 200p.).
medpac.gov/docs/default-source/data-book/july2020_databook_entirereport_sec.pdf?sfvrsn=0
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July 16, 2020
CAAR – Kaiser Family Foundation Issue Brief – July 16, 2020
“How Could the Price of Remdesivir Impact Medicare Spending for COVID-19 Patients?” by Juliette Cubanski, Karyn Schwartz, and Tricia Neuman (July 2020, HTML format).
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July 10, 2020
CAAR – Kaiser Family Foundation Issue Brief – July 10, 2020
“Comparing Private Payer and Medicare Payment Rates for Select Inpatient Hospital Services,” by Eric Lopez, Gary Claxton, Karyn Schwartz, Matthew Rae, Nancy Ochieng, and Tricia Neuman (July 2020, HTML format).
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July 9, 2020
CAAR – US Department of Health and Human Service, Office of Inspector General Report – July 9, 2020
“Loophole in Drug Payment Rule Continues To Cost Medicare and Beneficiaries Hundreds of Millions of Dollars,” (OEI-BL-20-00100, July 2020, .pdf format, 16p.).
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July 8, 2020
CAAR – National Bureau of Economic Research Working Papers – July 8, 2020
Links to an abstract are available. For full text availability check your organization’s library.
A. “Older People are Less Pessimistic about the Health Risks of Covid-19,” by Pedro Bordalo, Katherine B. Coffman, Nicola Gennaioli, and Andrei Shleifer (w27494, July 2020, .pdf format, 29p.).
B. “Variation in Health Care Prices Across Public and Private Payers,” by Toren L. Fronsdal, Jay Bhattacharya, and Suzanne Tamang (w27490, July 2020, .pdf format, 58p.).
C. “Physician Characteristics and Patient Survival: Evidence from Physician Availability,” by Joseph J. Doyle Jr. (w27458, July 2020, .pdf format, 38p.).
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June 30, 2020
CAAR – US Department of Health and Human Service, Office of the Inspector General Report – June 30, 2020
“Part D Plans Generally Include Drugs Commonly Used by Dual Eligibles: 2020,” (OEI-05-20-00190, June 2020, .pdf format, 34p.).
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June 17, 2020
CAAR – Urban Institute Report – June 17, 2020
“Development and Structure of BETOS 2.0 with Illustrative Data,” by Robert A. Berenson and Mary Jo Braid-Forbes (June 2020, .pdf and HTML format, 43p.).
www.urban.org/research/publication/development-and-structure-betos-20-illustrative-data
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June 16, 2020
CAAR – Medicare Payment Advisory Commission Report – June 16, 2020
“Report to the Congress: Medicare and the Health Care Delivery System,” (June 2020, .pdf format, 227p.).
medpac.gov/docs/default-source/reports/jun20_reporttocongress_sec.pdf?sfvrsn=0
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June 11, 2020
June 10, 2020
CAAR – Kaiser Family Foundation Issue Brief – June 10, 2020
“Insulin Costs and Coverage in Medicare Part D,” by Juliette Cubanski, Tricia Neuman, Sarah True, and Anthony Damico (June 2020, HTML format).
www.kff.org/medicare/issue-brief/insulin-costs-and-coverage-in-medicare-part-d/
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June 1, 2020
CAAR – Employee Benefit Research Institute Issue Brief – June 1, 2020
“A Bit of Good News During the Pandemic: Savings Medicare Beneficiaries Need for Health Expenses Decrease in 2020,” by Jack VanDerhei and Paul Fronstin (May 2020, .pdf format, 12p.). Note: EBRI requires free registration prior to providing access to full-text.
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May 27, 2020
CAAR – National Bureau of Economic Research Working Paper – May 27, 2020
Links to an abstract are available. For full text availability check your organization’s library. “Voluntary Regulation: Evidence from Medicare Payment Reform,” by Liran Einav, Amy Finkelstein, Yunan Ji, and Neale Mahoney (w27223, May 2020, .pdf format, 57p.).
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May 21, 2020
CAAR – US Government Accountability Office Reports – May 21, 2020
A. “Medicare: CMS Should Provide Beneficiaries More Information about Substance Use Disorder Coverage,” (GAO-20-408, May 2020, .pdf format, 37p.).
www.gao.gov/products/GAO-20-408
B. “Infection Control Deficiencies Were Widespread and Persistent in Nursing Homes Prior to COVID-19 Pandemic,” (GAO-20-576R, May 2020, .pdf format, 15p.).
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May 18, 2020
CAAR – Commonwealth Fund Issue Brief – May 18, 2020
“As It Grows, Medicare Advantage Is Enrolling More Low-Income and Medically Complex Beneficiaries,” by As It Grows, Medicare Advantage Is Enrolling More Low-Income and Medically Complex Beneficiaries,” by Christie Teigland, Zulkarnain Pulungan, Tanya Shah, Eric C. Schneider, and Shawn Bishop (May 2020, .pdf and HTML format, 15p.).
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May 13, 2020
CAAR – US Department of Health and Human Service, Office of Inspector General Report – May 13, 2020
“Medicare Part D Beneficiaries at Serious Risk of Opioid Misuse or Overdose: A Closer Look,” (OEI-02-19-00130, May 2020, .pdf format, 24p.).
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CAAR – Journal of the American Medical Association Article Abstracts – May 13, 2020
A. “Association Between Initiation of Pulmonary Rehabilitation After Hospitalization for COPD and 1-Year Survival Among Medicare Beneficiaries,” by Peter K. Lindenauer, Mihaela S. Stefan, Penelope S. Pekow, Kathleen M. Mazor, Aruna Priya, Kerry A. Spitzer, Tara C. Lagu, Quinn R. Pack, Victor M. Pinto-Plata, and Richard ZuWallack (Vol. 323, No. 18, May 12, 2020, p. 1813-1823).
jamanetwork.com/journals/jama/article-abstract/2765730
B. “Effect of Biomechanical Footwear on Knee Pain in People With Knee Osteoarthritis: The BIOTOK Randomized Clinical Trial,” by Stephan Reichenbach, David T. Felson, Cesar A. Hincapie, Sarah Heldner, Lukas Bütikofer, Armando Lenz, Bruno R. da Costa, Harald M. Bonel, Richard K. Jones, Gillian A. Hawker, and Peter Jüni (Vol. 323, No. 18, May 12, 2020, p. 1802-1812).
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May 8, 2020
CAAR – AARP Public Policy Institute Report – May 8, 2020
“Medicare Financial Outlook: What Do Trust Fund Solvency Projections Mean?” by Harriet Komisar (May 2020, .pdf format, 7p.).
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April 28, 2020
CAAR – National Academy of Social Insurance Report – April 28, 2020
“Medicare Finances: Findings of the 2020 Trustees Report,” by Bethany Cole (Health Policy Brief, No. 16, April 2020, .pdf format, 10p.).
www.nasi.org/research/2020/medicare-finances-findings-2020-trustees-report
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April 27, 2020
CAAR – Kaiser Family Foundation Issue Brief – April 27, 2020
“Medicare Beneficiaries’ Financial Security Before the Coronavirus Pandemic,” by Wyatt Koma, Tricia Neuman, Gretchen Jacobson, and Karen Smith (April 2020, HTML format).
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April 23, 2020
CAAR – Kaiser Family Foundation Issue Brief – April 23, 2020
“A Dozen Facts About Medicare Advantage in 2020,” by Meredith Freed, Anthony Damico, and Tricia Neuman (April 2020, HTML format).
www.kff.org/medicare/issue-brief/a-dozen-facts-about-medicare-advantage-in-2020/
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April 22, 2020
CAAR – US Centers for Medicare and Medicaid Services Report – April 22, 2020
“2020 Annual Report Of The Boards Of Trustees Of The Federal Hospital Insurance And Federal Supplementary Medical Insurance Trust Funds,” (April 2020, .pdf format, 249p.).
www.cms.gov/files/document/2020-medicare-trustees-report.pdf
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April 15, 2020
CAAR – Kaiser Family Foundation Issue Brief – April 15, 2020
“How Much More Than Medicare Do Private Insurers Pay? A Review of the Literature,” by Eric Lopez, Tricia Neuman, Gretchen Jacobson, and Larry Levitt (April 2020, HTML format).
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April 7, 2020
CAAR – Medicare Payment Advisory Committee Hearing Testimony – April 7, 2020
– An agenda and transcript of the April 2-3, 2020 meeting is available.
medpac.gov/-public-meetings-/meeting-details/april-2020-public-meeting
Transcript (.pdf format, 147p.):
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CAAR – Journal of the American Medical Association Research Letter Abstract – April 7, 2020
“Medicare Enrollment Among Patients With End-Stage Kidney Disease Receiving Dialysis in Outpatient Facilities Between 2005 and 2016,” by Abby Hoffman, Caroline E. Sloan, Matthew L. Maciejewski, and Virginia Wang (Vol. 323, No. 13, April 7, 2020, p. 1314-1316).
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March 31, 2020
CAAR – National Academy of Social Insurance Report
“Examining Approaches to Expand Medicare Eligibility: Key Design Options and Implications,” by Elizabeth Docteur, Renée M. Landers, Bethany Cole, Marilyn Moon, and Cori Uccello (March 2020, .pdf format, 177p.).
www.nasi.org/research/2020/examining-approaches-expand-medicare-eligibility-key-design
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March 30, 2020
CAAR – Medicare Payment Advisory Committee Hearing Testimony – March 30, 2020
– An agenda and transcript of the March 5-6, 2020 meeting is available.
medpac.gov/-public-meetings-/meeting-details/march-2020-public-meeting
Transcript (.pdf format, 377p.):
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March 23, 2020
CAAR – Kaiser Family Foundation Issue Brief – March 23, 2020
“Examining Current Medicare Part D Policies for Extended Supplies of Medication,” by Juliette Cubanski, Karyn Schwartz, and Anthony Damico (March 2020, HTML format).
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March 16, 2020
CAAR – US Medicare Payment Advisory Commission Report – March 16, 2020
“Report to the Congress: Medicare Payment Policy,” (March 2020, .pdf format, 531p.).
www.medpac.gov/docs/default-source/reports/mar20_entirereport_sec.pdf
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CAAR – US Government Accountability Office Report – March 16, 2020
“Medicare and Medicaid: Alignment of Managed Care Plans for Dual-Eligible Beneficiaries,” (GAO-20-319, March 2020, .pdf format, 36p.).
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March 10, 2020
CAAR – US Department of Health and Human Service, Office of Inspector General Report – March 10, 2020
“Key Medicare Tools To Safeguard Against Pharmacy Fraud and Inappropriate Billing Do Not Apply to Part D,” (OEI-02-15-00440, March 2020, .pdf format, 16p.).
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March 6, 2020
CAAR – Medicare Payment Advisory Commission Hearing Transcript – March 6, 2020
– An agenda and transcript of the January 16-17, 2020 meeting is available.
www.medpac.gov/-public-meetings-/meeting-details/january-2020-public-meeting
Transcript (.pdf format, 479p.):
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March 2, 2020
CAAR – US Government Accountability Office Report – March 2, 2020
“Medicare: Information on Medicare-Dependent Hospitals,” (GAO-20-300, February 2020, .pdf format, 46p.).
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February 21, 2020
CAAR – National Bureau of Economic Research Working Paper – February 21, 2020
Links to an abstract are available. For full text availability check your organization’s library. “Drug Firms’ Payments and Physicians’ Prescribing Behavior in Medicare Part D,” by Colleen Carey, Ethan M.J. Lieber, and Sarah Miller (w26751, February 2020, .pdf format, 52p.).
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February 20, 2020
CAAR – US National Center for Health Statistics Data Brief – February 20, 2020
“Problems Paying Medical Bills, 2018,” by Amy E. Cha and Robin A. Cohen (Data Brief No. 357, February 2020, .pdf and HTML format, 7p.).
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February 5, 2020
CAAR – Public Library of Science (PLoS) Article – February 5, 2020
“Utilization of ACP CPT codes among high-need Medicare beneficiaries in 2017: A brief report,” by Amanda J. Reich, Ginger Jin, Avni Gupta, Dae Kim, Stuart Lipstiz, Holly G. Prigerson, Jennifer Tjia, Keren Ladin, Scott D. Halpern, Zara Cooper, and Joel S. Weissman (PLoS ONE 15(2): e0228553. doi.org/10.1371/journal.pone.0228553, XML, HTML, and .pdf format, 8p.).
journals.plos.org/plosone/article?id=10.1371/journal.pone.0228553
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CAAR – Table of Contents – February 6, 2020
Health Affairs (Vol. 39, No. 2, February 2020).
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January 28, 2020
CAAR – US Department of Health and Human Services, Office of Inspector General Report – January 28, 2020
“CMS’s Implementation of a 2014 Policy Change Resulted in Improvements in the Reporting of Coverage Gap Discounts Under Medicare Part D,” (A-07-16-06067, January 2020, .pdf format, 14p.).
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January 27, 2020
CAAR – US Centers for Medicare and Medicaid Services Memorandum – January 27, 2020
“Next Generation Sequencing (NGS) for Medicare Beneficiaries with Advanced Cancer,” (CAG-00450R, January 2020).
www.cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?NCAId=296
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January 21, 2020
CAAR – Medicare Payment Advisory Commission Hearing Transcript – January 21, 2020
– An agenda and transcript of the December 5-6, 2019 meeting is available.
www.medpac.gov/-public-meetings-/meeting-details/december-2019-public-meeting
Transcript (.pdf format, 412p.):
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January 16, 2020
CAAR – US Department of Health and Human Services, Office of Inspector General Report – January 16, 2020
“CMS’s Controls Over Assigning Medicare Beneficiary Identifiers and Mailing New Medicare Cards Were Generally Effective but Could Be Improved in Some Areas,” (A-09-19-03003, January 2020, .pdf format, 16p.).
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CAAR – Public Library of Science (PLoS) Articles – January 17, 2020
A. “Healthcare utilization of Mexican-American Medicare beneficiaries with and without Alzheimer’s disease and related dementias,” by Brian Downer, Soham Al Snih, Mukaila Raji, Lin-Na Chou, Yong-Fang Kuo, Kyriakos S. Markides, and Kenneth J. Ottenbacher (PLoS ONE 15(1): e0227681. doi.org/10.1371/journal.pone.0227681, XML, HTML, and .pdf format, 16p.).
journals.plos.org/plosone/article?id=10.1371/journal.pone.0227681
B. “Staging dementia based on caregiver reported patient symptoms: Implications from a latent class analysis,” by Qi Yuan, Tee Hng Tan, Peizhi Wang, Fiona Devi, Hui Lin Ong, Edimansyah Abdin, Magadi Harish, Richard Goveas, Li Ling Ng, Siow Ann Chong, and Mythily Subramaniam (PLoS ONE 15(1): e0227857. doi.org/10.1371/journal.pone.0227857, XML, HTML, and .pdf format, 12p.).
journals.plos.org/plosone/article?id=10.1371/journal.pone.0227857
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January 8, 2020
CAAR – Center for Retirement Research at Boston College Issue Briefs – January 8, 2020
A. “How Big Is the Government Subsidy for Medicare Part D?” by Alicia H. Munnell, Gal Wettstein and Wenliang Hou (IB No. 19-20, December 2019, .pdf and Excel format, 5p.).
crr.bc.edu/briefs/how-big-is-the-government-subsidy-for-medicare-part-d/
B. “How Will Emerging Computers Affect Older Workers by 2040?” by Anek Belbase and Andrew D. Eschtruth (IB No. 20-1, January 2020, .pdf and Excel format, 6p.).
crr.bc.edu/briefs/how-will-emerging-computers-affect-older-workers-by-2040/
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December 27, 2019
CAAR – Commonwealth Fund Brief – December 27, 2019
“The Slowdown in Medicare Spending Growth for Baby Boomers and Older Beneficiaries,” by Laura M. Keohane, Lucas Stewart, and Melinda B. Buntin (December 2019, .pdf and HTML format, 9p.).
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December 18, 2019
CAAR – Morbidity and Mortality Weekly Report Article – December 18, 2019
“Hospitalizations for Inflammatory Bowel Disease Among Medicare Fee-for-Service Beneficiaries — United States, 1999–2017,” by Fang Xu, Anne G. Wheaton, Yong Liu, Hua Lu, and Kurt J. Greenlund (Vol. 68, No. 49, December 13, 2019, .pdf and HTML format, p. 1134-1138).
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December 12, 2019
CAAR – US Department of Health and Human Services, Office of Inspector General Report – December 12, 2019
“Billions in Estimated Medicare Advantage Payments From Chart Reviews Raise Concerns,” (OEI-03-17-00470, December 2019, .pdf format, 39p.).
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December 9, 2019
CAAR – Medicare Payment Advisory Commission Hearing Transcript – December 9, 2019
– An agenda and transcript of the November 7-8, 2019 meeting is available.
www.medpac.gov/-public-meetings-/meeting-details/november-2019-public-meeting
Transcript (.pdf format, 410p.):
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December 2, 2019
CAAR – Kaiser Family Foundation Issue Brief – December 2, 2019
“No Itch to Switch: Few Medicare Beneficiaries Switch Plans During the Open Enrollment Period,” by Wyatt Koma, Juliette Cubanski, Gretchen Jacobson, Anthony Damico, and Tricia Neuman (November 2019, .pdf and HTML format, 4p.).
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November 27, 2019
CAAR – US Department of Health and Human Service, Office of Inspector General Report – November 27, 2019
“Hospitals Received Millions in Excessive Outlier Payments Because CMS Limits the Reconciliation Process,” (A-05-16-00060, November 2019, .pdf format, 19p.).
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CAAR – Kaiser Family Foundation Issue Brief – November 27, 2019
“A Look at Recent Proposals to Control Drug Spending by Medicare and its Beneficiaries,” by Meredith Freed, Juliette Cubanski, and Tricia Neuman (November 2019, .pdf and HTML format, 27p.).
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