Medicare Advantage Special Needs Plans for Dual Eligibles: A Primer [PDF]
Identifies the key issues behind the goal of a new plan for people eligible for both Medicare and Medicaid -- to offer the full array of Medicare, Medicaid, and supplemental benefits through a single plan -- and outlines progress thus ...
Cynthia H. Woodcock
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ABSTRACT Background Chronic rhinosinusitis with nasal polyps (CRSwNP) is managed after sinus surgery with topical corticosteroids. Given limited distribution of nasal steroid sprays, patients have the option of either steroid nasal irrigation (SNI) or exhalation delivery system with fluticasone (EDSāFLU).
Daniel Xiao +3 more
wiley +1 more source
Transitioning From Medicaid Expansion Programs to Medicare: Making Sure Low-Income Medicare Beneficiaries Get Financial Help [PDF]
The Affordable Care Act allows states to offer Medicaid coverage to low-income adults who would not have qualified under previous law. This population will face higher cost-sharing requirements when they transition to Medicare, although some may be ...
Jay Dev +2 more
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Prescription Drug Coverage and Elderly Medicare Spending [PDF]
The introduction of Medicare Part D has generated interest in the cost of providing drug coverage to the elderly. Of paramount importance -- often unaccounted for in budget estimates -- are the salutary effects that increased prescription drug use might ...
Baoping Shang, Dana P. Goldman
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Medicare Quality Measurement and Reporting Programs: Opportunities for Alliances Under Health Reform [PDF]
Outlines provisions to expand Medicare quality measurement and reporting and opportunities for RWJF's Aligning Forces for Quality communities to work with providers in coordinating measures with Medicare, offer feedback, and focus on equity and cost ...
Chris Weiser, Jane Hyatt Thorpe
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"Income-related patient cost-sharing: Simulation for prescription drugs under Medicare" [PDF]
This paper studies an application of income-related patient cost-sharing. Using data from the Medicare Current Beneficiary Survey, we find that varying patient costsharing rates with patient income in the Medicare prescription drug program can reduce the
Kenneth A. Lewis, Laurence S. Seidman
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How Will the Patient Protection and Affordable Care Act Affect Seniors? [PDF]
Summarizes how healthcare reform provisions including changes to Medicare premiums and drug benefits, preventive services, Medicare Advantage plans; reduced provider payment rates; and efforts to improve quality and system performance will affect ...
John Holahan, Robert A. Berenson
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Did Medicare Induce Pharmaceutical Innovation? [PDF]
The introduction of Medicare in 1965 was the single largest change in health insurance coverage in U.S. history. Many economists and commentators have conjectured that the introduction of Medicare may have also been an important impetus for the ...
Amy Finkelstein +3 more
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Medicare Advantage Plan Star Ratings and Bonus Payments in 2012 [PDF]
Estimates total Medicare spending on and distribution of quality ratings-based bonus payments for Medicare Advantage plans in 2012 by company, tax status, state and county and in relation to cuts in plan payments under federal health ...
Anthony Damico +3 more
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The Obama Administration's 2010 Call Letter for Medicare Advantage and Prescription Drug Plans: Implications for Beneficiaries [PDF]
Outlines key provisions and changes in the Medicare Advantage or Medicare Prescription Drug plans in 2010. Discusses requirements to improve accountability, promote informed health plan choices, and increase beneficiary ...
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