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Important Things to Know about Medicare: Chapter Four--Medicare Part C – Medicare Advantage
EDIS, 2014 Important Things to Know about Medicare is a series of 10 publications that will cover the most common Medicare concerns. The series will provide general information about Medicare, including the four major plans, supplemental policies, interactions ...
Amanda Terminello, Martie Gillen
doaj +7 more sources
An economic history of Medicare part C. [PDF]
Milbank Q, 2011 Twenty-five years ago, private insurance plans were introduced into the Medicare program with the stated dual aims of (1) giving beneficiaries a choice of health insurance plans beyond the fee-for-service Medicare program and (2) transferring to the Medicare program the efficiencies and cost savings achieved by managed care in the private sector.In ...
McGuire TG, Newhouse JP, Sinaiko AD.
europepmc +5 more sources
The importance and challenge of comparing stroke care, utilization and outcomes in Medicare Advantage and Fee-for-Service Medicare: a narrative review and vision for the future [PDF]
Journal of Comparative Effectiveness ResearchStroke prevalence is highest in adults ≥65 years, the majority of whom are Medicare beneficiaries. Feefor- Service Medicare (FFS) incentivizes utilization by paying for each service.
Emily J. Bian +5 more
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Preventive Medicine Reports, 2022 Medicare Fee for Service (FFS) claims data, including inpatient (Part A) and outpatient (Part B) services, provide a valuable resource for research on older adults (≥65 year) in linked U.S. cohorts.
Christine G. Parks +9 more
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Financing Maternity and Early Childhood Healthcare in The Australian Healthcare System: Costs to Funders in Private and Public Hospitals Over the First 1000 Days [PDF]
International Journal of Health Policy and Management, 2021 BackgroundMaternity care is a significant contributor to overall healthcare expenditure, and private care is seen as a mechanism to reduce the cost to public funders. However, public funders may still contribute to part of the cost of private care.
Emily Callander +4 more
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Effects of star ratings bonus payments on disparities in medication utilization issues
Exploratory Research in Clinical and Social Pharmacy, 2023 Background: Previous literature suggested that the consequences of inappropriate medication use may be borne disproportionately by racial/ethnic minorities.
Chi Chun Steve Tsang +4 more
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BMC Geriatrics, 2023 Background The COVID-19 pandemic resulted in unprecedented challenges for older adults. Medicare enrollment was already an overwhelming process for a high fraction of older adults pre-pandemic. Therefore, the purpose of this qualitative study was to gain
Aaron Castillo +2 more
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The Lancet. Healthy Longevity, 2021 Summary: Background: Seasonal influenza vaccine (SIV) uptake among US adults aged 65 years or older remains suboptimal and stagnant. Further, there is growing concern around racial and ethnic disparities in uptake.
Salaheddin M Mahmud, ProfMD +6 more
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Environment International, 2021 Although research indicates health and well-being benefits of greenspace, little is known regarding how greenspace may influence adaptation to health risks from heat, particularly how these risks change over time.
Seulkee Heo +8 more
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Refining The Risk-Adjusted Capitated Payment Methodologies For Medicare Part C (CMS-HCC) And Part D (CMS-RXHCC) Plans Using The Medication Exposure Measure (MEM) [PDF]
Value in Health, 2013 Data Source: the 5% Medicare national sample Parts A, B, & D (n=1,229,698) Analysis: ordinary least squares regression (OLS) models were estimated for prospective community payment to predict year-2 (2008) annualized medical (CMS-HCC) and pharmacy (CMS-RxHCC) expenditures from year-1 (2007) demographics, CMS model inputs, and the MEM. Gamma-distributed,
Null, K.D. +3 more
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