Medicare and Medicaid
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Improving Bundled Payments in the Medicare Program
John Romley and Paul Ginsburg look at three ways to improve the effectiveness of bundled payment systems.
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A Proposal to Enhance Competition and Reform Bidding in the Medicare Advantage Program
Schaeffer Initiative researchers propose two key changes to the MA bidding process to lower prices and enhance choice for consumers.
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CMS’ Positive Step on Site-Neutral Payments and the Case for Going Further
The authors argue that site-neutral payment under the CMS proposed rule should ultimately be applied to a much broader set of clinical services.
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Medicare’s ‘Catastrophic Insurance’ Can Be a Catastrophe for Middle-Income Seniors
Even with Medicare's catastrophic insurance, middle-income seniors can be on the hook for thousands of dollars for their medications each year, write Erin Trish and Geoffrey Joyce in STAT.
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The nation’s growing debt threatens Medicare and Medicaid, which have helped countless Americans and reduced poverty. Schaeffer Center researchers work with legislators on a bipartisan basis to bolster these vital systems, making them more efficient and effective.
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Can MIPS Be Salvaged?
The goal of the Merit-Based Incentive Payment System, or MIPS, was to encourage clinicians to deliver more efficient, higher-quality care, but many observers have raised concerns that MIPS will fail.
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Growing Number of Unsubsidized Part D Beneficiaries with Catastrophic Spending Suggests Need for Out-Of-Pocket Cap
More than one million Part D enrollees who were not eligible for cost assistance reached the catastrophic coverage in 2015.
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Without a Cap, Out-of-Pocket Drug Spending Poses Great Risk
Medicare Part D distinctly lacks a cap on out-of-pocket spending, sending many beneficiaries toward financial hazard.
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Will California Be Ready? Implementing Programs for Serious Illness
National and state experts examined California’s readiness to meet the needs of patients with serious illness going forward and trends in this population.
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The Case for Reforming Competitive Bidding in Medicare Advantage
Schaeffer Initiative experts propose reforming the way that fixed monthly payments to MA plans are determined, replacing the current, overly complex structure with one that would enhance competition, simplify beneficiary choice through standardization, and save an estimated $10 billion annually.
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Trends in Opioid Use and Prescribing in Medicare, 2006-2012
More than 1 in 3 beneficiaries filled an opioid prescription annually; about 1 in 10 were chronic opioid users.
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