Medicare and Medicaid
Our work in Medicare and Medicaid
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Why America Needs a ‘Do-Over’ on Medicaid Reform
Republicans and Democrats should aim toward securing the health of the most vulnerable American children and families.
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Value-Based Pricing For Pharmaceuticals In The Trump Administration
The change in administration is an opportune moment for CMS to assume a leadership role with respect to value-based pricing.
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How the Growing Gap in Life Expectancy May Affect Retirement Benefits and Reforms
Growing gap in life expectancy by income increases gap in lifetime retirement benefits including Medicare by $130,000
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Improving Hospital Incentives with Better Cost Data
The method currently used by the Centers for Medicare and Medicaid Services to set Medicare payment rates is fairly crude. CMS could draw on cost data that are produced by hospitals’ internal systems to increase the efficiency of the health care system.
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Impact of a Pharmacy-Based Transitional Care Program on Hospital Readmissions
Patients receiving post-discharge care from pharmacists had a 28 percent lower risk of readmission at 30 days and almost 32 percent lower risk at 180 days compared with usual care.
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Enforcement of the Emergency Medical Treatment and Labor Act, 2005 to 2014
In a peer-reviewed longitudinal description of trends in enforcement of the Emergency Medical Treatment and Labor Act (EMTALA), researchers found that more than a quarter of hospitals have been cited under the EMTALA—known as the “anti-dumping law”—in the past decade.
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Four Recommendations to Advance Medicare Delivery System Reform
MACRA assumes a wide range of attractive APM opportunities available to physicians, but the reality is that the opportunities are limited, especially for physicians in specialties outside of primary care.
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What Medicare Advantage’s Success in Delivering Post-Acute Care Means for Medicare Reform
A recent study found Medicare Fee-for-Service and Medicare Advantage patients have hospitalization and post-hospitalization costs and outcomes that are generally different. How do these outcomes translate to policy recommendations?
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Privatized Version of Medicare Saves More Money than Traditional Fee-For-Service
Medicare Advantage costs less and improves patient outcomes, according to a USC-led study
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Less Intense Postacute Care, Better Outcomes For Enrollees In Medicare Advantage Than Those In Fee-For-Service
According to the study, private Medicare Advantage plans achieve better outcomes at lower costs for post-acute care than Medicare fee-for-service.
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