Medicare and Medicaid
Our work in Medicare and Medicaid
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Switch and Save on Medicare Part D
Simply switching prescription drug plans could save seniors and the government billions.
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Using Self Reports or Claims to Assess Disease Prevalence
Patricia St. Clair and her colleagues assess prevalence of diabetes and heart attack in the US elderly population across the most well used data sources for estimation.
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Physician Reimbursement in Medicare Advantage Compared With Traditional Medicare and Commercial Health Insurance
Medicare Advantage physician payments roughly equal to traditional Medicare while rates for lab services and medical devices were lower and more akin to commercial rates, find Erin Trish and her colleagues.
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Medicare, Medicare Advantage Physician Reimbursement Rates Nearly Equal
USC researchers compare physician reimbursement by Medicare Advantage plans to traditional Medicare rates. Until now, experts knew little about the differences
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Effects of the More Austere Medicaid Per Capita Cap Included in the Senate’s Health Bill
Last month, we analyzed how states and the federal budget would have fared had a Medicaid per capita cap like the one envisioned in the House-passed American Health Care Act (AHCA) been implemented in the recent past. On June 22, the Senate released a “discussion draft” of their Affordable Care Act repeal bill: the Better […]
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Effects of Medicaid per Capita Cap Included in the House-Passed American Health Care Act
The American Health Care Act (AHCA), which was passed by the House of Representatives on May 4, would alter how the costs of state Medicaid programs are shared between the federal government and states. In “Effects of the Medicaid Per Capita Cap Included in the House-Passed American Health Care Act,” (PDF) Loren Adler, Matthew Fiedler, […]
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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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