Medicare and Medicaid
Our work in Medicare and Medicaid
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Key Takeaways From the Final MACRA Rule, Plus Remaining Challenges
There are three important takeaways from the Centers for Medicare and Medicaid Services final rule on implementation of Medicare Access and CHIP Reauthorization Act of 2015 (MACRA).
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Comments on CMS’s proposed rule for implementation of MACRA provisions
Paul Ginsburg and his colleagues suggest three ways in which CMS can further achieve its stated goal to “expand the opportunities for participation in APMs” by better supporting providers’ transition under MACRA.
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Medicare Beneficiaries Face Growing Out-Of-Pocket Burden For Specialty Drugs While In Catastrophic Coverage Phase
For high-cost specialty drug users, lack of an out-of-pocket cap in Part D has eaten savings from donut hole closure.
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Specialty Drug Prices Offset Measures to Lower Medicare Patient Costs
Patients who struggle to pay for their drugs may not take their medicine as prescribed.
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Clinton and Trump are Both Wrong about Medicare’s Ability to Negotiate Drug Prices
The candidates should end their calls for Medicare to negotiate drug prices. It is a distraction and a non-starter for reducing the cost of medicines.
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More than a Quarter of Hospitals Have Been Cited Under Anti-Dumping Law in the Past Decade
This study is the first to analyze longitudinal enforcement trends of EMTALA in the last decade.
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Hospital Prescribing of Opioids to Medicare Beneficiaries
In one of the first studies to quantify the rate of new opioid prescriptions amid growing national concern about the use of addictive painkillers, this study shows that a large number—nearly 15 percent—of Medicare patients receive their first prescription for opioids within a week of being discharged from the hospital.
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How the Money Flows Under MACRA
In this piece, the researchers offer a glimpse into the potential financial changes in physician payment based on the proposed rule.
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Fifteen Percent of Medicare Patients Go Home with Pain-Relieving Prescriptions
Hospitals with higher rates of opioid prescription also had the best ratings for pain management, study finds.
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Spending Surge Lurks in new Projections, Medicare Actuary tells AEI/Schaeffer Initiative Briefing
Paul Spitalnic stressed long-term concerns at a briefing of the 2016 Medicare Trustees report.
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