Medicare and Medicaid
Our work in Medicare and Medicaid
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Shame Won’t Solve America’s Obesity Crisis: How Congress Can Help
If saving lives is the objective, then logic, clinical evidence and compassion dictate that Medicare should pay for preventing and treating obesity, starting now.
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Medicare Advantage: A Disadvantage for Complex Cancer Surgery Patients
Enrollment in Medicare Advantage (MA) plan is associated with lower estimated hospital costs. However, compared with Traditional Medicare, MA beneficiaries had lower access to high-volume hospitals and increased 30-day mortality for stomach, pancreas, or liver surgery.
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Multi-Year Medicare Physician Fee Freeze Threatens Access: Pair Relief With Reforms
With fees frozen, high inflation threatens access to care and has other consequences.
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Comments on AHRQ Analysis of Requirements for Coverage with Evidence Development
Researchers submitted a comment letter on the Agency for Healthcare Research and Quality (AHRQ)’s analysis for the Center for Medicare and Medicaid Services (CMS)’s requirements for Coverage with Evidence Development (CED) study design.
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Medicare’s Annual Wellness Visit and Diagnoses of Dementias and Cognitive Impairment
Increasing AWV take-up and supporting physicians’ performance of cognitive assessment may further improve dementia detection in the population and among groups at higher risk of undiagnosed dementia.
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Comments on the Request for Information on Medicare
Schaeffer Initiative experts submitted a comment letter responding to a recent request for information (RFI) related to the Medicare Advantage (MA) program
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Efforts to Save Money on Prescription Drugs Associated with Increased Stroke Risk for Seniors
Tools used by insurers and PBMs to contain costs result in fewer patients using NOACs or warfarin
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Largest Medicare Advantage Plans Pay Big Markups for Dialysis
Large dialysis chains charge Medicare Advantage plans 27% more than the traditional, fee-for-service Medicare program.
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Medicare Advantage Plans Pay Large Markups To Consolidated Dialysis Organizations
Researchers find that the largest Medicare Advantage plans pay large markups for dialysis, especially to large dialysis organizations.
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Reforming the Medicare Part D Benefit Design: Financial Implications for Beneficiaries, Private Plans, Drug Manufacturers, and the Federal Government
Researchers evaluate prescription drug claims from Medicare Part D beneficiaries to evaluate the current spending distribution.
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