Medicare and Medicaid
Our work in Medicare and Medicaid
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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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Revising Payment to Medicare Advantage Plans to Reflect the Rapid Growth in Enrollment
Medicare Advantage enrollment is projected to represent the majority of Medicare beneficiaries enrolled in both Part A and Part B by 2023. This event will discuss this trend and the financial implications.
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Comments On the 2023 Advance Notice On Medicare Part C and D Payment Policies
Matthew Fiedler and Richard Frank commented on the 2023 Medicare Part C and D Advance Notice issued by the Centers for Medicare and Medicaid Services (CMS).
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The Debate on Overpayment In Medicare Advantage: Pulling It together
Health Affairs Forefront has published articles that advance two diametrically opposing assessments of issues regarding the Medicare Advantage program. Ginsburg and Lieberman discuss them and why it is important to come to agreement.
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From Vision to Design in Advancing Medicare Payment Reform: A Blueprint for Population-Based Payments
With Medicare spending growth over the next decade expected to exceed GDP growth, the trust fund projected to be depleted in 2026, and evidence of persistent and pervasive waste and disparities in health care, attention has returned to the role of payment reform in controlling Medicare spending growth and driving more efficient and equitable care delivery.
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Money for the Infrastructure Bill is Coming at the Expense of Medicare Part D
The $1 trillion infrastructure bill will leave a lot of chronically ill people by the side of the road.
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Options for Containing the Cost of a New Medicare Dental, Hearing, and Vision Benefit
USC-Brookings Schaeffer Initiative for Health Policy expert Matthew Fiedler analyzes options for reducing the cost of adding dental, hearing and vision coverage to Medicare.
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