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1. Public Reporting On Hospital Process Improvements Is Linked To Better Patient Outcomes The Centers for Medicare and Medicaid Services publicly reports so-called process performance at all U.S. hospitals, such as whether certain recommended treatments are given to specific types of patients. We examined whether hospital performance on key process indicators improved during the three years since this reporting began. We also studied whether or not these changes […]...
2. Analysis of Medicare Advantage HMOs Compared With Traditional Medicare Shows Lower Use of Many Services Analysis of Medicare Advantage HMOs Compared With Traditional Medicare Shows Lower Use of Many Services ...
3. Steps To Reduce Favorable Risk Selection In Medicare Advantage Largely Succeeded Within Medicare, the Medicare Advantage program has historically attracted better risks—healthier, lower-cost patients—than has traditional Medicare. The disproportionate enrollment of lower-cost patients and avoidance of higher-cost ones during the 1990s—known as favorable selection—resulted in Medicare’s spending more per beneficiary who enrolled in Medicare Advantage than if the enrollee had remained in traditional Medicare. A looked […]...
4. New Risk-Adjustment System Was Associated With Reduced Favorable Selection In Medicare Advantage New Risk-Adjustment System Was Associated With Reduced Favorable Selection In Medicare Advantage ...
5. Patient-Reported Measures Of Psychosocial Issues And Health Behavior Should Be Added To Electronic Health Records Patient-Reported Measures Of Psychosocial Issues And Health Behavior Should Be Added To Electronic Health Records ...
6. Share of Cost, What The Evidence Shows About Patient Activation Share of Cost, What The Evidence Shows About Patient Activation ...
7. Share of Cost, Innovations At Miami Practice Show Promise For Treating High-Risk Medicare Patients Share of Cost, Innovations At Miami Practice Show Promise For Treating High-Risk Medicare Patients ...
8. Share of Cost, Early Lessons From Four ‘Aligning Forces For Quality’ Communities Bolster The Case For Patient-Centered Care Share of Cost, Early Lessons From Four 'Aligning Forces For Quality' Communities Bolster The Case For Patient-Centered Care ...
9. Share of Cost: Consumers Beware of Medicare Advantage Marketing Fraud Last week Julie Schoen, our California Senior Medicare Patrol (SMP) Project Director, spoke on Medicare fraud on a statewide press teleconference hosted by California’s Department of Managed Health Care (DMHC). Both agencies, DMHC and SMP, are committed to protecting beneficiairies from the sometimes malicious and fraudulent practices of a few insurance agents. While most agents […]...
10. Share of Cost, Medicare Center of Excellence Policy may limit minority access to weight-loss surgery Share of Cost, Medicare Center of Excellence Policy may limit minority access to weight-loss surgery...
11. Developing Physician Communication Skills For Patient-Centered Care Growing enthusiasm about patient-centered medical homes, fueled by the Patient Protection and Affordable Care Act’s emphasis on improved primary care, has intensified interest in how to deliver patient-centered care. Essential to the delivery of such care are patient-centered communication skills. These skills have a positive impact on patient satisfaction, treatment adherence, and self-management. They can […]...
12. Share of Cost, Medicare Doesn’t Work As Well For Younger, Disabled Beneficiaries As It Does For Older Enrollees [Web First] Medicare is not working as well for its eight million disabled beneficiaries under age sixty-five as it is for its older beneficiaries. We report on a 2008 survey that found significant differences between the two Medicare populations, with the younger group experiencing more problems of cost and access. Even with the Medicare Part D prescription […]...
13. Share of Cost: California Beneficiaries Hit Hard by Medicare Advantage Plan Pull-outs Almost 151,000 beneficiaries in California are in a Medicare Advantage plan that is pulling out of Medicare in 2012. This means these plans are not renewing their Medicare contracts, their plans are terminating by the end of the year, and beneficiaries enrolled in these plans need to choose a new coverage option for 2012. With […]...
14. Medicare Postacute Care Payment Reforms Have Potential to Improve Efficiency of Care, But May Need Changes to Cut Costs The Affordable Care Act mandates changes in payment policies for Medicare postacute care services intended to contain spending in the long run and help ensure the program’s financial sustainability. In addition to reducing annual payment increases to providers under the existing prospective payment systems, the act calls for demonstration projects of bundled payment, accountable care […]...
15. CMS Provides Medication Management & Caregiver Resources on Youtube CMS Provides Medication Management & Caregiver Resources on Youtube...