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H.R. 574 Medicare Physician Payment Innovation Act of 2013

Medicare’s payment rates to physicians are based on a fee schedule that specifies the payment for each type of service rendered. The relative fees are determined by the inputs required to produce each type of service, adjusted to account for geographical differences in input prices. Relative fees are translated into actual dollar amounts by applying […]

Report on Age

The national health care debate—traditionally focused on an adequate health care safety net for those with high medical needs or low resources, the elderly, sick, disabled, and poor—is turning to healthy and able young adults in the campaign to bring health insurance to every American. Adults aged 18 to 35 often earn lower incomes and […]

Annual Report 2014

While health care cost growth has slowed in the years following the recession, the United States spent roughly 16.4 percent of national gross domestic product (GDP) on health care in 2011, and the Congressional Budget Office has estimated that federal health care spending will increase to 8 percent of federal revenue by 2038.[1] The United […]

Early Estimations On National Take-Up From 2003 MMA And Future Policy Proposals

This technical report builds upon an existing effort supported by The Robert Wood Johnson Foundation. The objective of this analysis is to produce estimates of coverage and costs of alternative HSA scenarios by: (1) developing an analytic database that uses information from the 2001 Medical Expenditure Panel Survey (MEPS) as well as existing employer-based data […]

Accountable Care Organizations: Back to the Future?

Accountable Care Organizations (ACOs) are networks of providers that assume risk for the quality and total cost of the care they deliver. Public policymakers and private insurers hope that ACOs will achieve the elusive “triple aim” of improving quality of care, improving population health, and reducing costs. The model is still evolving, but the premise […]

Favorable Selection, Risk Adjustment, and the Medicare Advantage Program

Payment generosity and more sophisticated risk adjustment were associated with substantial increases in MA enrollment and decreases in disenrollment. Claims experience of those newly switching into MA was not affected by any of the policy reforms, but disenrollment became increasingly concentrated among high-cost beneficiaries. Read the full study at Health Services Research here.

Alternative Budgetary Analysis Of The Patient Protection And Affordable Care Act

The federal government faces a daunting fiscal outlook, which makes the budgetary impact of the Patient Protection and Affordable Care Act even more important. The official Congressional Budget Office (CBO) analysis indicates modest deficit reduction over the next ten years and beyond. Holtz-Eakin and Ramlet examine the underpinnings of the CBO’s projection and conclude that […]

Medicare Part D’s Effects on Elderly Patients’ Drug Costs & Utilization

Elderly patients’ utilization in the first year of Part D increased compared with that of near-elderly patients by 8.1% for days’ supply and 4.8% for the number of individuals filling prescriptions, and their OOP costs declined by 17.2%. Although elderly patients’ OOP costs in the second year were reduced an additional 5.8%,days’ supply increased by […]