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Tag: Medicare

Medicare Special Needs Plan Participation and Enrollment Trends, 2010-2018

This edition conveys the progression of the number of Medicare Special Needs Plans (SNPs) and enrollment from December 2010 through January 2018. As of January 2018, overall SNP enrollment reached an all-time high of more than 2.5 million persons, the…

Getting Out of the Stairwell in Quality Measurement and Improvement

The December edition addresses some aspects of how quality data are reported and are used in performance-based payment structures.

Medicare Per Capita Cost Variation by Sate, 2015

The July 2017 edition tabulates Medicare’s per capita costs in each state and U.S. territory, showing the level of cost variation that exists between jurisdictions. These figures are from 2015 and represent costs in the fee-for-service setting for Part A…

Progression of Health Spending in USA Across 2006-2016: Overall, Medicaid, Medicare and Private Sector

The February edition tabulates overall health care expenditures from 2006-2016, and shows the progression of Medicaid, Medicare, and private health spending. A key observation from these tabulations is that health costs haven’t grown all that rapidly across the past decade…

Current Medicare Advantage Enrollment Penetration: State and County-Level Tabulations

As of September 2016, 32% of Medicare beneficiaries were enrolled in a Medicare Advantage health plan. This edition produces MCO penetration statistics for each state and provides some county level tabulations. For example, in 137 counties Medicare health plans currently…

Removing the Medicare Advantage Program’s Key Disadvantages & Guidance From the Health Policy Cows

The health policy cows are back for April’s report, which presents data and opinions regarding the need to pilot-test implementing managed care in the Medicare arena in a similar manner as typically occurs in Medicaid -- mandatory enrollment of beneficiaries…

Share of Prescriptions by State and Major Payer

The February report pieces together different data on prescription volume by state – mostly through our staff’s tabulations – showing the distribution of each state’s total 2015 prescriptions between those paid by Medicaid, Medicare Part D, and all other payer…

ACO Evaluation Reporting To Date

This edition focuses on the reporting of ACO Evaluation results by CMS.

Honoring Accountability in Medicaid and Medicare

This edition of our Five Slide Series is focused on honoring accountability in Medicare and Medicaid -- where it is being achieved and where it isn't.

Modernizing Medicare through Piloting Mandatory Enrollment in Care Coordination Programs

This edition of our Five Slide Series is Medicare-focused, policy-oriented, and qualitative and opinionated in nature. We report on the achievements the Medicaid program has made in the mandatory enrollment MCO model, and convey our thoughts on testing a similar…
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