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Tag: Medicare

Combined Spending on Medicaid and Medicare by State

This edition looks at Medicaid and Medicare combined costs. Nationwide, 2009 combined claims-based spending on Medicaid and Medicare represented approximately $800 billion in overall outlays, excluding most disproportionate share (DSH) and upper payment limit (UPL) supplemental payments. These claims-based expenditures…

Jul. 31, 2014 Download 5 slide

KEYWORDS:Expenditures, Medicaid, Medicare

Coordinated Care- Bringing Key Components Together

This edition explores the dynamics of optimal coordinated care, in relation to governmental policies/actions and MCO operational activities. There are several combinations of ways that optimal care coordination programs are not yet being achieved. The construct described may be useful in…

Mar. 24, 2014 Download 5 slide

KEYWORDS:Medicaid, Medicare

NCQA State Averages for Medicaid, Medicare, and Private Health Plans

This edition of the Series tabulates state average NCQA quality scores across the health plans that have been rated by NCQA. Separate averages have been calculated for Medicaid health plans, Medicare plans, and private plans.

Feb. 28, 2014 Download 5 slide

KEYWORDS:Medicaid, Medicare, Quality

2013 SNP Alliance Profile and Advanced Practice Report

The 2013 SNP Alliance Advanced Practice and Profile Report is the sixth edition of SNP performance findings for members of the SNP Alliance. The SNP Alliance is a national leadership group of 30 organizations that collectively represent more than half…

Feb. 4, 2014 Download Full Report

ADDITIONAL RESOURCES:

Executive Summary

KEYWORDS:Medicare, Policy

Dual Eligibles – Demographics

This edition of our 5-slide series portrays dual eligible demographics, showing the number of duals in each state broken out between full duals and partial duals. We also show the percentage mix of duals in each state by gender and…

Sep. 19, 2013 Download 5 slide

KEYWORDS:Enrollment, Medicaid, Medicare

Medicare Advantage – Demographics

This edition summarizes Medicare Advantage (and overall Medicare) demographic information. The report also quantifies enrollment and penetration dynamics between urban and rural counties. Statistics are provided on the distribution of the Medicare beneficiary population and the Medicare Advantage enrollee population…

Jul. 17, 2013 Download 5 slide

KEYWORDS:Enrollment, Medicare