Publications: Medicare

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Medicare Advantage Reforms: Comparing House and Senate Bills

12/21/2009 3:26:00 PM - This Commonwealth Fund issue brief compares approaches to reducing Medicare Advantage payments and other provisions in the House and Senate bills that aim to improve the value that Medicare obtains for the dollars it spends.

Issue Brief

Relationship of Primary Care Physicians’ Patient Caseload with Measurement of Quality and Cost Performance

12/15/2009 1:55:00 PM - This study, supported by The Commonwealth Fund and the National Institute on Aging, shows that the vast majority of primary care physicians work in practices that see too few Medicare patients annually to produce statistically reliable performance assessments and that Medicare's current method of measuring ambulatory care quality may not be effective for most primary care physicians.

In the Literature

Representative Pete Stark's "Medicare Early Access Act of 2005"

12/10/2009 1:08:00 PM -

Other

Medicare Buy-In for Older Adults: Commonwealth Fund Resources

12/10/2009 10:17:00 AM - Commonwealth Fund publications, journal articles, testimony, and survey research on a topic now being discussed in Congress: allowing older adults to buy in to Medicare.

Other

How Can Medicare Lead Delivery System Reform?

11/13/2009 2:11:00 PM - In this Commonwealth Fund issue brief, experts argue that the health care system as a whole would do well to emulate top-performing providers that embrace accountability for health care quality, outcomes, and cost. And they say the Medicare program—the nation's largest payer for health care—is the logical place to start.

Issue Brief

Don't Take Medicare for Granted: Commentary on the Health Care Opinion Leaders Survey

11/2/2009 5:00:00 PM - In a commentary on The Commonwealth Fund/Modern Healthcare Health Care Opinion Leaders Survey, Bruce Vladeck writes that Washington finds itself caught up in the fog of hysteria, misinformation, anxiety and downright dishonesty that so often afflicts Medicare politics.

Commentary

Health Care Opinion Leaders Views on Medicare Reform

11/2/2009 12:27:00 PM - In the latest Commonwealth Fund/Modern Healthcare Health Care Opinion Leaders survey, experts in health care and health policy say they favor strengthening Medicare's ability to help control program costs and support broader health system reform.

Data Brief

Slow Spending, Improve Quality in Medicare: Commentary on the Health Care Opinion Leaders Survey

11/2/2009 12:30:00 AM - With so much attention being given to healthcare reform, Gail Wilensky writes in this commentary on The Commonwealth Fund/Modern Healthcare Health Care Opinion Leaders Survey findings, it's essential to remember the importance of reforming Medicare as well.

Commentary

Medicare Spending for Previously Uninsured Adults

10/5/2009 3:39:00 PM - A new Commonwealth Fund-supported study from researchers at Harvard Medical School demonstrates that expanding health coverage might not cost as much as policymakers assume. Mainly due to untreated chronic conditions like hypertension and diabetes, individuals who were uninsured before becoming eligible for Medicare at 65 had significantly higher spending than did those with coverage prior to Medicare enrollment.

In the Literature

Paying Medicare Advantage by Competitive Bidding: How Much Competition Is There?

8/12/2009 11:37:00 AM - Private health plans that enroll Medicare beneficiaries—known as Medicare Advantage (MA) plans—are being paid $11 billion more in 2009 than it would cost to cover these beneficiaries in regular fee-for-service Medicare. The Obama Administration has proposed eliminating these extra payments to private insurers and instituting a competitive bidding system. This study questions the degree to which firms offering MA plans actually face competition.

Issue Brief

Health Insurance and Health Care Access Before and After SSDI Entry

5/20/2009 12:00:00 AM - This report creates profiles of those with Social Security Disability Insurance (SSDI) during the three years before and after SSDI entry to illustrate changes in insurance status, health care access, and utilization.

Fund Report

The Long Wait: The Impact of Delaying Medicare Coverage for People with Disabilities

5/20/2009 12:00:00 AM - At a particularly difficult point in their lives, disabled individuals must wait two years before they are eligible to begin receiving Medicare benefits--a delay that can block access to needed care and relief from financial pressures.

Perspectives on Health Reform Brief

Meeting Enrollees' Needs: How Do Medicare and Employer Coverage Stack Up?

5/12/2009 12:00:00 AM - In a national Commonwealth Fund survey, elderly Medicare beneficiaries reported greater overall satisfaction with their health coverage, better access to care, and fewer problems paying medical bills than people covered by employer-sponsored plans. These findings, published in Health Affairs, support the development of a public insurance plan similar to Medicare that would be available to the under-65 population.

In the Literature

The Continuing Cost of Privatization: Extra Payments to Medicare Advantage Plans Jump to $11.4 Billion in 2009

5/4/2009 12:00:00 AM - The Medicare Modernization Act of 2003 explicitly increased Medicare payments to private Medicare Advantage (MA) plans. As a result, MA plans have, for the past six years, been paid more for their enrollees than they would be expected to cost in traditional fee-for-service Medicare.

Issue Brief

Health Care Opinion Leaders Views on Slowing the Growth of Health Care Costs

4/27/2009 1:00:00 PM - Nearly all respondents to the latest Commonwealth Fund/Modern Healthcare Health Care Opinion Leaders Survey agree that the U.S. must rein in the growth of health care spending, and most believe it is possible to hold the current percentage of gross domestic product (GDP) devoted to health care steady over the next decade. In addition, large majorities expressed support for a range of strategies to reduce costs, including many of those outlined in President Obama’s budget blueprint.

Data Brief