Publications: Medicare

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Health Care Opinion Leaders Views on Medicare Reform

November 2, 2009 - 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

November 2, 2009 - 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

October 5, 2009 - 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?

August 12, 2009 - 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

May 20, 2009 - 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

May 20, 2009 - 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?

May 12, 2009 - 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.

In the Literature

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

May 4, 2009 - 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

April 27, 2009 - 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

Uniquely American Solution: Collaboration, Leadership Required to Bring Change

April 27, 2009 - In this commentary on the Health Care Opinion Leaders Survey on slowing health care cost growth, Karen Ignagni says that identifying small reductions across all sectors will provide significant relief to individuals and businesses purchasing coverage, improve the solvency of the Medicare trust fund, and free up resources to finance reform, including coverage for all Americans.

Commentary

Rehospitalizations Among Patients in the Medicare Fee-for-Service Program

April 2, 2009 - One of five Medicare beneficiares discharged from the hospital was readmitted within 30 days, and half of patients admitted for reasons other than surgery were readmitted without having seen a doctor in follow-up, according to a Commonwealth Fund-supported study.

In the Literature

Special Needs Plans and the Coordination of Benefits and Services for Dual Eligibles

February 17, 2009 - Special Needs Plans (SNPs) are intended to improve care coordination, improve quality of care, and reduce the costs for treating high-risk, high-cost Medicare beneficiaries, including those who qualify for both Medicare and Medicaid benefits. Many SNPs, however, do not coordinate their benefits with state Medicaid programs.

In the Literature

Using Medicare Payment Policy to Transform the Health System: A Framework for Improving Performance

January 27, 2009 - By using payment incentives, Medicare, the nation's largest health care payer, could lead the United States to higher health system performance and yield great benefits, say Fund staff and colleagues in this Health Affairs article.

In the Literature

Racial and Ethnic Disparities in the Treatment of Dementia Among Medicare Beneficiaries

November 24, 2008 - This study, which reviewed data from the Medicare Current Beneficiary Survey from 2001 through 2003, of 1,120 community-dwelling Medicare beneficiaries diagnosed with dementia found that use of anti-dementia medications was approximately 30 percent higher among non-Hispanic whites compared with other racial and ethnic groups.

In the Literature

Medicare's National Coverage Decisions for Technologies, 1999-2007

November 10, 2008 - A multiyear analysis of Medicare's "national coverage decisions"--policies for reimbursing health care providers for particular medical services--shows that the program considers the available evidence "fair" or "poor" for most medical technologies it reviews.

In the Literature