Publications: Medicare

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Language Barriers to Health Care Access Among Medicare Beneficiaries

February 27, 2007 - There has been relatively little research documenting the health-related language barriers facing older adults. This Fund-supported study finds that Medicare beneficiaries with limited English proficiency are less likely than those who are proficient in English to have access to a consistent source of care and less likely to receive important preventive care.

In the Literature

Physician-Patient Communication About Prescription Medication Nonadherence: A 50-State Study of America's Seniors

February 13, 2007 - According to survey results published in the Journal of General Internal Medicine, many seniors are not talking to their physicians about problems they are having with prescription medications, including side effects and costs.

In the Literature

State Pharmacy Assistance Programs: A Chartbook--Updated and Revised

February 1, 2007 - A newly updated and revised Fund chartbook documents the pre-Part D landscape of state pharmacy assistance programs, providing an important baseline for assessing states' evolving role and the impact of future policy choices.

Chartbook

Enhancing Value in Medicare: Demonstrations and Other Initiatives to Improve the Program

February 1, 2007 - Medicare is undertaking a number of demonstrations aimed at improving the quality and coordination of services provided to its beneficiaries. A new Commonwealth Fund report examines Medicare's efforts to play a more active role in ensuring that it purchases appropriate, high-quality, and efficient health care for its beneficiaries.

Fund Report

Medicare Physician Group Practices: Innovations in Quality and Efficiency

December 1, 2006 - Medicare's first pay-for-performance initiative for physicians, the Physician Group Practice Demonstration, is showing promise, a new Fund report finds. Participating practices are responding to financial incentives for both quality improvement and cost containment.

Fund Report

The Cost of Privatization: Extra Payments to Medicare Advantage Plans--Updated and Revised

November 30, 2006 - Payments to private Medicare Advantage plans in 2005 averaged 12.4 percent more per enrollee compared to what it would have cost in the fee-for-service program. The authors of a new Fund issue brief say these extra payments could instead be used to close the prescription drug coverage gap or reduce premiums.

Issue Brief

Developing a Center for Comparative Effectiveness Information

November 7, 2006 - Creating a center to compare the effectiveness of drug treatments and medical procedures could stem the rising tide of health care costs and help health plans, hospitals, and public health programs "spend smarter" on health care, a new Fund-supported study finds.

In the Literature

Assessing Medicare Prescription Drug Plans in Four States: Balancing Cost and Access

August 24, 2006 - In each state, seniors face a dizzying array of Medicare Part D prescription drug plans—each with different benefit designs and formulary structures that are used to control costs, but may also affect enrollees' ability to access medications. This issue brief examines plans in the four most populous Medicare states—California, Florida, New York, and Texas.

Issue Brief

Medicare Physician Payment: Are We Getting What We Pay For? Are We Paying for What We Want?

July 25, 2006 - "Determining how much to pay physicians certainly is an important issue, but determining how to pay physicians so Medicare beneficiaries get the best care possible is of at least equal importance," The Fund's Stuart Guterman testified at a July 25th U.S. House of Representatives hearing on Medicare physician payment.

Testimony

The Medicare Modernization Act at Midyear

July 14, 2006 - From AARP's perspective, the Medicare drug benefit is best assessed in relation to the five distinct goals sought in supporting it.

Commentary

Medicare Part D: A Successful Public–Private Partnership

July 14, 2006 - How the Medicare drug benefit became one of this country's most remarkable success stories yields powerful lessons for the new benefit and for future public-private partnerships.

Commentary

Medicare Beneficiary Out-of-Pocket Costs: Are Medicare Advantage Plans a Better Deal?

May 19, 2006 - Beneficiaries in poor health can pay more out-of-pocket in some Medicare Advantage managed care plans than in traditional, fee-for-service Medicare with Medigap supplemental coverage, according to a new Commonwealth Fund issue brief.

Issue Brief

Medicare's New Adventure: The Part D Drug Benefit

March 28, 2006 - The government faces many challenges in implementing the new Medicare prescription drug benefit. First among them is overseeing the enrollment of millions of beneficiaries into private plans, including shifting those currently relying on Medicaid coverage to Medicare drug plans.

Fund Report

Coverage and Use of Prescription Drugs in Nursing Homes: Implications for the Medicare Modernization Act

February 27, 2006 - Among the groups most likely to be helped by the new Medicare Part D prescription drug benefit are nursing home residents, a new Fund-supported study finds. One-fifth of residents lacked any drug coverage in 2001, and most of them have low incomes.

In the Literature

Medicare at Forty

February 15, 2006 - In a new essay, the Fund's Karen Davis and Sara Collins reflect on Medicare's historic achievements and discuss policy options for tackling the program's new challenges.

In the Literature