Dual Eligibles in Nursing Facilities and Medicare Drug Coverage
This Briefing Note explores the issues presented for the design and administration of a new Medicare drug benefit by dually eligible nursing facility residents.
Issue Paper (.pdf)
States’ Concerns About the Medicare Drug Debate and the Fiscal Impact of Shifting the Cost of Dual Eligible Care
As the U.S. Congress continues to search for an agreement on the form of a Medicare prescription drug benefit, the Commission has two new reports related to the debate. One new publication reports on findings from an October 26 discussion with state Medicaid officials on the implications of a Medicare drug benefit for states and dual eligibles. The other report provides state-level estimates on spending on dual eligibles and illustrates the effects of scenarios where the federal government assumes the cost of prescription drugs, Medicare premiums, acute care, and long-term care for this population. Additionally, a link to a fact sheet on dual eligibles is provided.
Coordinating Medicaid and Medicare Prescription Drug Coverage
Shifting the Cost of Dual Eligibles: Implications for States and the Federal Government
Dual Enrollees: Medicaid’s Role for Low-Income Medicare Beneficiaries
Shifting the Cost of Dual Eligibles: Implications for States and the Federal Government
This issue paper provides state-level estimates on spending on dual eligibles and illustrates the fiscal effects of scenarios where the federal government assumes the cost of prescription drugs, Medicare premiums, acute care, and long-term care for this population.
Issue Paper (.pdf)
Coordinating Medicaid and Medicare Prescription Drug Coverage: Findings from a Focus Group Discussion with Medicaid Directors
This publication reports on the findings from an October 26 focus group discussion with state Medicaid officials on the implications of a Medicare drug benefit for states and dual eligibles.
Report (.pdf)
Designing a Medicare Drug Discount Card: Implications of Policy Choices for Medicare Beneficiaries and Plan Sponsors
This report analyzes key issues surrounding the implementation of a Medicare-endorsed prescription drug discount card program. Medicare prescription drug discount cards have been proposed as a short-term strategy for lowering prescription drug costs for Medicare beneficiaries.
The report considers the implications for both discount card sponsors and beneficiaries of alternative program designs, including such features as the annual lock-in for consumers, exclusive formularies, providing comparative information to consumers about drug prices and discounts, administration of low-income subsidies, and the short duration of the program.
Report (.pdf)
Kaiser Media Internships Site Visits
Kaiser Media Internships in Urban Health Reporting Site Visits
The Kaiser Media Internship Program provides an initial week-long briefing on urban public health issues and health reporting in Washington, D.C. Interns are then based for ten weeks at their newspaper/TV station, typically under the direction of the Health or Metro Editor/News Director, where they report on health issues. The program ends with a 3-day meeting and site visits in Boston.
2005 Orientation – Washington, D.C. – June 5-10, 2005
2005 Critique Session – Boston, MA – August 21-24, 2005
Contact Information:
For more information, please email mediafellowships@kff.org.
Cost of Health Insurance: Section 1 – Page 3
Employer Health Benefits 2003 Annual Survey
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Monthly Premium Costs of Single and Family Coverage
- In 2003, average monthly premiums for single and family coverage (including worker and employer share of premium) are $282 and $756 respectively (Exhibit 1.12). The cost of family coverage is now nearly $9,100 per year.
- Average monthly premiums for PPO plans, which cover most Americans, are $292 for single coverage and $776 for family coverage. HMOs remain the lowest cost plan type at $263 per month for single coverage and $709 per month for family coverage.
- The proportion of covered workers in firms that pay more than $250 per month for single coverage jumped from 46% in 2002 to 69% this year. In 2003, the proportion of covered workers in firms that pay more than $650 for family coverage rose to 77%, up from 52% in 2002 (Exhibit 1.13).
- As in previous years, the cost of coverage tends to be lowest in the West where HMO penetration is highest (Exhibit 1.15). At the same time, cost increases were significantly higher in the West than in other regions.
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EMPLOYER HEALTH BENEFITS 2003 ANNUAL SURVEYThe Kaiser Family Foundation and Health Research and Educational Trust
Information provided by the Health Care Marketplace Program.Publication Number 3369.
Program for the Study of Media and Health Publications
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