1,511-1,520 of 1,796 results

  • One State’s Medicaid Managed Care Formulary Operations:  A Look at Pennsylvania, 2001-2002

    Report

    One State’s Medicaid Managed Care Formulary Operations: A Look at Pennsylvania, 2001-2002 This report examines formulary implementation under mandatory Medicaid managed care in Pennsylvania between 2001 and 2002. It looks at one state during a yearlong period; formulary operations are likely to vary across states and programs and over time. The report includes findings about Pennsylvania’s formulary operation and observations about improving the system. Report (.pdf)

  • Keeping Medicare and Medicaid When You Work: Additional Work Incentives Available to People with Disabilities on SSDI- online version

    Other Post

    Earnings-Related Incentives What is a trial work period? What is the extended period of eligibility? Health Coverage Incentives Can someone on SSDI continue Medicare coverage when they return to work? Can people with disabilities who work buy into Medicare once their eight and a half years of premium-free coverage runs out? Will people with disabilities who return to work be eligible for Part D? Can people with disabilities on SSDI who return to work buy…

  • 2005 Health Care Agenda and Election

    Poll Finding

    Embargoed for release until:January 11, 2005, 9:30 a.m. EST For further information contact:Craig Palosky, KFF, (202) 347-5270Chris Peacock, KFF, (650) 854-9400 AMERICANS FAVOR MALPRACTICE REFORM AND DRUG IMPORTATION, BUT RANK THEM LOW ON HEALTH PRIORITY LIST FOR THE CONGRESS AND PRESIDENT Lowering Health Care Costs Overall Seen as Top U.S. Health Priority Washington, D.C. – The public favors reducing jury awards in malpractice lawsuits and allowing drugs to be imported from Canada, but ranks them…

  • Navigating Medicare and Medicaid: Medicaid – online version

    Other Post

    Back to the Top What does it mean to be “medically needy”? Thirty-five states plus the District of Columbia operate medically needy programs. The medically needy option allows states to provide Medicaid to certain groups of individuals who are ineligible because of excess income, but who have high medical expenses. States often use the medically needy program to expand coverage primarily to persons who spend down by incurring medical expenses so that their income minus…

  • The Effects of Formularies and Other Cost Management Tools on Access to Medications:  An Analysis of the MMA and the Final Rule

    Issue Brief

    This report examines the formulary and cost management provisions of the final Medicare regulations implementing the new Medicare Part D drug benefit that was passed as part of the Medicare Modernization Act of 2003, and their implications for people with Medicare who enroll in new drug plans and their access to medications. It was prepared for the Foundation by Jack Hoadley, Ph.D., of the Health Policy Institute at Georgetown University. Issue Brief (.pdf)

  • The Distributional Consequences of  Medicare Premium Support Proposal

    Other Post

    The Distributional Consequences of a Medicare Premium Support Proposal This article analyzes the expected distributional impact of enacting a premium support proposal for Medicare based on legislation introduced by Sen. Breaux and Sen. Frist in 1999. This legislation suggested that the Federal Employees Health Benefits plan be used as a model for Medicare. The article simulates impacts in three areas: among beneficiaries who choose to retain fee-for-service coverage, between different geographic areas, and according to…

  • The New Medicare Rx Benefit:  Challenges for Maintaining Access to Prescription Drugs

    Other Post

    The New Medicare Rx Benefit: Challenges for Maintaining Access to Prescription Drugs With the launch of the new Medicare Part D prescription drug benefit less than 18 months away, and growing interest in beneficiaries’ access to medications in the future, the Kaiser Family Foundation is pleased to release two new publications that examine issues concerning access to medications raised by the implementation of the new Part D Medicare prescription drug benefit. The New Medicare Drug…

  • Consumer Protection Issues Raised by the Medicare Prescription Drug, Improvement, and Modernization Act of 2003

    Report

    This paper identifies and examines consumer protection issues that arise from the Medicare Prescription Drug, Improvement, and Modernization Act of 2003. Key issue areas include: beneficiary information, marketing, enrollment and disenrollment, the drug benefit package and cost-sharing, the appeals process, concerns for low-income beneficiaries, challenges for nursing home issues, and fraud and abuse. Report (.pdf)