Explaining Health Reform: Medicare and the New Independent Payment Advisory Board
This brief describes how the new board created under the 2010 health reform law is expected to limit the growth in Medicare spending over time.
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Medicare Part D 2010 Data Spotlight: The Coverage Gap
ReportThis data spotlight examines the coverage gap, or "doughnut hole," in Medicare stand-alone drug plans available in 2010. While in the gap in coverage, Part D enrollees (other than those receiving low-income subsidies) are required to pay 100 percent of total drug costs until they reach the catastrophic coverage level.
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State Budgets Under Federal Health Reform: The Extent and Causes of Variations in Estimated Impacts
Issue BriefThis analysis examines the potential costs and savings that the health reform law may generate for state budgets, a topic of great interest at a time when states continue to struggle with tight budgets in the wake of the recession.
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Among Dual Eligibles, Identifying The Highest Cost Individuals Could Help In Crafting More Targeted And Effective Responses
ReportThis Health Affairs article by researchers at the Urban Institute analyzes linked Medicare and Medicaid data to examine dual eligibles' utilization and spending in both programs in 2007. It finds that while the population of people dually eligible for Medicare and Medicaid is indeed costly, it is not monolithic.
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Explaining the State Integrated Care and Financial Alignment Demonstrations for Dual Eligible Beneficiaries
Issue BriefThis paper provides an overview of the joint efforts of states and the Centers for Medicare and Medicaid Services (CMS) to develop more integrated ways of paying for and delivering health care to the 9 million people who are eligible for both the Medicare and Medicaid programs.
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State Demonstrations to Integrate Care and Align Financing for Dual Eligible Beneficiaries: A Review of the 26 Proposals Submitted to CMS
ReportThe Centers for Medicare and Medicaid Services (CMS) has proposed two models to align Medicare and Medicaid benefits and financing for dual eligible beneficiaries, one capitated model and one managed fee-for-service model. In the spring of 2012, 26 states submitted proposals to CMS seeking to test one or both of these models.
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The Cost and Coverage Implications of the ACA Medicaid Expansion: National and State-by-State Analysis
ReportA central goal of the Patient Protection and Affordable Care Act (ACA) is to significantly reduce the number of uninsured by providing a continuum of affordable coverage options through Medicaid and new Health Insurance Exchanges. Following the June 2012 Supreme Court decision, states face a decision about whether to adopt the Medicaid expansion.
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Medicaid’s Long-Term Care Users: Spending Patterns Across Institutional and Community-based Settings
Issue BriefThe nation's primary payer for long-term services and supports, Medicaid finances 43 percent of all spending on long-term care services and covers a range of services and supports, including those needed by people to live independently in the community, as well as services provided in institutions.
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Pulling it Together from Drew Altman: Multiple Agendas for Controlling Health Care Costs
PerspectiveIn what would be a domestic policy trifecta, we may be headed for interconnected big debates about economic recovery, entitlement programs and health reform. A core issue in the entitlement and health reform debates is the problem of rising health care costs.
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Explaining Health Care Reform: How Might a Reform Plan Be Financed?
Issue BriefOne of the key challenges in enacting a health care reform plan is how to finance it among government, employers, and individuals. Of particular concern to policymakers is what effect a health reform plan would have on government spending and the federal budget.