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10 Essential Facts About Medicare and Prescription Drug Spending

Prescription drugs play an important role in medical care for 59 million seniors and people with disabilities, and account for $1 out of every $6 in Medicare spending. This series of charts presents and explains basic facts about prescription drug spending specifically within the context of Medicare. These 10 charts include information on current and projected Medicare prescription drug spending, out-of-pocket prescription drug costs for beneficiaries, and public opinion on prescription drug-related policy options.

Side-by-Side Comparison: Medicare Accountable Care Organization (ACO) Models

This interactive side-by-side comparison table provides detailed descriptions of Medicare accountable care organization (ACO) models and comprehensive information on topics such as spending and quality, beneficiary involvement, financial arrangements, and provider participation. This side-by-side comparison table is part of the Medicare Delivery System Reform Evidence Link.

Side-by-Side Comparison: Medicare Medical Home Models

This interactive side-by-side comparison table provides detailed descriptions of Medicare medical home models and comprehensive information on topics such as spending and quality, beneficiary involvement, financial arrangements, and provider participation. This side-by-side comparison table is part of the Medicare Delivery System Reform Evidence Link.

Side-by-Side Comparison: Medicare Bundled Payment Models

This interactive side-by-side comparison table provides detailed descriptions of Medicare bundled payment models and comprehensive information on topics such as spending and quality, beneficiary involvement, financial arrangements, and provider participation. This side-by-side comparison table is part of the Medicare Delivery System Reform Evidence Link.

8 FAQs: Medicare Accountable Care Organizations (ACO)

ACOs are groups of doctors, hospitals, and other health care providers who voluntarily form partnerships to collaborate and share accountability for the quality and cost of care delivered to their patients. These FAQs describe the ACO models in Medicare and answer questions pertaining to spending and quality results, where models are located, and how many beneficiaries are involved. These Medicare accountable care organization (ACO) FAQs are part of the Medicare Delivery System Reform Evidence Link.

8 FAQs: Medicare Medical Home Models

Medical homes are typically team-based primary care practices that provide the majority of their patients’ health care needs either directly, or through coordination with other providers. These FAQs describe the medical home models in Medicare, and answer questions pertaining to spending and quality results, where models are located, and how many beneficiaries are involved. These Medicare medical home FAQs are part of the Medicare Delivery System Reform Evidence Link.

8 FAQs: Medicare Bundled Payment Models

Bundled payment models are a way for Medicare to establish a total budget for all services provided to a beneficiary throughout an episode of care. These FAQs describe the different types of Medicare bundled payment models, and answer questions pertaining to spending and quality results, where models are located, and how many beneficiaries are involved. These Medicare bundled payment FAQs are part of the Medicare Delivery System Reform Evidence Link.

Medicare Delivery System Reform: The Evidence Link

The Kaiser Family Foundation’s Evidence Link is an interactive resource that pulls together the latest available evidence on Medicare payment and delivery system reform models, with an initial focus on accountable care organization (ACO), medical home, and bundled payment models. Through FAQs and side-by-side comparison tables, the Evidence Link synthesizes the most up-to-date information on savings and quality results, and describes key design features of each Medicare model, such as how providers are paid, the number of beneficiaries receiving care under each model, where models are being tested, and timelines for evaluations.

The Henry J. Kaiser Family Foundation Headquarters: 2400 Sand Hill Road, Menlo Park, CA 94025 | Phone 650-854-9400
Washington Offices and Barbara Jordan Conference Center: 1330 G Street, NW, Washington, DC 20005 | Phone 202-347-5270

www.kff.org | Email Alerts: kff.org/email | facebook.com/KaiserFamilyFoundation | twitter.com/KaiserFamFound

Filling the need for trusted information on national health issues, the Kaiser Family Foundation is a nonprofit organization based in Menlo Park, California.