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Decoding Medicare Advantage Coding Intensity

Federal payments to Medicare Advantage plans, and adjustments for health status, have come under increased scrutiny. This brief answers key questions about coding intensity, recent steps taken by CMS, the effects on beneficiaries, and other proposals to improve payment accuracy.

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The Facts About Medicare Spending

This interactive provides the facts on Medicare spending. Medicare, which serves 67 million people and accounts for 12 percent of the federal budget and 21 percent of national health spending, is often the focus of discussions about health expenditures, health care affordability and the sustainability of federal health programs. Explore data on enrollment growth, Medicare spending trends overall and per person, growth in Medicare spending relative to private insurance, spending on benefits and Medicare Advantage, Part A trust fund solvency challenges, and growth in out-of-pocket spending by beneficiaries.

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  • A Special Series: The Kaiser Family Foundation and ABC/WCVB Local TV News Initiative

    Report

    The Kaiser Family Foundation is providing two resources on caring for an elderly relative produced by the American Association of Retired Persons (AARP) free of charge. They are being provided as part of a joint project with WCVB-TV in Boston, which aired a special series on this topic on July 28, 1997. The reports provided are: Nursing Home Life: A Guide for Residents and Families and Staying Home: A Guide to Long-Term Care and Housing.…

  • Medicare and Women

    Fact Sheet

    As part of The Faces of Medicare, a collection of fact sheets profiling the characteristics and health needs of different groups of Medicare beneficiaries, provides descriptive information about women on Medicare, who constitute nearly seventy percent of Medicare's poor. Fact Sheet

  • How Medicare HMO Withdrawals Affect Beneficiary Benefits, Costs, and Continuity of Care

    Report

    Results from the 1999 Survey of Experiences with Medicare HMOs This report examines the effects of Medicare HMO withdrawals on elderly and disabled beneficiaries who were involuntarily disenrolled from their HMO at the end of 1998. Based on a nationally-representative survey, the report describes new insurance arrangements made by beneficiaries after their HMO withdrew and considers the effects of this insurance transition on benefits, costs, and continuity of care. The study finds that most beneficiaries…

  • Overview of Selected Medicare Provisions: A Side-by-Side Comparison of Medicare Current Law with Selected House and Senate Provisions to the Balanced – Report

    Report

    Understanding the Growth in Medicare's Home Health Expenditures Overview Of Selected Medicare Provisions: A Side-by-Side Comparison of Medicare Current Law with House and Senate Provisions to the Balanced Budget Act of 1997 Prepared by: Health Policy Alternatives, Inc. Prepared for: The Henry J. Kaiser Family Foundation July 1997 Preface This report, prepared by Health Policy Alternatives, presents a side-by-side comparison of current Medicare law with selected Medicare provisions included in the Balanced Budget Act of…

  • Medicaid Eligibility for the Elderly

    Report

    The purpose of this issue paper is to explain Federal Medicaid eligibility policy for the low-income elderly population and discusses Federal and State policy options to improve coverage. Issue Paper

  • Toplines: December 2005 Kaiser Health Poll Report

    Poll Finding

    Toplines: December 2005 Kaiser Health Poll Report These toplines provide the complete survey questions and responses to the December 2005 Kaiser Health Poll Report Survey, a bimonthly survey designed to provide key tracking information on public opinion about health care topics. The survey includes a series of questions on seniors' views of the new Medicare prescription drug benefit. Survey Toplines (.pdf)

  • Early Experiences of Medicare Beneficiaries in Prescription Drug Plans

    Report

    This report offers insights into Medicare beneficiaries’ experiences with the new drug benefit, based on observations of State Health Insurance Assistance Plan (SHIP) directors convened for a moderated focus group discussion. Because SHIP directors work closely with the Centers for Medicare and Medicaid Services and are on the front lines providing one-on-one counseling for beneficiaries who have questions or problems related to the new drug benefit, they are a key resource for understanding issues that…

  • Medicare Advantage Chartpack

    Report

    These charts highlight key data about the Medicare Advantage program, which has grown rapidly in terms of enrollment and number of plans since the enactment of the Medicare Modernization Act in 2003. The package includes a map showing Medicare Advantage penetration by state as well as key facts about private fee-for-service plans, which have contributed significantly to the recent growth of the Medicare Advantage program. Chartpack (.pdf)

  • The Role of State Pharmaceutical Assistance Programs in Serving Low-Income Medicare Beneficiaries Following the Implementation of Medicare Part D

    Issue Brief

    The Role of State Pharmaceutical Assistance Programs in Serving Low-Income Medicare Beneficiaries Following the Implementation of Medicare Part D Prior to January 1, 2006, State Pharmaceutical Assistance Programs helped to fill a critical gap in coverage for Medicare beneficiaries without prescription drug coverage, targeting resources to beneficiaries with relatively low incomes. With the inception of the Medicare prescription drug benefit, the role of SPAPs began to change. This policy brief examines the role of state…

  • Medicare Prescription Drug Benefit Progress Report: Findings From A 2006 National Survey of Seniors

    Event Date:
    Event

    The share of seniors without drug coverage dropped significantly under Medicare’s new drug benefit, according to this August 2007 Health Affairs Web Exclusive article based on a Kaiser Family Foundation, Commonwealth Fund and Tufts-New England Medical Center survey of more than 16,000 seniors. Seniors with drug coverage from any source were less likely to face high monthly drug costs or to skip prescribed medications due to cost than seniors who remained without drug coverage. However,…