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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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  • Consumer Protection Issues in Medicare + Choice

    Report

    This report describes and analyzes key Medicare+Choice provisions in the Balanced Budget Act and the accompanying regulations related to consumer protections. It explains how the BBA makes significant improvements for beneficiaries in the areas of access, appeals, and quality. It also explores areas that could be strengthened to better serve the needs of the Medicare population, including provisions pertaining to enrollment and disenrollment, information and education, Medigap coverage, and marketing. Report Report

  • National Survey on Medicare: The Next Big Health Policy Debate?

    Report

    A survey of Americans on their knowledge and opinions about the proposed options for Medicare reform finds that most Americans know Medicare faces problems, but are not ready to make hard choices and are not well informed on the options, including Medicare+Choice. The Kaiser/Harvard National Survey on Medicare is a product of the Kaiser-Harvard Program on the Public and Health/Social Policy, which regularly conducts surveys on health and other national issues. It was designed and…

  • Solvency or Affordability?  Ways to Measure Medicare’s Financial Health

    Report

    Solvency or Affordability? Ways to Measure Medicare's Financial Health This report examines different ways of measuring Medicare s financial health and considers their implications for the future of the program and the people it serves. Using an alternative measure of Medicare's long-term affordability that focuses on workers' capacity to absorb additional costs over time, the analysis concludes that the nation could afford to pay more for Medicare in the future without imposing an undue burden…

  • Medicare and Minority Americans

    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 key facts about Medicare's racial and ethnic minority population, who will account for one in three Americans 65 and older by 2025. Fact Sheet

  • Beneath the Averages: An Analysis of Medicare and Private Expenditures

    Report

    This report compares Medicare and private health insurance per capita spending between 1970 and 1997, demonstrating that Medicare has done better or as well as the private sector in controlling the growth in health spending. Using National Health Expenditure accounts data, the analysis reveals the cumulative increase in per capita health care spending was lower for Medicare than the private sector between 1970 and 1997. Medicare most likely maintained its cumulative advantage, due to the…

  • 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…

  • Medicare State Profiles: State and Regional Data on Medicare and the Population it Serves

    Report

    Although Medicare is a national program, there are substantial variations across states and regions in terms of beneficiary characteristics, health needs, and utilization of Medicare-covered services. Likewise, there are also considerable differences in Medicare spending and the emergence of Medicare managed care. In a single resource document, , presents state-by-state demographic data on the Medicare population, along with information on health service utilization, spending, and Medicare HMO penetration. It also provides regional data on the…

  • Post-Election Survey of Voters’ 1997 Health Care Agenda

    Poll Finding

    Post-Election Survey of Voters' 1997 Health Care Agenda A nationally representative sample of 1000 voters, conducted immediately after the 1996 election, examines voters' priorities for the new Congress. Balancing the budget, cutting taxes and spending on public education top the list of voters priorities. The survey also looks at public support for regulating managed care, expanding health insurance coverage, Medicare spending, and the welfare reform law passed last year. Topline Download