Medicare

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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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  • Characteristics of the Medicare Population

    Feature

    Characteristics of the Medicare Population Download Source Urban Institute and Kaiser Family Foundation analysis, 2012; Kaiser Family Foundation analysis of the Centers for Medicare & Medicaid Services Medicare Current Beneficiary 2009 Cost and Use file.

  • Medicare 2008 Benefits Table

    Report

    2008 Medicare Benefits Table Summary of Traditional Medicare, 2008 PART A Financing: 1.45% for both workers and employers No premiums* Benefits: Inpatient hospital - Days 1-60 - Days 61-90 - Days 91-150 - After 150 days Deductible of $1,024 per benefit period** No coinsurance $256 a day $512 a day No benefits Skilled nursing facility - Days 1-20 - Days 21-100 - After 100 days No coinsurance $128 a day No benefits Home health No…

  • New Resources and Briefing Explore Nursing Home Reform Twenty Years After Passage of Landmark Law

    Event Date:
    Event

    To mark the 20th anniversary of the passage of landmark federal legislation to improve the quality of nursing home care, the Omnibus Budget Reconciliation Act of 1987 (known as OBRA 87), the Kaiser Family Foundation released new resources and cosponsored a Washington, D.C. briefing. Among the resources released were new opinion poll results on the public’s views about the quality of long-term care services in the United States; the short film, “Nursing Home Reform: Then…

  • Individuals With Disabilities and their Experiences with Medicaid Managed Care

    Report

    Today, one out of every four disabled Medicaid beneficiaries receives health care through managed care. This Background Paper provides insights into how Medicaid managed care is working for individuals with disabilities, based on the findings from seven focus groups held in Florida and New Mexico. The key findings show that adults and children with disabilities feel alone in managing their health care and that important components of managed care - coordination and gatekeeping role that…

  • The Future of Retiree Health Benefits: Challenges and Options

    Event Date:
    Event

    Tricia Neuman, Vice President and Director of the Medicare Policy Project testified before the House Subcommittee on Employer-Employee Relations on retiree health coverage for older Americans. The statement describes the health needs of aging adults and the importance of health insurance coverage at a time in their lives when they face increasing health problems. It then reviews insurance challenges facing both early retirees, as well as retirees who are 65 and older, against the backdrop…