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.

State Profiles for Dual-Eligible Individuals

This data collection draws on Medicare and Medicaid administrative data to present national and state-level information on people who are covered by both Medicare and Medicaid, referred to as dual-eligible individuals (also known as dually-enrolled beneficiaries).

Data Visualization

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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  • How Do Quality and Access Compare In Medicare Advantage Versus Traditional Medicare?

    News Release

    Today a record three in 10 Medicare beneficiaries are enrolled in Medicare Advantage health plans, mainly HMOs and PPOs, which are paid by the government to provide Medicare benefits to their enrollees. Given the projected rise in Medicare Advantage enrollment, an important question for both consumers and policymakers is how quality and access to care compares for beneficiaries in traditional Medicare versus Medicare Advantage plans. To try to answer this question, the Kaiser Family Foundation…

  • Visualizing Health Policy: Medicare Spending: A Look at Present, Short-Term and Long-Term Trends

    News Release

    This Visualizing Health Policy infographic provides an overview of Medicare spending, including information on current federal spending relative to other government programs (e.g., Social Security) and percent-share of spending across Medicare services, as well as projected Medicare spending over the next decade and beyond. Recent federal spending on Medicare is about a third of Defense and Social Security spending combined. In the short term, Medicare spending per person is expected to be lower relative to…

  • New Study Provides Insight and Analysis to Help Explain the Medicare Spending Slowdown

    News Release

    Medicare, the federal health program that provides health care and coverage to 54 million seniors and younger adults with permanent disabilities, is in the midst of an unprecedented slowdown in spending growth.  A new issue brief from the Kaiser Family Foundation, How Much of the Medicare Spending Slowdown Can be Explained? Insights and Analysis from 2014, examines the factors that help explain why Medicare is on track to spend an estimated $580 billion in 2014,…

  • Report Examines the Role of Medicare and the Indian Health Service for American Indians and Alaska Natives

    News Release

    A new report from the Kaiser Family Foundation examines the role of both Medicare and the Indian Health Service (IHS) in providing access to health care for about 650,000 American Indians and Alaska Natives who are age 65 and older or who have permanent disabilities. While Medicare provides important health care coverage for most in this group, its relatively high cost-sharing and gaps in benefits can be problematic for American Indians and Alaska Native Medicare…

  • 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…

  • Analysis of Benefits Offered By Medicare HMOs, 1999: Complexities and Implications

    Report

    This report analyzes supplemental benefits offered and premiums charged by Medicare HMOs nationwide in 1999, assessing the generosity of selected benefits, including prescription drugs. The study finds that the level of monthly premiums charged by Medicare HMOs, and the generosity of many supplemental benefits, especially prescription drugs, vary widely within and across markets. The study also finds that variations in benefits offered by Medicare HMOs can expose beneficiaries to complex choices and have a significant…

  • Health News Index March/April, 2001

    Poll Finding

    Health News Index March/April, 2001   The March/April, 2001 edition of the Kaiser Family Foundation/HarvardSchool of Public Health Health News Index includes questions about major health stories covered in the news, including questions about the financial future of Social Security and Medicare. The Health News Index is designed to help the news media and people in the health field gain a better understanding of which health stories Americans are following and what they understand about…

  • Prescription Drug Coverage for the Medicare Population

    Report

    Diane Rowland, executive director of the Commission, testified to the Subcommittee on Health of the U.S. House Committee on Energy and Commerce about providing prescription drugs to seniors. Her testimony includes discussion of Medicaid's role in providing outpatient drug coverage. Testimony Chart Pack