Medicare

Medicare—the federal health insurance program for adults aged 65 and older and for younger people with permanent disabilities—consists of four parts. Part A, the hospital insurance program, covers inpatient hospital, skilled nursing, and some home health care. For beneficiaries who choose to enroll and pay a monthly premium, Part B, the supplementary medical insurance program, covers outpatient services like physician, laboratory, outpatient hospital, and medical equipment. Medicare Advantage, or Part C, allows beneficiaries to choose to receive their Part A and B benefits through participating private health plans. Part D provides prescription drug coverage through private plans for beneficiaries who enroll and pay the required premium.

The Forum's body of work on Medicare issues focused on the mechanics of its fee-for-service and managed care payment policies, how the payment policies affect the participation of providers and plans, the services available to its beneficiaries, and private payers and the health care market. The Forum also examined the quality assurance mechanisms Medicare has implemented; the role of Medicare in shaping the health care delivery system; the progress and outcomes of Medicare's delivery and payment innovations such as accountable care organizations, bundled payment, and medical homes; and the impact of the Medicare program on the federal budget.

Hospital Discharge Planning in Medicare: Current Requirements and Proposed Changes
The Basics — February 9, 2016
Author: Sally Coberly, PhD

Medicare
The Basics — January 4, 2016
Author: Sally Coberly, PhD

The Medicare Drug Benefit (Part D)
The Basics — January 4, 2016
Author: Sally Coberly, PhD

Meaningful Use: The Right Path for Health IT?
Forum Session — December 4, 2015
Author: Lisa Sprague, MBA

Medicare Part B Premiums and Social Security Benefits
The Basics — November 24, 2015
Author: Sally Coberly, PhD

Accountable Care Organizations (ACOs): Lessons from the Medicare Shared Savings Program
Forum Session — November 13, 2015
Author: Sally Coberly, PhD

Aging in America: Current and Future Trends in Health, Income, Assets and Personal Health Care Spending
Fundamentals Briefing — November 6, 2015
Author: Sally Coberly, PhD

Coordinating Care for Beneficiaries Eligible for Both Medicare and Medicaid: An Update on the "Duals Demos"
Forum Session — October 30, 2015
Author: Sally Coberly, PhD

Graduate Medical Education: Proposals to Modify Medicare Financing
Forum Session — October 23, 2015
Authors: William J. Scanlon, PhD, Senior Consultant & Sally Coberly, PhD

Medicare's Post-Acute Care Payment: An Updated Review of the Issues and Policy Proposals
Issue Brief No. 847 — October 5, 2015
Author: Sally Coberly, PhD

Improving the Quality and Efficiency of Care for Older Adults: Lessons From the Field
Forum Session — September 18, 2015
Author: Sally Coberly, PhD

Site-Neutral Payments for Post-Acute and Ambulatory Care Services: What’s at Stake?
Forum Session — June 5, 2015
Author: Sally Coberly, PhD

Quality Stars: Medicare Advantage Plans and the Star Rating System
Forum Session — May 8, 2015
Author: Lisa Sprague, MBA

The Star Rating System and Medicare Advantage Plans
Issue Brief No. 854 — May 5, 2015
Author: Lisa Sprague, MBA

Annual Report 2014
Annual Report — April 1, 2015
Author: Forum Staff

Incorporating Patient Perspectives in Measuring Quality and Value
Forum Session — March 13, 2015
Author: Lisa Sprague, MBA

Health Policy Essentials 2015
Briefing Book — February 6, 2015

Health Policy Essentials: Medicare and Health Care Spending
Fundamentals Briefing — February 6, 2015
Author: Sally Coberly, PhD

Health Policy Essentials 2015
Briefing Book — February 6, 2015
Authors: Sally Coberly, PhD, Jennifer Jenson, MPH, MPP & Lisa Sprague, MBA

Health Policy Essentials: Common Health Care Acronyms
Tools — February 2, 2015
Author:

Relative Value Units (RVUs)
The Basics — January 12, 2015
Author: Sally Coberly, PhD

Bundled Payment in Medicare and Private Insurance: Version 2.0
Forum Session — December 12, 2014
Authors: Sally Coberly, PhD & William J. Scanlon, PhD, Senior Consultant

Sociodemographic Risk Adjustment: Protecting the Safety Net?
Forum Session — September 26, 2014
Authors: Sally Coberly, PhD & William J. Scanlon, PhD, Senior Consultant

Managing Physician Self-Referral: Recent Evidence and Potential Strategies
Forum Session — July 18, 2014
Authors: William J. Scanlon, PhD, Senior Consultant & Sally Coberly, PhD

Controlling Opioid Drug Excess: Health Plan Interventions
Forum Session — June 20, 2014
Author: Lisa Sprague, MBA

Pioneer ACOs: The Frontier of Delivery System Reform?
Forum Session — June 13, 2014
Author: Sally Coberly, PhD

Moving Toward Global Payment: Maryland’s New All-Payer Model
Forum Session — May 30, 2014
Author: Sally Coberly, PhD

Transforming Payment and Health Care Delivery: Early Reports from the State Innovation Model (SIM) Initiative
Forum Session — April 18, 2014
Author: Jessamy Taylor, MPP

Annual Report 2013
Annual Report — April 1, 2014
Author: Forum Staff

Sorting Out the Complex World of Medicare Post-Acute Care
Forum Session — March 18, 2014
Authors: William J. Scanlon, PhD, Senior Consultant & Sally Coberly, PhD

Telehealth: Into the Mainstream?
Issue Brief No. 853 — March 10, 2014
Author: Lisa Sprague, MBA

Medicaid Health Homes: Delivery System Glue for People with Chronic Health Conditions
Forum Session — December 13, 2013
Author: Jessamy Taylor, MPP

CMS-State Demonstration for Medicare-Medicaid Beneficiaries: Implementing the Financial Alignment Initiative
Forum Session — December 6, 2013
Author: Carol V. O'Shaughnessy, MA

Seeking Value in Medicare: Addressing Quality and Cost
Forum Session — November 22, 2013
Author: Lisa Sprague, MBA

Seeking Value in Medicare: Performance Measurement for Clinical Professionals
Issue Brief No. 852 — October 30, 2013
Author: Lisa Sprague, MBA

Transforming Behavioral Health Practice, Payment, and Policy: Too Fast, Too Slow, or Just Right?
Forum Session — September 20, 2013
Author: Jessamy Taylor, MPP

Replacing the SGR: Changing the Paradigm for Medicare Physician Payment?
Forum Session — September 20, 2013
Authors: William J. Scanlon, PhD, Consultant & Sally Coberly, PhD

Restructuring Medicare Cost Sharing: Exploring Options to Protect Low-Income Beneficiaries
Forum Session — August 2, 2013
Author: Sally Coberly, PhD

Medicare Advantage Update: Benefits, Enrollment, and Payments After the ACA
Issue Brief No. 850 — July 19, 2013
Author: Kathryn Linehan

The Affordable Care Act and HIV/AIDS: Implications for Coverage, Access to Care, and Payment
Forum Session — July 19, 2013
Author: Jessamy Taylor, MPP

The Medicare Hospital Readmissions Reduction Program: Time for an Update?
Forum Session — June 21, 2013
Authors: Sally Coberly, PhD & William J. Scanlon, PhD, Consultant

EMS "Hot Spotting": San Diego's Experience Creating a System of Care for Frequent Users of Emergency Medical Services
Forum Session — June 14, 2013
Author: Jessamy Taylor, MPP

Getting the Price Right: Ensuring Access and Promoting Efficiency in Medicare Advantage
Forum Session — May 17, 2013
Author: Kathryn Linehan

Health Policy Essentials: Aging in America: Trends in Income, Health, and Personal Health Care Spending
Fundamentals Briefing — April 12, 2013
Author: Carol V. O'Shaughnessy, MA

Rethinking Medicare's Cost Sharing and Supplemental Coverage: Options and Implications
Forum Session — April 12, 2013
Author: Kathryn Linehan

Annual Report 2012
Annual Report — April 1, 2013
Author: Forum Staff

Pursuing High-Quality Care for an Aging Population: Challenges and Opportunities
Forum Session — March 29, 2013
Author: Lisa Sprague, MBA

The "Coopetition" Model: Caring for San Diego's Low-Income Population
Site Visit — February 19–20, 2013
Authors: Lisa Sprague, MBA & Jessamy Taylor, MPP

Health Policy Essentials: Medicare and Health Care Spending
Fundamentals Briefing — February 8, 2013
Authors: Kathryn Linehan & Sally Coberly, PhD

Changes in Latitudes, Changes in Attitudes: FQHCs and Community Clinics in a Reformed Health Care Market
Issue Brief No. 848 — December 18, 2012
Author: Jessamy Taylor, MPP

Breaking Down Silos of Care: Integration of Social Support Services with Health Care Delivery
Forum Session — October 19, 2012
Author: Carol V. O'Shaughnessy, MA

Spending Trends in Private Insurance and Medicare: Variations on a Theme
Forum Session — September 28, 2012
Authors: Sally Coberly, PhD & William J. Scanlon, PhD, Consultant

Is Health Care Eating Our Lunch? The Impact of Cost Trends on Workers and Retirees
Forum Session — July 20, 2012
Author: Sally Coberly, PhD

Examining the Condition of the Health Care Safety Net: Time to Re-Cast?
Forum Session — May 18, 2012
Author: Jessamy Taylor, MPP

Medicaid Managed Long-Term Services and Supports (MMLTSS): Increasing State Interest and Implications for Consumers, Quality of Care, Providers, and Costs
Forum Session — May 11, 2012
Author: Carol V. O'Shaughnessy, MA

Bundled Payment in Medicare: Promise, Peril, and Practice
Forum Session — April 20, 2012
Author: Kathryn Linehan

Targeting High-Cost Medicare Beneficiaries to Improve Care and Reduce Spending: Finding the Bull’s-Eye
Forum Session — March 9, 2012
Author: Sally Coberly, PhD

Recent Proposals to Limit Medigap Coverage and Modify Medicare Cost Sharing
Issue Brief No. 845 — February 24, 2012
Author: Kathryn Linehan

Mission Possible II: Reducing Health Care Costs Through Administrative Simplification
Forum Session — February 24, 2012
Author: Michele J. Orza, ScD

Assessing Progress on Improving the Data Behind Medicare’s Physician Fee Schedule
Forum Session — February 17, 2012
Author: Kathryn Linehan

Improving Care for Dual Eligible Medicare-Medicaid Beneficiaries: One Size Does Not Fit All
Forum Session — January 27, 2012
Author: Carol V. O'Shaughnessy, MA

Medicare Supplemental Coverage: Weighing the Consequences and Trade-Offs for Medicare Spending and Beneficiaries
Forum Session — December 9, 2011
Author: Kathryn Linehan

Mission Possible? Saving on Health Care Costs by Reducing Unnecessary Services
Forum Session — December 2, 2011
Author: Michele J. Orza, ScD

Preventing Hospital Readmissions: How Can Care Transitions for Medicare Beneficiaries Be Improved?
Forum Session — October 28, 2011
Author: Carol V. O'Shaughnessy, MA

Revisiting Financing and Delivery of Care to Duals: One Size May Not Fit All
Special Briefing — October 21, 2011
Author: Carol V. O'Shaughnessy, MA

Graduate Medical Education: Producing the Right Workforce for Tomorrow?
Forum Session — October 7, 2011
Authors: Rob Cunningham, Consultant & William J. Scanlon, PhD, Consultant

Aligning Graduate Medical Education with Public Policy
Background Paper No. 82 — September 14, 2011
Author: Rob Cunningham, Consultant

Fiscal Pressure and Hospital Financial Position
Forum Session — July 29, 2011
Authors: Laura A. Dummit & Kathryn Linehan

Medical Care for the Elderly Living at Home: Home-Based Primary Care (HBPC) and Hospital-at-Home Programs
Forum Session — July 22, 2011
Author: Carol V. O'Shaughnessy, MA

Rocky Mountain Highs and Lows: Efforts to Improve Health and Reduce Costs in Denver
Site Visit — May 31–June 2, 2011
Authors: Michele J. Orza, ScD & Jessamy Taylor, MPP

Medicare's Vision of Accountable Care Organizations: Will Providers Have the Same View?
Forum Session — May 20, 2011
Author: Laura A. Dummit

Boomers and the Budget: Implications of an Aging Society
Forum Session — May 13, 2011
Author: Carol V. O'Shaughnessy, MA

Health Policy Essentials: The Fundamentals of Long-Term Services and Supports
Fundamentals Briefing — April 1, 2011
Author: Carol V. O'Shaughnessy, MA

Physician Self-Referral and Health Care Utilization
Forum Session — April 1, 2011
Author: Laura A. Dummit

Medicare's Bundling Pilot: Including Post-Acute Care Services
Issue Brief No. 841 — March 28, 2011
Author: Laura A. Dummit

Caring for Patients with Advanced and Serious Illnesses: Changing Medical Practice and Patient Expectations
Forum Session — March 18, 2011
Author: Carol V. O'Shaughnessy, MA

Health Policy Essentials: The Fundamentals of the SGR: Getting a Fix on Medicare’s Physician Spending
Fundamentals Briefing — March 4, 2011
Author: Laura A. Dummit

Health Policy Essentials: The Fundamentals of Health Care Spending, Growth, and Managing Costs
Fundamentals Briefing — February 18, 2011
Author: Laura A. Dummit

Health Policy Essentials: The Fundamentals of Medicare, Medicaid, and CHIP
Fundamentals Briefing — February 11, 2011
Authors: Sally Coberly, PhD, Laura A. Dummit & Kathryn Linehan

Insurer-Provider Payment Negotiations: Implications for Health Spending
Forum Session — December 10, 2010
Author: Mary Ellen Stahlman

The Cost of Hospital Care
Forum Session — October 8, 2010
Author: Laura A. Dummit

The Primary Care Safety Net: Strained, Transitioning, Critical
Background Paper No. 79 — September 28, 2010
Author: Jessamy Taylor, MPP

Medicare and Medicaid Dual Eligibles: Meeting Diverse, Complex, and Costly Needs
Forum Session — July 23, 2010
Author: Christie Provost Peters

Medicare Physician Fees: The Data Behind the Numbers
Issue Brief No. 838 — July 22, 2010
Author: Laura A. Dummit

Focus on Reform: How a Law Becomes a Reg - Regulatory Processes to Implement Legislation
Forum Session — July 22, 2010
Author: Judith D. Moore

Focus on Reform: Health Care Safety Net-Related Provisions
Forum Session — July 16, 2010
Author: Jessamy Taylor, MPP

Focus on Reform: Public Health Provisions
Forum Session — June 25, 2010
Authors: Jessamy Taylor, MPP & Michele J. Orza, ScD

Health Care Cost Drivers in Massachusetts: Lessons for Federal Policymakers
Forum Session — June 21, 2010
Author: Mary Ellen Stahlman

Health Care Shortage Designations: HPSA, MUA, and TBD
Background Paper No. 75 — June 4, 2010
Author: Eileen Salinsky, Consultant

Heath Care Spending: Why Is Miami an Outlier?
Site Visit — June 2–4, 2010
Authors: Laura A. Dummit & Mary Ellen Stahlman

Geographic Variation in Health Care Spending: What Do We Know, and Why Does It Matter?
Forum Session — May 21, 2010
Author: Laura A. Dummit

The State Health Insurance Assistance Program (SHIP)
The Basics — March 29, 2010
Author: Carol V. O'Shaughnessy, MA

Medicare Fee Schedule: What’s the RUC Got to Do With It?
Small-Group Session — March 5, 2010
Author: Laura A. Dummit

Assessing and Ensuring Health Plan Provider Network Adequacy
Forum Session — February 26, 2010
Author: Kathryn Linehan

Health Information Exchange: Building the Infrastructure for Better Care
Forum Session — January 14, 2010
Authors: Rob Cunningham, Consultant & Lisa Sprague, MBA

Health Care Provider Consolidation and Reform
Forum Session — November 13, 2009
Author: Laura A. Dummit

Prevention and Early Detection of Health Care Fraud, Abuse, and Waste
Forum Session — October 30, 2009
Author: Mary Ellen Stahlman

Coverage and Payment for Prescription Drugs Under Medicare Part B: A Complex Patchwork
Background Paper No. 70 — August 31, 2009
Author: Amanda Cassidy, Consultant

The Medicare Drug Benefit: Update on the Low-Income Subsidy
Issue Brief No. 833 — July 31, 2009
Author: Mary Ellen Stahlman

High Rehospitalization Rates: Causes, Costs, and Accountability
Forum Session — May 29, 2009
Author: Laura A. Dummit

Great Expectations: Managing the Centers for Medicare & Medicaid Services
Forum Session — May 1, 2009
Author: Laura A. Dummit

Coordinating Care for People with Multiple Chronic Conditions: The Guided Care Model and Other Innovative Approaches
Site Visit — April 17 & August 7, 2009
Authors: Judith D. Moore & Carol V. O'Shaughnessy, MA

Promising Models of Care Coordination for Adults with Multiple Chronic Conditions: Getting Closer to the Holy Grail?
Forum Session — April 3, 2009
Author: Carol V. O'Shaughnessy, MA

Coordinating Care for Adults with Multiple Chronic Conditions: Searching for the Holy Grail
Forum Session — March 27, 2009
Author: Carol V. O'Shaughnessy, MA

Medicaid, Employers, and Medigap: Wrapping Around Medicare
Fundamentals Briefing — February 6, 2009
Author: Mary Ellen Stahlman

The World of Prescription Drugs: Approvals, Pricing, and Purchasing
Fundamentals Briefing — January 30, 2009
Authors: Laura A. Dummit & Mary Ellen Stahlman

Understanding Medicare and Medicaid: Fundamentals and Issues for the New Congress
Fundamentals Briefing — January 15–16, 2009
Authors: Christie Provost Peters, Jennifer Ryan & Mary Ellen Stahlman

Medicare and Medicaid Demonstrations: Experimenting for the Future
Forum Session — December 11, 2008
Authors: Mary Ellen Stahlman & Jennifer Ryan

Medical Imaging Services: Utilization, Spending, and Appropriateness
Forum Session — November 13, 2008
Author: Laura A. Dummit

Primary Care Physician Supply, Physician Compensation, and Medicare Fees: What Is the Connection?
Issue Brief No. 827 — November 3, 2008
Author: Laura A. Dummit

Exploring Comparative Effectiveness: Fundamentals and Controversies of Cost-Effectiveness Analysis
Forum Session — October 30, 2008
Author: Michele J. Orza, ScD

Medicare's Hospice Benefit: In the Spotlight
Forum Session — August 1, 2008
Author: Mary Ellen Stahlman

Medicare Demonstrations
The Basics — July 30, 2008
Author: Amanda Cassidy, Consultant

The Fundamentals of Medicare Demonstrations
Background Paper No. 63 — July 22, 2008
Author: Amanda Cassidy, Consultant

Physician Income and Medical Practice Differences Across Specialties: Should Medicare Care?
Small-Group Session — May 2, 2008
Author: Laura A. Dummit

Employer Use of Medicare Private Fee-for-Service Plans as a Retiree Health Benefit
Forum Session — April 11, 2008
Author: Mary Ellen Stahlman

Running Up the Health Care Tab: Will We Have Buyer's Remorse?
Forum Session — January 17, 2008
Authors: Mary Ellen Stahlman & Christie Provost Peters

The Ethics in Patient Referrals Act: The Stark Law and the Practice of Medicine
Forum Session — December 14, 2007
Author: Laura A. Dummit

Medicare Advantage Special Needs Plans Reauthorization: What Should Congress Consider?
Forum Session — November 30, 2007
Author: Christie Provost Peters

Medicare Drug Utilization Management: Balancing Cost, Convenience, and Access
Forum Session — October 19, 2007
Author: Mary Ellen Stahlman

Medicare Advantage Payment Policy
Background Paper — September 24, 2007
Author: Mark Merlis, Consultant

Physician Profiling: Can Medicare Paint an Accurate Picture?
Issue Brief No. 825 — September 10, 2007
Author: Laura A. Dummit

Medicare's Use of Risk Adjustment
Background Paper — August 21, 2007
Author: Gerald F. Kominski, PhD

What Can Physician Profiling Do for Medicare?
Forum Session — July 13, 2007
Author: Laura A. Dummit

Medicare Advantage in 2007: What Are the Choices?
Forum Session — June 22, 2007
Author: Mary Ellen Stahlman

Getting the Fees "Right" and Medicare Physician Spending
Forum Session — June 1, 2007
Author: Laura A. Dummit

The Prescription Drug Safety Net: Access to Pharmaceuticals for the Uninsured
Background Paper — May 9, 2007
Author: Jack Hoadley, PhD

Understanding Medicare and Medicaid: Fundamentals and Issues for the New Congress
Fundamentals Briefing — February 22–23, 2007
Authors: Christie Provost Peters & Mary Ellen Stahlman

A Report from the Forum Session "Complexity, Coordination and Compromise: States and the Medicare Drug Benefit" (August 4, 2006)
Meeting Report — December 6, 2006
Author: Lee Partridge, Consultant

Medicare and Mental Health: The Fundamentals
Background Paper — November 27, 2006
Authors: Christopher W. Loftis, PhD & Eileen Salinsky

The Medicare PDP Market: Build It and the Plans Will Come
Forum Session — November 17, 2006
Author: Mary Ellen Stahlman

Updating Medicare's Physician Fees: The Sustainable Growth Rate Methodology
Issue Brief No. 818 — November 10, 2006
Author: Laura A. Dummit

The Nuts and Bolts of PDPs
Issue Brief No. 817 — November 8, 2006
Author: Mary Ellen Stahlman

Medicare Physician Spending: Past as Prologue?
Forum Session — October 13, 2006
Author: Laura A. Dummit

Medicare Physician Payments and Spending
Issue Brief No. 815 — October 9, 2006
Author: Laura A. Dummit

Complexity, Coordination and Compromise: States and the Medicare Drug Benefit
Forum Session — August 4, 2006
Authors: Judith D. Moore & Jennifer Ryan

A Closer Look at the Medicare Part D Low–Income Benchmark Premium: How Low Can It Go?
Issue Brief No. 813 — August 2, 2006
Author: Mary Ellen Stahlman

Medicare Provider Payments: Proposals from MedPAC and the Administration
Forum Session — March 31, 2006
Author: Laura A. Dummit

Physician Spending Growth: Do We Get What We Pay For?
Forum Session — March 17, 2006
Author: Laura A. Dummit

Health Benefits in Retirement: Set for Extinction?
Background Paper — February 8, 2006
Author: Mark Merlis, Consultant

Medicare Advantage Special Needs Plans: A New Opportunity for Integrated Care?
Forum Session — November 18, 2005
Author: Christie Provost Peters

Medicare Advantage SNPs: A New Opportunity for Integrated Care?
Issue Brief No. 808 — November 11, 2005
Author: Christie Provost Peters

Medicare Health Support: Working with Physicians?
Forum Session — October 21, 2005
Author: Lisa Sprague, MBA

A Report from the Forum Session “Implementing the Medicare Prescription Drug Benefit: Continuing Challenges for States”
Meeting Report — September 22, 2005
Author: Lee Partridge, Consultant

One Pill, Many Prices: Variation in Prescription Drug Prices in Selected Government Programs
Issue Brief No. 807 — August 29, 2005
Author: Dawn M. Gencarelli

Specialty Hospitals: Can General Hospitals Compete?
Issue Brief No. 804 — July 13, 2005
Author: Laura A. Dummit

Implementing the New Medicare Drug Benefit: Continuing Challenges For States
Forum Session — July 12, 2005
Author: Judith D. Moore

How Will They Know? Where Will They Go? Education and Outreach for the Medicare Drug Benefit
Forum Session — June 10, 2005
Author: Judith D. Moore

Understanding Medicare Advantage Bidding and Payment: Effects on Plan Choice and Beneficiary Premiums
Forum Session — April 28, 2005
Author: Nora Super

Exploring California's Rural Health System: From the Redwood Forests to the Baja Border
Site Visit — March 29–31, 2005
Authors: Eileen Salinsky & Jessamy Taylor, MPP

Understanding Medicare and Medicaid: Fundamentals and Issues for the New Congress
Fundamentals Briefing — January 13–14, 2005
Authors: Nora Super & Jennifer Ryan

Implementing the Formulary Requirements Under the New Medicare Prescription Drug Benefit
Forum Session — December 1, 2004
Author: Dawn M. Gencarelli

From 10 to 50: Options for Medicare Advantage Plan Regions
Forum Session — September 17, 2004
Author: Nora Super

A Report from the Forum Session "Implementing the New Medicare Drug Benefit: Challenges and Opportunities for States"
Meeting Report — August 31, 2004
Authors: Judith D. Moore & Jennifer Ryan

Implementing the New Medicare Drug Benefit: Challenges and Opportunities for States
Forum Session — July 22, 2004
Authors: Judith D. Moore & Jennifer Ryan

Medicare's Chronic Care Improvement Pilot Program: What Is Its Potential?
Issue Brief No. 797 — May 10, 2004
Author: Nora Super

Implementing the MMA: Insights from Two Seasoned Administrators
Forum Session — April 13, 2004
Author: Judith D. Moore

Evidence- and Value-Based Approaches to Drug Formularies: What Role Will They Play in the Medicare Prescription Drug Benefit?
Forum Session — February 6, 2004
Author: Dawn M. Gencarelli

Bridging Silos, Part I: Linkages among the DI, SSI, Medicare, and Medicaid Programs
Background Paper — November 14, 2003
Author: Karen Matherlee

Bridging Silos, Part II: DI, SSI, Medicare, and Medicaid Issues and Initiatives
Background Paper — November 14, 2003
Author: Karen Matherlee

Dually Eligible for Medicare and Medicaid: Two for One or Double Jeopardy?
Forum Session — October 22, 2003
Authors: Nora Super & Jennifer Ryan

Dually Eligible for Medicare and Medicaid: Two for One or Double Jeopardy?
Issue Brief No. 794 — September 30, 2003
Authors: Jennifer Ryan & Nora Super

The Medicare Prescription Drug Proposals and Health Insurance Risk
Forum Session — September 25, 2003
Author: Dawn M. Gencarelli

Shaping Public Programs through Medicare, Medicaid, and SCHIP Waivers: The Fundamentals
Background Paper — September 15, 2003
Author: Cynthia Shirk, Consultant

The Medicare Prescription Drug Proposals and Health Insurance Risk
Issue Brief No. 793 — September 4, 2003
Author: Dawn M. Gencarelli

The Geography of Medicare: Explaining Differences in Payment and Costs
Forum Session — July 30, 2003
Author: Nora Super

Preferred Provider Organizations: Bringing the Mainstream to Medicare?
Forum Session — July 9, 2003
Author: Lisa Sprague, MBA

The Geography of Medicare: Explaining Differences in Payment and Costs
Issue Brief No. 792 — July 3, 2003
Author: Nora Super

Medicare and Chronic Conditions: Breaking Down Barriers to Better Care
Forum Session — March 26, 2003
Author: Nora Super

Understanding Medicare and Medicaid: Fundamentals and Issues for the New Congress
Fundamentals Briefing — January 23–24, 2003
Authors: Nora Super & Jennifer Ryan

A Medicare Prescription Drug Benefit: Exploring Issues Raised in a CBO Report
Forum Session — November 25, 2002
Author: Robin J. Strongin, Consultant

The Medicare and Medicaid Intersection: Caring for Arizona's Seniors
Site Visit — November 12–14, 2002
Authors: Nora Super, Lisa Sprague, MBA & Judith D. Moore

Medigap: Prevalence, Premiums, and Opportunities for Reform
Forum Session — October 2, 2002
Author: Nora Super

Medigap: Prevalence, Premiums, and Opportunities for Reform
Issue Brief No. 782 — September 9, 2002
Author: Nora Super

Managing Advanced Illness: A Quality and Cost Challenge to Medicare, Medicaid, and Private Insurers
Forum Session — July 18, 2002
Author: Karen Matherlee

Average Wholesale Price for Prescription Drugs: Is There a More Appropriate Pricing Mechanism?
Forum Session — July 12, 2002
Author: Dawn M. Gencarelli

Modernizing Medicare: The Homebound Rule and Next Steps
Small-Group Session — July 10, 2002
Author: Judith D. Moore

Managing Advanced Illness: A Quality and Cost Challenge to Medicare, Medicaid, and Private Insurers
Issue Brief No. 779 — June 20, 2002
Author: Karen Matherlee

Average Wholesale Price for Prescription Drugs: Is There a More Appropriate Pricing Mechanism?
Issue Brief No. 775 — June 7, 2002
Author: Dawn M. Gencarelli

Pharmacy Benefits: New Concepts in Plan Design
Forum Session — April 26, 2002
Authors: Veronica V. Goff, Consultant & Sally Coberly, PhD

Pharmacy Benefits: New Concepts in Plan Design
Issue Brief No. 772 — March 8, 2002
Author: Veronica V. Goff, Consultant

Transitions along the Continuum of Care: Elderly and Disabled Persons in New York
Site Visit — March 4–5, 2002
Authors: Lisa Sprague, MBA & Nora Super

From Diagnosis to Payment: The Dynamics of Coding Systems for Hospital, Physician, and Other Health Services
Background Paper — January 25, 2002
Author: Karen Matherlee

Managed Care: As Good As It Gets? (Los Angeles)
Site Visit — January 8–11, 2002
Authors: Lisa Sprague, MBA & Sally Coberly, PhD

Reconsidering Medicare+Choice: What Options Remain?
Forum Session — November 28, 2001
Author: Nora Super

Medicare Coverage: Lessons from the Past, Questions for the Future
Forum Session — November 2, 2001
Author: Robin J. Strongin, Consultant

Medicare Coverage: Lessons from the Past, Questions for the Future
Background Paper — August 2001
Author: Robin J. Strongin, Consultant

Pharmacy Benefit Managers: A Model for Medicare?
Issue Brief No. 765 — July 9, 2001
Author: Veronica V. Goff, Consultant

Pharmacy Benefit Managers: A Model for Medicare?
Forum Session — July 9, 2001
Author: Veronica V. Goff, Consultant

Federal and State Perspectives on GME Reform
Issue Brief No. 764 — June 22, 2001
Author: Karen Matherlee

Federal and State Perspectives on GME Reform
Forum Session — June 22, 2001
Author: Karen Matherlee

Health Care Financing Administration Central Office
Site Visit — May 5, 2001
Author: Nora Super

State-Based Pharmaceutical Assistance Programs: Temporary Fix or Lessons for Medicare?
Issue Brief No. 762 — April 25, 2001
Author: Robin J. Strongin, Consultant

State-Based Pharmaceutical Assistance Programs: Temporary Fix or Lessons for Medicare?
Forum Session — April 25, 2001
Author: Robin J. Strongin, Consultant

Reflections on HCFA: Former Administrators Speak Their Minds
Forum Session — February 23, 2001
Author: Nora Super

Medicare+Choice: Where to from Here?
Issue Brief No. 758 — September 8, 2000
Author: Nora Super

Medicare+Choice: Where to from Here?
Forum Session — September 8, 2000
Author: Nora Super

HCFA's Outpatient PPS: Finally Ready to Roll?
Issue Brief No. 756 — June 16, 2000
Author: Karen Matherlee

HCFA's Outpatient PPS: Finally Ready to Roll?
Forum Session — June 16, 2000
Author: Karen Matherlee

Hospital-Based Health Care Systems: The Post-BBA Era
Workshop — April 27–28, 2000
Authors: Nora Super, Lisa Sprague, MBA & Karen Matherlee

Site Visit to Seattle — University of Washington Academic Medical Center
Site Visit — April 10–11, 2000
Author: Karen Matherlee

Designing a Medicare Prescription Drug Benefit: Safety and Structure Considerations
Forum Session — March 31, 2000
Author: Robin J. Strongin

Site Visit to Detroit — Henry Ford Health System
Site Visit — March 20, 2000
Author: Lisa Sprague, MBA

Site Visit to Richmond and Hampton Roads — Bon Secours Health System, Inc.
Site Visit — March 16–17, 2000
Author: Nora Super

Beyond Survey Data: Prescription Drugs, Medicare, and Managed Care
Forum Session — March 10, 2000
Author: Robin J. Strongin

Medicare Competitive Pricing: Lessons Being Learned in Phoenix and Kansas City
Issue Brief No. 750 — November 8, 1999
Author: Nora Super

Medicare Competitive Pricing: Lessons Being Learned in Phoenix and Kansas City
Forum Session — November 8, 1999
Author: Nora Super

The ABCs of PBMs
Issue Brief No. 749 — October 27, 1999
Author: Robin J. Strongin

The ABCs of PBMs
Forum Session — October 27, 1999
Author: Robin J. Strongin

Access to Home Health Services under Medicare's Interim Payment System
Issue Brief No. 744 — July 13, 1999
Author: Nora Super

Access to Home Health Services under Medicare's Interim Payment System
Forum Session — July 13, 1999
Author: Nora Super

Implementing the BBA: The Challenge of Moving Medicare Post-Acute Services to PPS
Issue Brief No. 743 — July 7, 1999
Author: Karen Matherlee

Implementing the BBA: The Challenge of Moving Medicare Post-Acute Services to PPS
Forum Session — July 7, 1999
Author: Karen Matherlee

Canada's Generalist Training: Are There Lessons for the United States?
Issue Brief No. 742 — June 25, 1999
Author: Lee A. Hawkins, Consultant

Canada's Generalist Training: Are There Lessons for the United States?
Forum Session — June 25, 1999
Author: Lee A. Hawkins, Consultant

Providing Outpatient Prescription Drugs through Medicare: Can We Afford To? Can We Afford Not To?
Forum Session — April 8, 1999
Author: Robin J. Strongin

Margins As Measures: Gauging Hospitals' Financial Health
Issue Brief No. 734 — March 30, 1999
Author: Karen Matherlee

Margins As Measures: Gauging Hospitals' Financial Health
Forum Session — March 30, 1999
Author: Karen Matherlee

Examining the Links between Retirement and Health Insurance: Implications for Medicare Eligibility
Issue Brief No. 733 — March 24, 1999
Author: Nora Super

Examining the Links between Retirement and Health Insurance: Implications for Medicare Eligibility
Forum Session — March 24, 1999
Author: Nora Super

Providing Outpatient Prescription Drugs through Medicare: Can We Afford To? Can We Afford Not To?
Background Paper — March 1999
Author: Robin J. Strongin

Medicare HMO Pullouts: What Do They Portend for the Future of Medicare+Choice?
Issue Brief No. 730 — February 5, 1999
Author: Nora Super

Medicare HMO Pullouts: What Do They Portend for the Future of Medicare+Choice?
Forum Session — February 5, 1999
Author: Nora Super

Filling the Geriatric Gap: Is the Health System Prepared for an Aging Population?
Issue Brief No. 729 — January 25, 1999
Author: Janet Firshein, Consultant

Filling the Geriatric Gap: Is the Health System Prepared for an Aging Population?
Forum Session — January 25, 1999
Authors: Janet Firshein, Consultant & Nora Super

Site Visit to Southern California — Plans and Providers: Risk, Accountability, and Staying Power
Site Visit — November 17–20, 1998
Authors: Lisa Sprague, MBA & Sandra M. Foote

Communicating to Beneficiaries about Medicare+Choice: Opportunities and Pitfalls
Issue Brief No. 723 — July 24, 1998
Author: Nora Super

Communicating to Beneficiaries about Medicare+Choice: Opportunities and Pitfalls
Forum Session — July 24, 1998
Authors: Nora Super & Sandra M. Foote

Medicare Coverage and Technology Diffusion: Past, Present, and Future
Issue Brief No. 722 — July 9, 1998
Author: Robin J. Strongin

Medicare Coverage and Technology Diffusion: Past, Present, and Future
Forum Session — July 9, 1998
Author: Robin J. Strongin

Federal Support of Medical Education: Framing the Issues for the Systems Reform Debate
Issue Brief No. 648 — May 6, 1994
Author: Karen Matherlee

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