Medicare

Managed Care

Medicare
The Basics — January 4, 2016
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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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 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

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

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

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

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

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

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

Medicare Provider Payments: Proposals from MedPAC and the Administration
Forum Session — March 31, 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

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

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

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

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

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

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

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

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

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

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

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

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

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

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