Fact sheets: Fiscal Year 2015 Payment and Policy Changes for Medicare Inpatient Rehabilitation Facilities

CMS: Thursday, July 31, 2014 Overview.  On July 31, 2014, the Centers for Medicare & Medicaid Services (CMS) issued a final rule updating fiscal year (FY) 2015 Medicare payment policies and rates for the Inpatient Rehabilitation Facility Prospective Payment System (IRF PPS) and the IRF Quality Reporting Program (IRF QRP). CHANGES TO IRF PAYMENT POLICIES AND […]

Press release: Medicare prescription drug premiums projected to remain low

CMS: Thursday, July 31, 2014 Medicare prescription drug premiums projected to remain low On the heels of the 49th anniversary of the signing of Medicare and Medicaid into law, the Centers for Medicare & Medicaid Services (CMS) projected today that the average premium for a basic Medicare Part D prescription drug plan in 2015 will increase by […]

Total Cost of Care Lower among Medicare Fee-for-Service Beneficiaries Receiving Care from Patient-Centered Medical Homes

Wiley Online Library: 30 JUL 2014 Objective To compare health care utilization and payments between NCQA-recognized patient-centered medical home (PCMH) practices and practices without such recognition. Data Sources Medicare Part A and B claims files from July 1, 2007 to June 30, 2010, 2009 Census, 2007 Health Resources and Services Administration and CMS Utilization file, Medicare’s […]

Medicare’s Hospice Benefit: Analysis of Utilization and Resource Use

CMS: 7/29/14 Susan Bogasky,1 Steven Sheingold,1 and Sally C. Stearns2 1Department of Health and Human Services—Office of the Assistant Secretary for Planning and Evaluation 2The University of North Carolina at Chapel Hill—Gillings School of Global Public Health Objective: This work provides descriptive statistics on hospice users. It also explores the magnitude of relative resource use during hospice episodes […]

Over 8.2 million seniors have saved more than $11.5 billion on prescription drugs since 2010

HHS: July 29, 2014 Findings come on eve of Medicare’s 49th anniversary Information released today by the Department of Health and Human Services shows that more than 8.2 million seniors and people with disabilities with Medicare continue to enjoy prescription drug savings as a result of the Affordable Care Act, saving $11.5 billion since 2010. This […]

Medicare Part B Intensity and Volume Offset

Wiley: 22 JUL 2014 SUMMARY Under Medicare Part B, adjustments to the fee schedule are made under the assumption that physicians and hospitals make up for fee reductions through increased service provision called ‘volume offsetting’. While historically, researchers have found evidence of volume offsetting, more recent studies have called into question its magnitude and existence. […]

How Much Is Enough? Out-of-Pocket Spending Among Medicare Beneficiaries: A Chartbook

KFF: Jul 21, 2014 As part of efforts to rein in the federal budget and constrain the growth in Medicare spending, some policy leaders and experts have proposed to increase Medicare premiums and cost-sharing obligations.  Today, 54 million people ages 65 and over and younger adults with permanent disabilities rely on Medicare to help cover […]

The Implications of Demographic Change on the Future of Medicare: Racial and Gender Disparities in Longevity, Physical Stature, and Lifetime Medicare Expenditures

Cambridge: 18 July 2014 Medicare is the most important publicly financed insurance programme in the US, with an annual budget at $500 billion or higher. It covers the majority of the inpatient, outpatient and prescription drugs expenditures of the seniors from age sixty-five until death. Using nationally representative data of current Medicare beneficiaries, this study […]

Part D Payment for Drugs for Beneficiaries Enrolled in Medicare Hospice

CMS: July 18, 2014 On June 25, 2014, CMS met with a number of stakeholder groups to discuss the implementation of the final 2014 guidance on Part D payment for beneficiaries enrolled in the Medicare hospice benefit (memorandum dated March 10, 2014). Beneficiary advocates, hospice providers, Part D sponsors/pharmacy benefit managers, and pharmacies discussed their […]

The Early Effects of Medicare’s Mandatory Hospital Pay-for-Performance Program

Wiley: 15 JUL 2014 Objective To evaluate the impact of hospital value-based purchasing (HVBP) on clinical quality and patient experience during its initial implementation period (July 2011–March 2012). Data Sources Hospital-level clinical quality and patient experience data from Hospital Compare from up to 5 years before and three quarters after HVBP was initiated. Study Design Acute […]

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