All Articles In 'Medicare Waivers'
Medicare Special Needs Plans: MedPAC Recommendations on Future of Special Needs Plans
Special Needs Plans (SNP) are part of the Medicare Advantage program and were created by the Medicare Modernization Act of 2003 (MMA). There are three types of SNPs, each intended to provide coordinated care for Medicare [...]
Medicare and Medicaid Spending on Dual Eligible Populations: Analysis of Health Costs
Much of the story about rising health costs and spending has to do with relatively small groups of people with expensive health needs. For example, the Centers for Medicare and Medicaid Services (CMS) estimates Medicare beneficiaries [...]
Integrated Care for Medicare-Medicaid Dual Eligibles: CMS Grants for Implementation of State Demonstrations
To support demonstrations to integrate Medicare and Medicaid for dual eligibles, the Centers for Medicare and Medicaid Services (CMS) offering state Medicaid agencies grants of up to $15 million each. The funds are for implementation of [...]
Seven Ideas to Reduce Costs and Improve Outcomes in Medicare and Medicaid
Medicare and Medicaid spending will exceed $1 trillion in FY 2013. Together, the two programs now serve about 113 million Americans – over a third of the population. Policymakers in Washington and the states face a daunting [...]
Care Management and Hospitalizations: Care Management Reduces Inpatient Admissions for High-Risk Medicare Patients
Care management for Medicare beneficiaries at high risk of hospitalization can significantly reduce hospital admissions without increasing costs, according to two studies in Health Affairs and sponsored by the Robert Wood Johnson Foundation. The studies found decreases in Medicare [...]
CBO Reports Medicare’s Demonstration Project Results
The Congressional Budget Office’s issue brief, Lessons from Medicare’s Demonstration Projects on Disease Management, Care Coordination, and Value-Based Payment, provides details on the outcome of 10 major Medicare demonstrations following independent researcher evaluation. Demonstrations were conducted [...]
Medicare-Medicaid Dual Eligibles Market for Health Plans: Briefing by Kip Piper for Wall Street Analysts at Citi Global Healthcare Conference
The $350 billion Medicare-Medicaid dual eligible market is an extraordinary new business opportunity for health insurers, as well as a way for state Medicaid programs to generate significant budget savings and improve access and quality of care [...]
Federal Budget and Health Reform: Budgeting for Health Reform
The budgetary impact of proposed health reform initiatives – whether through legislation, rules, or waivers – significantly affects the likelihood of success. The following provides a concise briefing on some key players and processes affecting cost [...]
Medicare Policy Making: Quick Primer on Federal Medicare Statutes, Rules, and Waivers
The next President and Congress will face many fiscal and policy challenges from the $436 billion Medicare program. Following my earlier quick primers on Medicaid policy making and Medicare and Medicaid waivers, here is a similar [...]
Medicare and Medicaid Demonstration Waivers: Primer
Federal waivers are powerful tools to demonstrate Medicare or Medicaid reforms, including new payment methods, benefit packages, and delivery systems. The business and policy opportunities are considerable. Here’s a quick primer. Demonstration Waivers: Historically, federal policymakers [...]
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