Financing Center of Excellence | SAMHSA

Hospitals Respond To Medicare Payment Shortfalls By Both Shifting Costs And Cutting Them, Based On Market Concentration
"Health Affairs has released a study finding that hospitals in areas with robust hospital competition tend to address shortfalls between Medicare payments and projected costs primarily by reducing ho ..."
Topics : Health Care Reform, Medicare, Spending
Categories : Medicare, Legislative and Regulatory Issues

Cost Shifting Debt Reduction to America’s Seniors: Medicare Part D Rebates Would Dramatically Increase Drug Premiums
"On July 21, the American Action Forum (AAF) released a report, examining the effect of providing drug rebates similar to those employed in Medicaid to dual eligibles and beneficiaries of the Medicar ..."
Topics : Dual Eligibles, Medicaid, Medicare, Prescription Drugs, Regulation
Categories : Medicaid, Medicare, Legislative and Regulatory Issues

Promising Payment Reform: Risk-Sharing with Accountable Care Organizations
"On July 25, the Commonwealth Fund released a brief examining private sector accountable care organizations’ (ACO) experiences implementing shared payer-provider risk payment models. Noti ..."
Topics : Health Care Reform, Medicare, Rates/Reimbursement
Categories : Legislative and Regulatory Issues, Medicare

The Nuts and Bolts of Medicare Premium Support Proposals
"On June 8, the Kaiser Family Foundation released a brief examining the effect of converting Medicare into a premium support program, as outlined in the U.S. House-approved $3.5 trillion FY2012 budge ..."
Topics : Individual Coverage, Medicare, Out-of-Pocket , Spending
Categories : Medicare, Employer and Individual Insurance, Legislative and Regulatory Issues

High Performance Accountable Care: Building on Success and Learning from Experience
"On April 14, the Commonwealth Fund released a brief examining the accountable care organization (ACO) component of the national health care reform law. The brief outlines what ACOs are and how ..."
Topics : Integrated Health, Medicare, Quality , Spending
Categories : Legislative and Regulatory Issues

Datasets: State Funding under Healthcare Reform
"The Kaiser Family Foundation released three datasets examining state receipt of federal health reform funding. The first dataset outlines which states received consumer assistance program gran ..."
Topics : Health Care Reform, Medicare, Spending, State Data
Categories : State and Local, Legislative and Regulatory Issues

Assessing an ACO Prototype — Medicare's Physician Group Practice Demonstration
"This article published in the New England Journal of Medicine discusses the lessons learned from the Medicare Physician Group Practice (PGP) demonstration, focusing on how these lessons can be appli ..."
Topics : Health Care Reform, Medicare
Categories : Medicare, Legislative and Regulatory Issues

Building Regulatory And Operational Flexibility Into Accountable Care Organizations And ‘Shared Savings’
"This article by Health Affairs explores Accountable Care Organizations (ACO) and the Shared Savings Program which will help fund ACOs through Medicare to provide recommendations on the&nbs ..."
Topics : Health Care Reform, Medicare, Rates/Reimbursement
Categories : Medicare, Legislative and Regulatory Issues

Medicare: Program Remains at High Risk
"At a House Energy and Commerce Subcommittee on Oversight hearing on March 2, the Government Accountability Office (GAO) presented a report examining fraud and improper payments in Medicare. Th ..."
Topics : Medicare
Categories : Medicare, Legislative and Regulatory Issues

Reducing the Deficit: Spending and Revenue Options
"On March 10, the Congressional Budget Office (CBO) released a report examining options for reducing the federal deficit, including implementing health care spending cuts. Through 2021, the CBO ..."
Topics : Legislation (National), Medicaid, Medicare, Spending
Categories : Legislative and Regulatory Issues, Medicaid, Medicare

Health Care Fraud and Abuse Control Program Annual Report for Fiscal Year 2010
"On January 24, U.S. Department of Health and Human Services (HHS) and U.S. Department of Justice (DOJ) officials released the Health Care Fraud and Abuse Control Program Annual Report for Fiscal Year ..."
Topics : Medicaid, Medicare, Regulation
Categories : Legislative and Regulatory Issues, Medicare, Medicaid

The Budget and Economic Outlook: Fiscal Years 2011 to 2021
"On January 26, the Congressional Budget Office (CBO) released a report estimating that federal health program spending will increase from $810 billion in 2010 to $1.8 trillion in 2021. In addi ..."
Topics : Legislation (National), Medicaid, Medicare, Spending
Categories : Legislative and Regulatory Issues, Medicaid, Medicare

Income-Relating Medicare Part B and Part D Premiums: How Many Medicare Beneficiaries Will Be Affected?
"This report from the Kaiser Family Foundations examines the recently approved changes to Medicare Part B and Part D that will link premiums with income. It also discusses the approximated savings th ..."
Topics : Health Care Reform, Medicare, Spending
Categories : Medicare, Legislative and Regulatory Issues

Some Recent Reports Overstate the Effect on State Budgets of the Medicaid Expansions in the Health Reform Law
"This report from the Center Budget and Policy Priorities examine the effect that Medicaid expansion will have on state budgets. From the report: Under the Affordable Care Act ..."
Topics : Health Care Reform, Legislation (National), Legislation (State & Local), Medicaid, Medicare, Spending, State Data
Categories : Medicare, State and Local, Legislative and Regulatory Issues, Medicaid

Achieving Better Chronic Care at Lower Costs Across the Health Care Continuum for Older Americans
"The Brookings Institute published a report that examines how health reform can improve the efficiency and quality of care for older Americans with chronic health conditions. From the rep ..."
Topics : Cost-effectiveness, Health Care Reform, Medicare, Quality , Seniors
Categories : Special Populations, Medicare, Legislative and Regulatory Issues

How Will the Affordable Care Act Affect the Elderly and Disabled on Medicare?
"A report by the National Center for Policy Analysis suggests that changes to Medicare under the national health care reform law will result in reduced access for seniors. The report posits tha ..."
Topics : Access/Barriers, Health Care Reform, Legislation (National), Medicare, Seniors
Categories : Special Populations, Medicare, Legislative and Regulatory Issues

Quality Ratings of Medicare Advantage Plans: Key Changes in the Health Reform Law and 2010 Enrollment Data
"On September 9, the Kaiser Family Foundation (KFF) released a brief examining Medicare Advantage (MA) plans, in light of the incentive payments the national health care reform law offers based on th ..."
Topics : Health Care Reform, Legislation (National), Medicare, Quality
Categories : Medicare, Legislative and Regulatory Issues, Special Populations

Part D Plan Availability in 2011 and Key Changes Since 2006
"On October 4, the Kaiser Family Foundation (KFF) released a brief examining options, premium, and plan characteristic trends among stand alone Medicare Prescription Drug Program (Part D) plans. ..."
Topics : Medicare, Prescription Drugs, Seniors, Spending
Categories : Special Populations, Medicare, Legislative and Regulatory Issues

US Deficit Reduction: The Medicare and Medicaid Modernization Opportunity
"On October 15, UnitedHealth Group released a report proposing that the federal and state governments increase the use of managed care in Medicare and Medicaid to reduce health care spending and improv ..."
Topics : Health Care Reform, Managed Care, Medicaid, Medicare, Quality , Spending
Categories : Medicaid, Medicare, Legislative and Regulatory Issues

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