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How Do M+C Plans Manage Pharmacy Benefits? Implications for Medicare Reform

Understanding how Medicare+Choice (M+C) plans manage their drug benefits may generate important lessons for Medicare. This report, based on interviews with both national and regional managed care firms, provides an in-depth look at how plans have managed their M+C outpatient pharmacy benefits in recent years. Findings show that plans rely…

Compendium of Cultural Competence Initiatives in Health Care

Public and private sector organizations are involved in a number of activities that seek to reduce cultural and communication barriers to health care. These activities are often described as cultural competency and/or cross-cultural education. A recent Institute of Medicine report recommended that the health care system pursue several of these…

Racial/Ethnic Differences in Cardiac Care: The Weight of the Evidence

Numerous studies over the past two decades have documented racial and ethnic differences in care for heart conditions. To assess the quality of the evidence and to summarize the information for a physician audience, the Henry J. Kaiser Family Foundation collaborated with the American College of Cardiology Foundation to review…

Seniors and Prescription Drugs: An 8-State Survey

A new study conducted by researchers at Tufts-New England Medical Center, the Henry J. Kaiser Family Foundation, and the Commonwealth Fund, reports results from a 2001 survey of 10,927 noninstitutionalized seniors in eight geographically diverse states: California, Colorado, Illinois, Michigan, New York, Ohio, Pennsylvania, and Texas. State-level data on drug…

Analyses of Kaiser Permanente Services for Insured Children

Analyses of the Child Health Plan and Other Kaiser Permanente Services for Publicly and Privately Insured Children, a new policy brief prepared for the Kaiser Family Foundation and the California HealthCare Foundation by the Institute for Health Policy Studies at U.C. San Francisco, summarizes the results and policy implications of…

Underinsured in America: Is Health Coverage Adequate?

Underinsured in America: Is Health Coverage Adequate?This fact sheet examines the adequacy of health insurance coverage of the insured and focuses on the consequences and future policy challenges of what some experts have defined as “underinsurance.” Fact Sheet

Portraits of Women on Medicare: The Women of Friendship Terrace

This video features five older women who reside in an assisted living community in Washington, DC, as they share their experiences in the Medicare program and offer their insights on ways the program could be improved to better meet the health care needs of seniors. Please note: the video is…

The Role of National Firms in Medicare+Choice

This report addresses national managed care firms participation in M+C and the factors influencing their decision processes about M+C products. Based on interviews with executives and senior staff of national managed care firms, this report examines how eight national firms strategically position their M+C product, including the process that firms…

Medicare Beneficiaries and Their Assets: Implications for Low-Income Programs

This report, prepared by Marilyn Moon of The Urban Institute and Robert Friedland and Lee Shirey of Georgetown University's Center on an Aging Society, reviews the income and assets of the current Medicare population, provides an overview of asset tests used to determine eligibility for programs assisting low-income Medicare beneficiaries,…

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Filling the need for trusted information on national health issues, the Kaiser Family Foundation is a nonprofit organization based in Menlo Park, California.