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The Henry J. Kaiser Family Foundation

Explaining Health Reform: Key Changes in the Medicare Advantage Program

This brief examines the changes in the 2010 health reform law affecting the Medicare Advantage program, which gives beneficiaries the option of enrolling in private insurance plans for their Medicare benefits, instead of the traditional fee-for-service program. The reform law will gradually reduce Medicare payments to these plans to bring…

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The Henry J. Kaiser Family Foundation

Grievance and Appeals Procedures: An Analysis of the MMA and Proposed Regulations

This paper, by Sara Rosenbaum, J.D., Director of the Center for Health Services Research and Policy at George Washington University, examines the procedures for resolving beneficiaries' grievances and appeals under the new Medicare drug benefit. It is one in a series commissioned by the Kaiser Family Foundation that analyzes issues…

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The Henry J. Kaiser Family Foundation

Marketing and Privacy Issues: An Analysis of the MMA and Proposed Regulations

This paper, by Joy Pritts of the Health Policy Institute at Georgetown University, looks at issues related to drug plan marketing activities and privacy under the MMA.Issue Brief (.pdf)

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The Henry J. Kaiser Family Foundation

Summary of Final Regulations Implementing the New Medicare Prescription Drug Benefit

This document summarizes the final regulations to implement the new Medicare prescription drug benefit. The regulations were published by the Centers for Medicare and Medicaid Services (CMS) as a final rule in the Jan. 28 Federal Register. It provides an overview that allows interested parties to obtain information about specific…

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The Henry J. Kaiser Family Foundation

Profile and Analysis of the 26 Medicare Advantage Regions

This issue brief examines the 26 new Medicare Advantage PPO regions and their implications for beneficiaries. The paper describes the characteristics of the new Medicare Advantage regions and the extent to which Medicare Advantage plans are already available in each region. It highlights the substantial gap between the current availability…

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The Henry J. Kaiser Family Foundation

The Growth of Private Plans in Medicare, 2006

, details the different types of private plan options available to people on Medicare. These include Medicare Advantage plans (such as Medicare HMOs, PPOs and private fee-for-service plans) and new stand-alone prescription drug plans.• In 2006, all Medicare beneficiaries have access to at least one type of private Medicare Advantage…

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The Henry J. Kaiser Family Foundation

Premiums and Cost Sharing Features in Medicare’s New Prescription Drug Program, 2006

Premiums and Cost-Sharing Features in Medicare's New Prescription Drug Program, 2006When Congress created the Medicare drug benefit in 2003, it also sought to generate more private plan options for senior and disabled beneficiaries in Medicare, with increased payments to attract sponsors and to support added benefits attractive to enrollees, especially…

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The Henry J. Kaiser Family Foundation

Health Affairs Article Examines Enrollment in Medicare Drug Plans As The Benefit Approaches Its Second Year

Health Affairs Article Examines Enrollment in Medicare Drug Plans As The Benefit Approaches Its Second YearAn article by Kaiser Family Foundation researchers published as a Health Affairs Web Exclusive provides a comprehensive look at the 2006 private Medicare drug plan enrollment as the enrollment period for 2007 begins. The article…

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The Henry J. Kaiser Family Foundation

An Examination of Medicare Private Fee-for-Service Plans

This March 2007 issue brief, commissioned by the Kaiser Family Foundation, provides insight Medicare private fee-for-service plans, the most rapidly growing type of Medicare Advantage plan. As of February 2007, these plans enrolled 1.3 million beneficiaries, up from just 209,000 in December 2005. The paper examines the history of these…

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The Henry J. Kaiser Family Foundation

Findings from the Kaiser/Commonwealth/Tufts-New England Medical Center 2006 National Survey of Seniors and Prescription Drugs – Chartpack

This chartpack contains key data from the Kaiser/Commonwealth/Tufts-New England Medical Center 2006 National Survey of Seniors and Prescription Drugs. Findings of the survey were published in a Health Affairs Web Exclusive on Aug. 21, 2007. Chartpack (.pdf)

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