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The Henry J. Kaiser Family Foundation

Consumer Protection Issues Raised by the Medicare Prescription Drug, Improvement, and Modernization Act of 2003

This paper identifies and examines consumer protection issues that arise from the Medicare Prescription Drug, Improvement, and Modernization Act of 2003. Key issue areas include: beneficiary information, marketing, enrollment and disenrollment, the drug benefit package and cost-sharing, the appeals process, concerns for low-income beneficiaries, challenges for nursing home issues, and…

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The Henry J. Kaiser Family Foundation

Medicare: A Primer

This primer explains key elements of the Medicare program, which now provides health coverage to 47 million people — including 39 million people age 65 and older and another 8 million younger adults with permanent disabilities. It looks at the characteristics of the Medicare population, what benefits are covered, how…

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The Henry J. Kaiser Family Foundation

Medicare 2008 Benefits Table

2008 Medicare Benefits TableSummary of Traditional Medicare, 2008 PART A Financing: 1.45% for both workers and employers No premiums* Benefits: Inpatient hospital – Days 1-60 – Days 61-90 – Days 91-150 – After 150 days Deductible of $1,024 per benefit period** No coinsurance $256 a day $512 a day No…

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The Henry J. Kaiser Family Foundation

The New Health Reform Law and Medicaid

This briefing, cosponsored by the Alliance for Health Reform and the Kaiser Family Foundation, explores the provisions of the Patient Protection and Affordable Care Act (PPACA) and the Health Care and Education Reconciliation Act of 2010 (HCERA). A panel of experts explain how PPACA and HCERA affect Medicaid, and answer…

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The Henry J. Kaiser Family Foundation

An In-Depth Examination of Formularies and Other Features

of Medicare Drug PlansThis study examines formularies, drug costs and utilization management tools in drug plans offered by 14 national and near-national organizations. Collectively, these organizations account for 1,222 of the 1,429 packages available to Medicare beneficiaries.The analysis finds that Medicare’s new, private, stand-alone drug plans vary significantly in terms…

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The Henry J. Kaiser Family Foundation

Briefing – Medicare: A Primer

This briefing provided an overview of the Medicare program and its role in the health care system. Panelists discussed who is eligible for Medicare, what benefits are covered and how the program is administered. Medicare financing and the program’s role in health reform was also explained. More information on Medicare…

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The Henry J. Kaiser Family Foundation

How States Are Responding to the Challenge of Financing Health Care for Retirees

State governments are an important source of health insurance coverage for retired state employees. Confronted with rising health care costs, budget deficits, and an overall downturn in the economy, this report describes how states are responding to the challenge of financing health care for retirees who tend to be sicker…

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The Henry J. Kaiser Family Foundation

Variations in State Medicaid Buy-in Practices for Low-Income Medicare Beneficiaries: A 1999 Update

This report updates a 1997 Foundation report to assess how states are implementing financial protections for the 16 million Medicare beneficiaries who are low-income. These protections, generally referred to as “buy-in programs,” help low-income Medicare beneficiaries meet Medicare's cost-sharing requirements by using state Medicaid programs to pay either all or…

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The Henry J. Kaiser Family Foundation

Targeting Medicare Drug Benefits: Costs and Issues

This report, written by Marilyn Moon and Matthew Storeygard of the Urban Institute, estimates the potential cost of targeting drug benefits to low-income Medicare beneficiaries and those with catastrophic drug expenses and discusses some of the key programmatic issues that could arise under this approach. The authors predict that a…

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The Henry J. Kaiser Family Foundation

Private Long-Term Care Insurance:  Who Should Buy It and What Should They Buy?

Private Long-Term Care Insurance: Who Should Buy It and What Should They Buy?Despite the growing interest in private long-term care insurance (LTCI), there has been little independent examination of how much protection LTCI policies provide consumers or whether LTCI policies are a worthwhile purchase for people of average means. This…

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