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The Henry J. Kaiser Family Foundation

Program Integrity: Preventing Health Care Fraud and Abuse

Headlines regularly call attention to pockets of fraudulent activity in the health care arena – scams that amount to millions and potentially billions of dollars. The stories typically focus on catching the crooks but not so much on efforts to prevent fraud, waste and abuse in health care programs. Both…

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The Henry J. Kaiser Family Foundation

Insurer Rebates under the Medical Loss Ratio: 2012 Estimates

Beginning in 2011, the Affordable Care Act (ACA) requires insurance plans to pay out a minimum percentage of premium dollars towards health care expenses and quality improvement activities, limiting the amount spent on administrative and marketing costs and profit. Under the law, large group plans are required to spend at…

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The Henry J. Kaiser Family Foundation

The Massachusetts Health Care Landscape

This fact sheet summarizes the Massachusetts health care landscape, including data on demographics, population health, the uninsured and the state Medicaid program. Fact Sheet (.pdf)

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The Henry J. Kaiser Family Foundation

Quick Take: Timing Matters: States Waiting for a Supreme Court Decision to Plan an Exchange

State-based health insurance exchanges are an important component of the Patient Protection and Affordable Care Act (ACA) designed to extend subsidized private health insurance coverage to millions of Americans by 2014. Though projections show exchange enrollment could grow to 20 million individuals nationally, aggressive planning on the part of states…

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The Henry J. Kaiser Family Foundation

Emerging Medicaid Accountable Care Organizations: The Role of Managed Care

This brief examines efforts by a number of states to set up Accountable Care Organizations (ACOs) within their Medicaid programs. An ACO is a provider-run organization in which participating providers are collectively responsible for the care of an enrolled population, and may share in any savings associated with improvements in…

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The Henry J. Kaiser Family Foundation

How Five Leading Safety-Net Hospitals Are Preparing For The Challenges and Opportunities of Health Care Reform

This study, published in the journal Health Affairs, examines how five leading safety-net hospitals are preparing for major changes expected to result from the Affordable Care Act (ACA), including less government support for uncompensated care and the need to compete for newly insured people. The hospitals studied are Bellevue Hospital…

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The Henry J. Kaiser Family Foundation

The Alphabet Soup of Care Delivery Transformation

Both the private and public sectors are testing various care delivery transformation models to improve quality, reduce morbidity and mortality, and contain the costs of treatment. The Alliance for Health Reform and WellPoint, Inc. hosted a September 10 briefing to discuss delivery system innovations, Medicare care coordination, and low-spending health…

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The Henry J. Kaiser Family Foundation

Health Care on the Brink of the Fiscal Cliff

The Alliance for Health Reform and the Kaiser Family Foundation present a November 16 briefing to discuss the components of this key policy crossroads with a particular emphasis on the implications for health programs and the health care industry. Automatic cuts would not apply to Medicaid, but Medicare providers would…

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The Henry J. Kaiser Family Foundation

Visualizing Health Policy: Health Coverage Under the Affordable Care Act (ACA)

Related ResourcesStudy Highlights Role of Geography and Plan Shopping Under Medicare Premium Support SystemMedicare Part D: A First Look at Part D Plan Offerings in 2013The Medicare Prescription Drug Benefit – An Updated Fact SheetOnline Consumer Guide to Medicare The latest Visualizing Health Policy infographic is a flowchart illustrating the mechanisms…

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The Henry J. Kaiser Family Foundation

Testimony: An Overview of the Medicare Program and Medicare Beneficiaries’ Costs and Service Use

Juliette Cubanski, Associate Director of the Foundation’s Program on Medicare Policy, testified on Feb. 27, 2013 before the Senate Special Committee on Aging to provide an overview of the Medicare program and Medicare beneficiaries’ costs and service utilization.  Testimony (.pdf)

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