Medicare Part D: Issues for Dual Eligibles on the Eve of Implementation October 30, 2005 Issue Brief Medicare Part D: Issues for Dual Eligibles on the Eve of ImplementationThis issue brief describes how dual eligibles are treated under the Medicare drug benefit and the issues raised by their transition from Medicaid to Medicare drug coverage. The brief also explores key differences in the Medicare drug benefit compared…
State Medicaid Outpatient Prescription Drug Policies: Findings from a National Survey, 2005 Update September 30, 2005 Poll Finding State Medicaid Outpatient Prescription Drug Policies: Findings from a National Survey, 2005 UpdateThis survey of state Medicaid pharmacy programs supplements surveys conducted in 2003 and 2000 and reports Medicaid prescription drug policies in effect in early 2005. It covers key elements of utilization management, drug purchasing and potential impacts of…
Dual Eligibles: Medicaid Enrollment and Spending for Medicare Beneficiaries in 2003 July 1, 2005 Issue Brief Dual Eligibles: Medicaid Enrollment and Spending for Medicare Beneficiaries in 2003This report provides the latest national and state data on Medicaid enrollment and spending for individuals enrolled in both Medicaid and Medicare, also knows as dual eligibles. Nationally, there are 7.5 million dual eligibles and while they comprise 14 percent…
Navigating Medicare and Medicaid, 2005: A Resource Guide for People with Disabilities, Their Families, and Their Advocates January 30, 2005 Report This guide explains the critical role Medicare and Medicaid have come to play in the lives and the futures of roughly 20 million children, adults, and seniors with disabilities – and gives people with disabilities new information to help them get the most from these programs.Full PDF Report (.pdf)Section 1:…
The New Medicare Prescription Drug Law: Issue for Enrolling Dual Eligibles into Drug Plans – Issue Paper January 1, 2005 Issue Brief The New Medicare Prescription Drug Law: Issues for Enrolling Dual Eligibles into Drug PlansThis report describes the characteristics of dual eligibles and then discussess four key elements of the transition of their drug coverage to Medicare.Issue Paper (.pdf)
Medicaid: Issues In Restructuring Federal Financing December 30, 2004 Issue Brief Medicaid: Issues In Restructuring Federal FinancingThis brief analysis summarizes how the possible restructuring of Medicaid financing could impact states, providers, and beneficiaries. Issue Brief (.pdf)
Hearing Their Voices: Lessons from the Breast and Cervical Cancer Prevention and Treatment Act (BCCPTA) October 30, 2004 Report In 2000, Congress passed a landmark law that gave states the option of extending Medicaid coverage to certain low-income women with breast or cervical cancer. In California, approximately 10,000 women have been assisted by this program. This policy brief, “Hearing Their Voices: Lessons from the Breast and Cervical…
Issues for Medicare Beneficiaries in Long-Term Care Facilities: An Analysis of the MMA and Proposed Regulations September 1, 2004 Issue Brief This paper, by Vicki Gottlich, J.D., of the Center for Medicare Advocacy, looks at issues related to the new Medicare prescription drug benefit for people with Medicare who live in nursing homes or other long-term-care settings. It is one in a series commissioned by the Kaiser Family Foundation that analyzes…
Tennessee’s New “Medically Necessary” Standard: Uncovering the Insured? July 2, 2004 Issue Brief Tennessee's New “Medically Necessary” Standard: Uncovering the Insured?This policy brief describes a new standard passed by Tennessee’s legislature for determining whether an item or service is “medically necessary” under the state’s Medicaid program, TennCare. The brief concludes with some questions regarding the implications of the new standard for the populations…
Federal Medicaid Waiver Financing: Issues for California July 1, 2004 Report Federal Medicaid Waiver Financing: Issues for CaliforniaThis issue brief focuses on the potential fiscal implications of a section 1115 Medicaid waiver for California.Report (.pdf)