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Medicare Part D 2011: The Coverage Gap

This data spotlight examines the availability of gap coverage in the private Medicare Part D drug plans offered to beneficiaries in 2011, the first year of the phase-out of the gap, as required under the 2010 health reform law. The changes for 2011 include a 50 percent discount on brand-name…

Integrating Care for Dual Eligibles: What Do Consumers Want?

Many deficit reduction plans have recognized the need to improve care for the 9 million beneficiaries dually eligible for Medicare and Medicaid. How do Medicaid and Medicare coordinate payment and care for people covered by both programs? Are Health and Human Services initiatives encouraging innovations to integrate care for dual…

Medicare Part D Spending Trends: Understanding Key Drivers and the Role of Competition

This brief commissioned by the Foundation examines factors that contributed to Medicare’s lower-than-expected spending on prescription drugs under the Medicare Part D drug benefit that started in 2006. Since its launch, Medicare has spent about 30 percent less on Part D benefits than the Congressional Budget Office originally projected. Some…

The Medicare Program: Panorama General De Medicare

Que Es El Medicare Y Como Se Financia? Medicare es un programa de seguro medico nacional que atiende a 39 millones de ancianos y discapacitados. Antes de la existencia del Medicare, menos de la mitad de todos los norteamericanos de edad avanzada contaban con un seguro medico. Hoy en dia,…

Medicaid’s Role for the Disabled Population Under Age 65

Medicaid’s Role for the Disabled Population Under Age 65Defines the non-elderly disabled and summarizes Medicaid’s role in their health care coverage. Includes a description of enrollment requirements, benefits, spending and managed care concerns for the population.Fact Sheet

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,…

Medicare+Choice in California: Lessons and Insights

Thirty-five percent of all California Medicare beneficiaries are enrolled in a M+C plan, far in excess of the 14 percent rate nationwide. This report seeks to identify what lessons for the nation can be drawn from the California M+C experience, as Congress debates the implications of major withdrawals from the…

Medicaid and Long Term Care

This policy brief reviews Medicaid's role as the nation's primary source of coverage for long-term care services and examines the implications of recent legislative efforts to restructure the Medicaid program for those in need of care in nursing homes, intermediate-care facilities for the mentally retarded, and home- and community-based settings.Policy…

Medicaid Managed Care for Persons With Disabilities: State Profiles-2114

Medicaid Managed Care for Persons With Disabilities: State ProfilesThis report provides state estimates of the number of Medicaid disabled enrolled in managed care and profiles these programs. It provides detailed comparative state information on enrollment, program features, rate setting, quality issues, and special enrollment features for the disabled in Medicaid…

A Medicare Prescription Drug Benefit: Implications for Medicaid and Low-Income People

The Senate and House of Representatives each approved legislation in June of 2003 that would establish outpatient prescription drug coverage for Medicare beneficiaries as part of Medicare program reform. Among the key differences in the House and Senate bills that still must be addressed are the treatment of Medicaid beneficiaries…