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The Henry J. Kaiser Family Foundation

Living Close to the Edge: Financial Challenges and Tradeoffs for People on Medicare

As Congress and other policymakers weigh potentially major changes to the Medicare program as part of the deficit-reduction debate, this Kaiser Family Foundation report highlights the role Medicare now plays in the lives of beneficiaries and the challenges many face in paying for their health care and other living expenses…

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The Henry J. Kaiser Family Foundation

Medicare Part D 2012 Data Spotlights

The Kaiser Family Foundation has issued this collection of analyses related to the Medicare Part D stand-alone drug plan options available to seniors in 2012. These spotlights focuses on key aspects of the drug plan choices available and relevant trends since the Medicare drug benefit took effect in 2006. They…

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The Henry J. Kaiser Family Foundation

Seniors' Knowledge and Experience With Medicare's Open Enrollment Period and Choosing a Plan: Key Findings from the Kaiser Family Foundation 2012 National Survey of Seniors

These key findings from the Foundation’s 2012 National Survey of Seniors relate to seniors’ knowledge and experience with Medicare’s open enrollment period and choosing a plan. The survey finds one in four seniors say they are unaware of this annual opportunity to review and change their Medicare coverage, with even…

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The Henry J. Kaiser Family Foundation

Toplines —  Kaiser Health Poll Report: Selected Findings on Seniors’ Views of the Medicare Prescription Drug Benefit

Toplines — Kaiser Health Poll Report: Selected Findings on Seniors’ Views of the Medicare Prescription Drug BenefitThese toplines contain the detailed results from the February 2006 tracking poll on seniors’ views toward the new Medicare drug benefit.Survey Toplines (.pdf)

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The Henry J. Kaiser Family Foundation

The Transition of Dual Eligibles to Medicare Part D Prescription Drug Coverage: State Actions During Implementation

This 50-state survey of Medicaid officials assesses states’ early experience relating to the transition of low-income seniors and people with disabilities enrolled in both Medicaid and Medicare (dual eligibles) to the Medicare Part D drug benefit. Conducted by Health Management Associates, the survey covers the types of problems observed by…

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The Henry J. Kaiser Family Foundation

An In-Depth Examination of Formularies and Other Features of Medicare Drug Plans

This study of Medicare Part D plans offered in 2006 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 Part D plans available to Medicare beneficiaries. The analysis finds that Medicare’s new, private,…

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The Henry J. Kaiser Family Foundation

Washington’s Managed FFS Demonstration to Integrate Care and Align Financing for Dual Eligible Beneficiaries

Washington is the first state to sign a memorandum of understanding (MOU) with the Centers for Medicare and Medicaid Services (CMS) to test a managed fee-for-service (FFS) financial alignment model for beneficiaries who are dually eligible for Medicare and Medicaid, beginning on April 1, 2013. Washington’s managed FFS demonstration uses…

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The Henry J. Kaiser Family Foundation

Beneficiary Challenges in Using the Medicare Part D Appeals Process To Obtain Medically Necessary Drugs

This paper describes the various steps of the Medicare Part D appeals process for obtaining necessary drugs not on a plan’s formulary. Using case reports collected from a network of beneficiary advocates, it illustrates the challenges and problems some beneficiaries encountered when navigating this aspect of the drug benefit. The…

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The Henry J. Kaiser Family Foundation

Oversight and Enforcement of Medicare Part D Plan Requirements:  Federal Role and Responsibilities

Oversight and Enforcement of Medicare Part D Plan Requirements: Federal Role and ResponsibilitiesThis Issue Brief was commissioned by the Kaiser Family Foundation to gain insights into legal advocates’ views of how federal authorities enforce compliance with requirements of the new Medicare Part D prescription drug benefit.The report was prepared by…

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The Henry J. Kaiser Family Foundation

Coordinating Medicaid and Medicare Prescription Drug Coverage: Findings from a Focus Group Discussion with Medicaid Directors

This publication reports on the findings from an October 26 focus group discussion with state Medicaid officials on the implications of a Medicare drug benefit for states and dual eligibles.Report (.pdf)

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