Financial Alignment Models for Dual Eligibles: An Update November 1, 2011 Issue Brief The nearly nine million dual eligibles who receive both Medicare and Medicaid benefits are a high cost, high need population, accounting for a disproportionate share of expenditures relative to their enrollment in both programs. In April 2011, the Centers for Medicare and Medicaid Services (CMS) announced the award of design…
Medicare Advantage Plan Star Ratings and Bonus Payments in 2012 November 1, 2011 Report This report looks at the star ratings that have been used for many years to help consumers compare plans, and examines how Medicare Advantage quality scores will interact with plan payments, beginning in 2012. To encourage Medicare Advantage plans to provide quality care, the 2010 health reform law authorized Medicare…
A Closer Look at Perceptions of HIV in Hard Hit Areas November 1, 2011 Poll Finding In June 2011, the Kaiser Family Foundation released its eighth major survey of Americans on HIV/AIDS to examine national public opinion toward HIV/AIDS. This Data Note is a closer examination of the results on HIV‐related attitudes and perceptions among the group of adults living in metropolitan areas hard hit by…
Medicare Advantage 2012 Spotlight: Plan Availability and Premiums November 1, 2011 Report This brief highlights trends in the Medicare Advantage marketplace, including the choices available to Medicare beneficiaries in 2012, premium levels and other plan characteristics. The brief was authored by researchers at Mathematica Policy Research and the Kaiser Family Foundation. Data Spotlight (.pdf)
Restructuring Medicare’s Benefit Design: Implications for Beneficiaries and Spending October 31, 2011 Report Several deficit-reduction plans have proposed combining Medicare’s separate deductibles for hospital and physician services, standardizing cost sharing across types of benefits, and establishing a new limit on annual out-of-pocket costs for beneficiaries. A new Kaiser Family Foundation study examines the potential implications of proposals to revamp Medicare’s cost-sharing requirements as…
Medicaid Innovations: Can Managed Care Cut Costs and Improve Value? October 28, 2011 Event A number of states have expressed interest in expanding managed care approaches within their Medicaid programs. While managed care may present an opportunity for better delivery of care, it presents challenges within certain populations and geographic areas. How many states are planning Medicaid managed care expansions? What impact would these…
Kaiser Health Tracking Poll: Support for Health Reform Law Dips in October October 28, 2011 Perspective After remaining roughly evenly split for most of the last year and a half, this month’s tracking poll found a higher share of the public expressing negative views towards the health reform law. About half (51 percent) say they have an unfavorable view of the Patient Protection and Affordable Care Act…
States Focus on Cost Containment as a Loss of Federal Stimulus Funds Means State Costs for Medicaid Will Jump in FY 2012 October 27, 2011 News Release NEWS RELEASE Thursday, October 27, 2011 New 50-State Survey Finds Cuts In Provider Payments And Changes In Delivery Of Services WASHINGTON, D.C. – Faced with the end of stimulus money and a continuing weak economy, Medicaid officials in virtually every state are enacting a variety of cost cutting measures as states’…
Questions About Essential Health Benefits October 18, 2011 Perspective The Institute of Medicine (IOM) recently issued its long-awaited report on defining the essential health benefits under the Affordable Care Act (ACA). As expected, the committee preparing the IOM report did not recommend which specific services should be covered, but rather discussed what the process should be for defining the essential benefits,…
50 Million Uninsured: The Faces Behind the Headlines October 14, 2011 Event Almost 50 million Americans lacked health insurance in 2010 — about a million more than in 2009. Who are the uninsured? Why do so many Americans lack coverage? What are the trends in coverage among different segments of the population? What do these trends mean for the health care system…