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Estimate My Medicare Prescription Drug Savings: Estimate your medicare prescription drug savings enter using this tool. Your annual drug costs in the box below and click the "submit" button to see approximately how much you'd pay when medicare's prescription drug benefits take effect.; Tags: Medicare, Prescription Drug, Kiplinger Washington Editors, Healthcare; Tools & templates 2008-01-01
Unraveling Medicare: The Learning Curve Under Part D: Everyone has learned a lot since Medicare Part D was started on Jan. 1. Pharmacists learned new processes, people on Medicare learned new terms and options. Insurers and the Centers for Medicaid & Medicare Services learned to respond quickly to misunderstandings, technical glitches, and personnel shortages. Experience with these early...; Tags: Medicare, Skyscape Inc., Healthcare; White papers 2006-05-08
Assessment of Pay-for-Performance Options for Medicare Physician Services: Final Report: Pay-for-Performance (P4P), the practice of paying health care providers differentially based on their quality performance, emerged in the late 1990s as the strategy for driving improvements in health care quality. The Centers for Medicare & Medicaid Services CMS, the largest purchaser of health care services in the United States, is...; Tags: Medicare, Pay-for-performance, Health Care, Healthcare, Vertical Industries, Benefits, Enterprise Software, Software, Human Resources; White papers 2006-05-01
Centers for Medicare & Medicaid Services (CMS) / Premier Hospital Quality Incentive Demonstration Project: Pay-for-performance programs have the potential to increase clinical quality and save lives, according to the first year of official data from the Premier/CMS Hospital Quality Incentive Demonstration Project, which is summarized in this report. The Centers for Medicare and Medicaid Services CMS announced on November 14, 2005 that it would...; Tags: Enterprise Software, Sales Force Management, Content Management, Healthcare, Content Management System, Medicare, Hospital, Incentive, Software, Sales; White papers 2006-04-13
Knowing Your Medicare ABC&Ds: Among the sources of confusion accompanying the implementation of Medicare Part D is the distinction between drugs covered under Part B and Part D. CMS officials held a teleconference late in January to listen to provider concerns, answer questions, and correct misinterpretation. The original Medicare program was similar to employer...; Tags: Healthcare, Skyscape Inc., Medicare; White papers 2006-04-03

Funding Retiree Benefits Becomes More Challenging: Problems in financing retiree health benefits have been brought to a head with the aging of the Baby Boom generation. Most people will be covered by Medicare after retirement, but in the public sector and particularly in the public safety field, employees often retire before they are eligible for Medicare....; Tags: Retirement, Dow Jones & Company Inc., Medicare, Healthcare, Benefits, Human Resources; White papers 2006-03-30
Unraveling Medicare: A Look at Medicare Advantage Plans: As Medicare Part D gets under way, attention has largely focused on the prescription drug benefits offered through stand-alone Prescription Drug Plans, or PDPs. Medicare Advantage Prescription Drug Plans (MA-PDPs) are an alternative that could provide seniors an opportunity to save on premiums and co-pays for hospital and doctor fees...; Tags: Medicare Advantage, Medicare, Healthcare; White papers 2006-02-06
Medicare: Contingency Plans to Address Potential Problems With the Transition of Dual-Eligible Beneficiaries From Medicaid to Medicare Drug Coverage: This paper consist of a document which reports that the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 MMA established a voluntary outpatient prescription drug benefit, known as Medicare Part D. The Centers for Medicare & Medicaid Services CMS is responsible for implementing this benefit. This new drug coverage...; Tags: Healthcare, Medicare, Medicaid; White papers 2005-12-16
Medical Expenditure Risk and Household Portfolio Choice: As health care costs continue to rise, medical expenses have become an increasingly important contributor to financial risk. Economic theory suggests that when background risk rises, individuals will reduce their exposure to other risks. This paper presents a test of this theory by examining the effect of medical expenditure risk...; Tags: Health Care, National Bureau Of Economic Research, Medicare, Theory, Expenditure, Vertical Industries, Healthcare, Benefits, Enterprise Software, Software, Human Resources; White papers 2005-12-01
Medicare and Medicaid Coverage: Therapies and Supplies for Inflammatory Bowel Disease: Inflammatory Bowel Disease IBD affects an estimated one million Americans. IBD patients often have difficulty digesting food. As a result, they may require parenteral nutrition intravenous feeding or enteral nutrition tube feeding, medically necessary food products to supplement their diets, and medications. The Research Review Act of 2004 directed GAO...; Tags: Therapy, General Accounting Office, Medicare, Medicaid, Food, Healthcare, Inflammatory Bowel Disease; White papers 2005-12-01
Medicare: CMS's Beneficiary Education and Outreach Efforts for the Medicare Prescription Drug Discount Card and Transitional Assistance Program: The Medicare Prescription Drug, Improvement, and Modernization Act of 2003 required the Centers for Medicare & Medicaid Services CMS in the Department of Health and Human Services HHS to broadly disseminate information on the program to the millions of Medicare beneficiaries, seniors and people under age 65 with permanent disabilities,...; Tags: Software, Enterprise Software, Content Management, Healthcare, Content Management System, Medicare, Education; White papers 2005-11-18
Medicare: Little Progress Made in Targeting Outpatient Therapy Payments to Beneficiaries' Needs: For years, Congress has wrestled with rising Medicare costs and improper payments for outpatient therapy services--physical therapy, occupational therapy, and speech-language pathology. The Medicare Prescription Drug, Improvement, and Modernization Act of 2003 required GAO to report on whether available information justifies waiving the caps for particular conditions or diseases. As...; Tags: Payment, Medicare, General Accounting Office, Therapy, Healthcare; White papers 2005-11-01
Helping Retirees Pay for Health Care: Now that the Medicare Modernization and Improvement Act of 2003 is in force, large US health insurers are eagerly competing to sign up current retirees for new Medicare products, including the Part D drug benefit and a revamped Medicare Advantage program. The market is a sizable one: in 2006, Medicare...; Tags: Healthcare, Health Care, Medicare, McKinsey & Co.; White papers 2005-11-01
Medicare: Comments on CMS Proposed 2006 Rates for Specified Covered Outpatient Drugs and Radiopharmaceuticals Used in Hospitals: This report assesses the appropriateness of the Medicare payment rates that the Centers for Medicare & Medicaid Services CMS has proposed for Specified Covered Outpatient Drugs SCODs, taking into account the purchase prices obtained from the MMA-mandated survey we conducted in 2004 and 2005. Specifically, this report focuses on the...; Tags: Content Management, Content Management System, General Accounting Office, Medicare, Hospital, Healthcare, Enterprise Software, Software; White papers 2005-10-31
Pay for Performance or Compliance?: A Second Opinion on Medicare Reimbursement: The current effort to change the payment system is well intentioned. Moreover, the rhetoric of "Quality-based purchasing" advocates, including a reliance on evidence-based medicine, best practices, and pay for performance as methods to improve health care quality, is appealing. In reality, however, they would constitute a reversal of the letter...; Tags: Medicare, Pay-for-performance, Heritage Foundation, Health Care, Benefits, Healthcare, Vertical Industries, Human Resources, Enterprise Software, Software; White papers 2005-10-05
Medicare's Next Voyage: Encouraging Physicians to Adopt Health Information Technology: Although there is growing consensus that health information technology HIT will be critical to improving health care quality and reducing costs, physicians' investments in technology remain limited. As the largest single U.S. purchaser of health care services, Medicare has the power to promote physician adoption of HIT. The Centers for...; Tags: Benefits, Vertical Industries, Healthcare, Health Care, Medicare, Physician, Human Resources, Software, Enterprise Software; White papers 2005-10-01
E-Prescribing and the Medicare Modernization Act of 2003: Provisions of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 are intended to foster electronic prescribing by requiring standards for interoperability and by permitting third parties to offset implementation costs. Although physicians have been slow to embrace e-prescribing, adoption may increase in 2006, when a new tide of...; Tags: Healthcare, Project HOPE, Medicare, Patient; White papers 2005-10-01
Using Quality Incentives to Drive Physician Adoption of Health Information Technology: Medicare policies could have an important impact on physicians' decisions to use clinical information technology IT to better manage patient care. The paper depicts that Medicare should pay physicians for the costs of adopting IT and assume that future savings to Medicare will justify the investment. The Medicare Payment Advisory...; Tags: Healthcare, Health Care, Project HOPE, Medicare, Physician, Incentive; White papers 2005-10-01
Private Plans in Medicare: Another Look: Previous efforts by Congress to expand the role of private plans in Medicare have met with limited success. Although the same fate may befall Medicare Advantage MA, authorized by the Medicare Prescription Drug, Improvement, and Modernization Act MMA of 2003, the political environment has changed, and powerful political interests now...; Tags: Healthcare, Medicare; White papers 2005-10-01
Information Technology: Centers for Medicare & Medicaid Services Needs to Establish Critical Investment Management Capabilities: To carry out its mission of ensuring health care security for beneficiaries, the Centers for Medicare & Medicaid Services CMS relies heavily on Information Technology IT systems. The objectives of this paper were to: evaluate CMS's capabilities for managing its internal investments, determine any plans the agency might have for...; Tags: Enterprise Software, Healthcare, Software, Content Management, Content Management System, General Accounting Office, Medicare, Information Technology; White papers 2005-10-01