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Tag: Insurance: Medicare

There is a substantial financial burden for Medicare beneficiaries with myeloma who do not receive a low-income subsidy for orally-administered anticancer therapy

High Costs for Myeloma Patients Not Getting Low-Income Subsidy

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For those aged 75 to 84 years, LIS receipt linked to increased odds of receiving immunomodulatory drugs
A Medicare Bundled Payments for Care Improvement initiative does not reduce readmission rates or costs among patients with acute exacerbation of chronic obstructive pulmonary disease

Bundled Payment Initiative Doesn’t Cut Readmission in COPD

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Medicare Bundled Payments for Care Improvement doesn't cut costs in COPD exacerbation
More than one-third of Medicare beneficiaries who died in 2011 had at least four care transitions during their last six months of life

Care Transitions Common at End of Life for Medicare Recipients

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More than 80 percent have at least one transition, with many experiencing four or more
Implementation of the Medicare Access and CHIP Reauthorization Act has made fundamental changes to the government's approach to physician payment

MACRA Changes Government Approach to Doctor Payment

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New approach pays providers based on quality, value, and results delivered, but questions remain
Caregiver participation in Resources for Enhancing Alzheimer's Caregivers Health behavioral interventions is not associated with increased Veterans Affairs or Medicare expenditures

REACH II, VA Did Not Increase Spending in Dementia Care

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Behavioral interventions program for Alzheimer's patient caregivers did not increase health costs
Participation in the Medicare Shared Savings Program is associated with an overall reduction in post-acute spending

Medicare Shared Savings Linked to Lower Post-Acute Spending

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And, performance is similar on standardized costs for Oregon, Colorado Medicaid ACO models
Physician participation in meaningful use is associated with improvement in colorectal cancer screening

Participation in Meaningful Use Doesn’t Up Quality of Care

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Improvement in colorectal cancer screening but not in other quality of care metrics
There is a greater reduction in readmission rates at hospitals subject to penalties under the Affordable Care Act's Hospital Readmission Reduction Program

Greater Drop in Readmissions With ACA Program Penalties

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Greater reductions in readmission rates compared with those at non-penalized hospitals
Implementation of the Medicare Bundled Payments for Care Improvement initiative has failed to cut readmission rates following hospitalization for acute exacerbation of chronic obstructive pulmonary disease

Bundled Payment Initiative Had No Effect on COPD Readmissions

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Multidisciplinary care/transition intervention didn't reduce readmissions or achieve substantial savings
Passage of the Medicare Hospital Readmissions Reduction Program under the Affordable Care Act is associated with a more rapid decrease in 30-day risk-standardized readmission rates

Penalties Under ACA Tied to Drop in Medicare Readmission Rates

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More rapid drop in 30-day readmission for myocardial infarction, congestive heart failure, pneumonia