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Tag: Insurance: Medicare

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
Medical bills for older U.S. cancer patients can cost one-quarter of their income or more if they have Medicare without supplemental insurance

Out-of-Pocket Cancer Costs High for Patients With Medicare Only

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Without supplemental insurance, out-of-pocket costs average 25 percent of annual earnings
Medicare Part D has effectively reduced the out-of-pocket cost burden of prescription drugs for beneficiaries with diabetes

Part D Has Reduced Out-of-Pocket Rx Drug Costs in Diabetes

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Decrease in proportion of Part D beneficiaries who experienced coverage gap to 40.9 percent in 2011
For white

Rx Subsidy Ups Persistence to Breast Cancer Hormone Therapy

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Greater discontinuation for white, black, and Hispanic patients not receiving subsidies
For patients undergoing four selected inpatient operations

Variation in Medicare Payments for Peri-Op Complications

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Large variation across hospitals for patients rescued from peri-op complications after four procedures
The number of Medicare patients receiving mammograms increased slightly

Health Care Reform Tied to Higher Uptake of Mammography

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Findings for women participating in the Medicare Shared Savings Program
Medicare per capita spending was much higher for beneficiaries who died during 2014 than for those who survived the entire year

Medicare Spending Up for Decedents Versus Survivors

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Average per capita spending for Medicare beneficiaries who died 4-fold higher than survivors
Changes have been proposed to the Physician Fee Schedule to transform how Medicare pays for primary care

CMS Proposes Changes to Physician Fee Schedule

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Substantial improvements proposed for care coordination, planning for primary care physicians