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Tag: Insurance: Medicare

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
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