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Tag: Insurance: Medicare

After adjustment for the nonrandom exit of clinicians

MSSP ACOs May Not Improve Spending, Quality of Care

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After adjustment for clinicians' nonrandom exit, no link seen with improvements in spending, quality
Female radiation oncologists submit fewer Medicare charges

Female Radiation Oncologists Receive Lower Medicare Reimbursement

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Compared with male counterparts, they submit fewer charges and are reimbursed less
Economic incentives for healthier foods through Medicare and Medicaid could generate substantial health gains and be highly cost-effective

Healthy Food Rx Could Be Cost-Effective for Medicare, Medicaid

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Coverage for healthy food could improve health, reduce costs, and pay for itself after five years
Kidney transplant recipients receiving Medicare who lose coverage before or after the current three-year policy time point have an increased risk for allograft loss

Timing of Medicare Loss Linked to Kidney Transplant Outcomes

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Medication possession ratio lower for recipients with early, late Medicare loss versus no coverage loss
For patients with coronary artery disease

Odds of Receiving Tx for CAD Up With Medicare Advantage

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However, no significant difference seen in intermediate outcomes for those enrolled in MA, FFS Medicare
Medicare patients with multiple sclerosis face increasing out-of-pocket costs for disease-modifying therapies

Medicare Patients With MS Face Higher Out-of-Pocket Rx Costs

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Projected cumulative out-of-pocket spending for disease-modifying therapies for 2019 was $6,894
Patients with Medicare or Medicaid are more likely than uninsured patients to use an arteriovenous fistula or graft by their fourth dialysis month

Earlier Vascular Access Seen in Insured Dialysis Patients

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Patients with Medicare, Medicaid more likely to use arteriovenous fistula, graft by fourth dialysis month
In an effort to cut high drug costs

Trump Administration Announces Plan to Cut Drug Prices

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HHS study shows Medicare pays 80 percent more than other countries for certain prescription drugs
From 2006 to 2015

2006 to 2015 Saw Decrease in Medicare Beneficiary ICU Use

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Admission rates to the ICU significantly decreased, with large variations seen by state
More than half of patients who are dually eligible for Medicare and Medicaid and are designated as high-cost in one year remain persistently high-cost over three years

Spending Often Persists in High-Cost Medicare-Medicaid Eligible

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Most of cost is related to long-term care, little tied to potentially preventable hospitalizations