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The Effect of the Balanced Budget Act of 1997 on Medicare HMO Enrollment
Balanced Budget Act Medicare HMO Enrollment
2016/3/18
Congress implemented a number of measures in the Balanced Budget Act of 1997 (BBA) to encourage Health Maintenance Organizations (HMOs) to enter underserved markets and expand enrollment in existing m...
An Analysis of the Medicare Prescription Drug Benefit
Medicare Prescription drugs Health production Dynamic discrete choice Moral hazard
2016/3/18
Medicare has recently experienced the largest expansion of benefits since its in- ception: the inclusion of prescription drug coverage under the Medicare Prescription Drug, Improvement and Modernizati...
The Star Treatment:Estimating the Impact of Star Ratings on Medicare Advantage Enrollments
Star Treatment EStar Ratings Medicare Advantage
2016/3/3
The Centers for Medicare and Medicaid Services (CMS) has calculated and disseminated an overall contract quality star rating system (from one to five stars) for all Medicare Advantage (MA) contracts s...
Consumer Information about Health Plan Quality: Evidence Prior to the National Medicare Education Program
Health Plan Quality National Medicare Education Program
2015/9/21
The Center for Medicare & Medicaid Services (CMS) initiated the National Medicare
Education Program (NMEP) in 1998, aiming to collect information of quality from contracted
managed care plans and di...
DESIGNED TO FAIL: THE MEDICARE AUCTION FOR DURABLE MEDICAL EQUIPMENT
DURABLE MEDICAL EQUIPMENT MEDICARE
2015/9/18
We examine the theoretical properties of the auction for Medicare Durable Medical
Equipment. Two unique features of the Medicare auction are (1) winners are paid the
median winning bid and (2) bids ...
In the fall of 2010, 167 auction experts from top universities around the country sent a letter to&...
Comment on Hoerger: Early Pilots of Medicare Auctions Brings No Solace to Auction Experts
Medicare Auctions Brings Auction Experts
2015/9/18
Our Economists’ Voice column sumthe current and proposed Medicare auctions. The column was based on a careful
reading and analysis of the auction rules.
Providing Prescription Drug Coverage to the Elderly:America’s Experiment with Medicare Part D
Elderly:America’s Experiment Medicare Part D
2015/7/17
T has steadily increased since the early 1980s, from 4.5 percent in 1982 to 5.6 percent in 1994, with this then rapidly accelerating to 10.1 percent by he share of U.S. healthcare spending accounted f...
The Effect of Medicare Part D on Pharmaceutical Prices and Utilization
Medicare Part D Pharmaceutical Prices Utilization
2015/7/17
Prescription drug expenditures represent the most rapidly growing component of health care spending, increasing from 5 percent of health care spending in 1980 to more than 10 percent by 2005 (Centers ...
Can Health Insurance Competition Work? Evidence from Medicare Advantage
Medicare Advantage Insurance Competition Work
2015/7/17
We estimate the economic surplus created by Medicare Advantage under its reformed
competitive bidding rules. We use data on the universe of Medicare beneÖciaries, and develop a
model of plan bi...
The Medium-Term Impact of Medicare Part D on Pharmaceutical Prices
Medicare Part D Pharmaceutical Prices
2015/7/17
Part D represents the largest expansion of Medicare since the program’s inception in 1965.Though initially projected to cost the federal government $780 billion over its first ten years (2006–2015), i...
How does risk selection respond to risk adjustment?New evidence from the Medicare Advantage Program
risk selection respond risk adjustment the Medicare Advantage Program
2015/7/17
To combat adverse selection, governments increasingly base payments to health plans and providers on enrollees’ scores from risk-adjustment formulae. In response to evidence of plan overpayments due t...
Who BeneOts when the Government Pays More?Pass-Through in the Medicare Advantage Program
Government Pays Medicare Advantage Program
2015/7/17
Governments contract with private Örms to provide a wide range of services. While a large body of previous work has estimated the e§ects of that contracting, surprisingly little has investigated ...
THE RESPONSE OF DRUG EXPENDITURE TO NONLINEAR CONTRACT DESIGN: EVIDENCE FROM MEDICARE PART D
MEDICARE PART D DRUG EXPENDITURE
2015/7/17
We study the demand response to nonlinear price schedules using data on
insurance contracts and prescription drug purchases in Medicare Part D. We
exploit the kink in individuals’ budgets set create...
Impact of an Elective Course on Pharmacy Students’ Attitudes, Beliefs, and Competency Regarding Medicare Part D
Medicare Part D medication therapy management student attitudes experiential learning
2018/6/7
Objective. To determine the impact of an elective course on pharmacy students’ perceptions, knowledge, and confidence regarding Medicare Part D, medication therapy management (MTM), and immunizations....