Medicaid Shifts

Medicare Beneficiaries More Likely to Switch Away from Managed Care

A new study finds that high-cost Medicare beneficiaries are more likely to switch from private Medicare Advantage plans to original Medicare plans.


Can Financial Penalties Drive Hospitals to Improve Patient Care?

A new study finds evidence that financial penalties through the Hospital Readmissions Reduction Program reduced patient readmissions for targeted conditions.


Paying for Equity: Changing Pay for Performance to Reduce Disparities in Healthcare Funding

Healthcare pay for performance programs tend to hurt providers working with disadvantaged populations. A new study proposes an alternative payment model that more equitably provides funds to providers working with these patients

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Medicare Part D Plans: The more the merrier?

Recent research finds little evidence of choice overload in the Medicare Part D Plan market.


Observations from a New Frontier: Medicare’s Experience with Risk Adjustment

New research suggests Medicare's switch to risk-adjusted payments did not reduce overpayments. This example highlights the complexities of healthcare payment reform.

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Medicare Advantage – An Advantage to Whom?

Thanks to limited competition, additional Medicaid Advantage payments are captured by insurers and other third parties instead of being passed along to beneficiaries.


No Room for Smoking or Obesity: How North Carolina Dealt with Costly Retiree Insurance

Researchers evaluate North Carolina’s attempts to rein in the escalating cost of retiree healthcare.

Cost of health care

Buying Health Insurance in Illinois: The Other Item on Your New Year Wish List

The Executive Director of GetCoveredIllinois, the state-federal partnership health insurance marketplace in Illinois, discusses the marketplace’s recent launch and what is next.


The Power of the (Medicare) Dollar: Changes in Medicare Payments Affect Private Insurance Payouts

A study of market factors that influence Medicare’s ability to set prices provides interesting and offsetting long term implications.


Death by Insurance: Disparities in Healthcare Outcomes Based on Payment Methods

Researchers find a link between health outcomes and the type of insurance used by patients being treated for similar medical conditions at the same hospitals.

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