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Examining Medicare And Medicaid Coordination For Dual Eligibles
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Book Synopsis Examining Medicare and Medicaid Coordination for Dual-eligibles by : United States. Congress. Senate. Special Committee on Aging
Download or read book Examining Medicare and Medicaid Coordination for Dual-eligibles written by United States. Congress. Senate. Special Committee on Aging and published by . This book was released on 2012 with total page 128 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Author :United States. Congress Publisher :Createspace Independent Publishing Platform ISBN 13 :9781981653485 Total Pages :126 pages Book Rating :4.6/5 (534 download)
Book Synopsis Examining Medicare and Medicaid Coordination for Dual-Eligibles by : United States. Congress
Download or read book Examining Medicare and Medicaid Coordination for Dual-Eligibles written by United States. Congress and published by Createspace Independent Publishing Platform. This book was released on 2017-12-12 with total page 126 pages. Available in PDF, EPUB and Kindle. Book excerpt: Examining Medicare and Medicaid coordination for dual-eligibles : hearing before the Special Committee on Aging, United States Senate, One Hundred Twelfth Congress, second session, Washington, DC, July 18, 2012.
Book Synopsis Examining Medicare and Medicaid Coordination for Dual-eligibles by : United States. Congress. Senate. Special Committee on Aging
Download or read book Examining Medicare and Medicaid Coordination for Dual-eligibles written by United States. Congress. Senate. Special Committee on Aging and published by . This book was released on 2012 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Medicare and Medicaid by : Kathryn G. Allen
Download or read book Medicare and Medicaid written by Kathryn G. Allen and published by DIANE Publishing. This book was released on 2001-04 with total page 46 pages. Available in PDF, EPUB and Kindle. Book excerpt: States have been seeking federal waivers since the early 1990s to use managed care approaches to integrate the delivery of acute & long-term-care services for certain dual eligiblesÓ -- low-income Medicare beneficiaries who also quality for full Medicaid benefits. Dual eligibles often receive their Medicare & Medicaid benefits from two different sets of providers. This report determines: (1) the status & key features of state initiatives to integrate care for dual-eligible beneficiaries; & (2) factors that have contributed to the length of the waiver negotiation process & implementation time frames.
Book Synopsis Integrating Medicare and Medicaid Data to Support Improved Care for Dual Eligibles by : Lindsay Palmer Barnette
Download or read book Integrating Medicare and Medicaid Data to Support Improved Care for Dual Eligibles written by Lindsay Palmer Barnette and published by . This book was released on 2010 with total page 10 pages. Available in PDF, EPUB and Kindle. Book excerpt: Identifying ways to link Medicare and Medicaid data is a critical step toward integrating care for dual eligibles. Without access to Medicare data, state Medicaid agencies have only a limited picture of the dual eligible population. The availability of linked Medicare and Medicaid data can help highlight areas where integration can make a difference, such as identifying ways to reduce service fragmentation and avoidable utilization. Uncovering these opportunities can help build the case to state and federal policymakers for encouraging enrollment of additional dual eligibles into integrated care programs. This technical assistance brief provides practical information about the types of Medicare data available, how to access these data, and how to use the data to better understand the dual eligible population and uncover opportunities to improve care. The brief: * Outlines Medicare data available through the Centers for Medicare & Medicaid Services (CMS) and the Research Data Assistance Center (ResDAC); * Explains the process for obtaining Medicare data from ResDAC; * Describes the CMS Coordination of Benefits Agreement (COBA) and how it can be used to obtain Medicare claims data; * Provides an overview of how Medicare and Medicaid data can be linked; and * Examines the value of integrated data to support improvements in care for duals.
Book Synopsis Two-thirds of States Integrating Medicare and Medicaid Services for Dual Eligibles by :
Download or read book Two-thirds of States Integrating Medicare and Medicaid Services for Dual Eligibles written by and published by . This book was released on 2013 with total page 16 pages. Available in PDF, EPUB and Kindle. Book excerpt: This research, based on a survey of 50 states and the District of Columbia conducted in the fall of 2012, finds that two-thirds of the states either have or will launch new initiatives to better coordinate care for people who are dually eligible for Medicare and Medicaid services, the so-called "duals," over the next 2 years. To contain the growth of costs and improve care, the federal government, in partnership with many states, is exploring models to better serve duals and align the Medicaid and Medicare programs to remove adverse incentives and improve care coordination. This research also finds that some states are taking the opportunity extended by the Centers for Medicare & Medicaid Services (CMS) to test new models, but a number of states are exploring or implementing alternative approaches to dual services integration outside of the CMS models.
Download or read book Experienced Voices written by and published by . This book was released on 2011 with total page 51 pages. Available in PDF, EPUB and Kindle. Book excerpt: In 2007, approximately 9 million older adults and younger people with disabilities were simultaneously covered by both Medicare and some level of Medicaid--a population commonly known as dual eligibles or duals. Dual eligibles are the poorest, sickest, and costliest of all Medicaid beneficiaries--representing 15 percent of Medicaid enrollees and 39 percent of the program's spending in 2007--with the majority of the costs going to pay for long-term services and supports not covered by Medicare. Duals are also costly to Medicare, accounting for 16 percent of the program's enrollees and more than one-quarter (27 percent) of program spending in 2006. Because of their vulnerable health status and their costs to both programs, there is considerable interest in exploring ways to deliver high-quality, coordinated services to this population, in an effort both to improve their care and rein in costs. With the federal government administering Medicare and each state administering its own Medicaid program, the delivery of health care services for duals can be fragmented and confusing. Several programs seek to address this fragmentation by offering various types and levels of care coordination for dual eligibles. In addition, the federal government is funding demonstration projects aimed at identifying new, high-quality strategies for delivering care to the dual eligible population. Missing from the discourse are the voices of dual eligibles themselves. Changes to the way their care is organized and delivered could have profound effects on their health, quality of life, and satisfaction. To address this void, the AARP Public Policy Institute (PPI) sponsored this focus group study of dual eligibles to learn more about their experiences of care across several care models. Between February and August 2011, ten focus groups were conducted in five cities with duals and, in some cases, their family members. We examined duals who were receiving care through the following models: fee-for-service Medicare and Medicaid; enhanced Primary Care Case Management (PCCM); partially integrated Medicare Special Needs plans (SNP); fully integrated Medicare Special Needs Plans; and the Program of All-Inclusive Care for the Elderly (PACE). All participants within each focus group were from the same delivery model.
Book Synopsis Medicaid Coverage of Medicare Beneficiaries (dual Eligibles) at a Glance by : Medicare Learning Network
Download or read book Medicaid Coverage of Medicare Beneficiaries (dual Eligibles) at a Glance written by Medicare Learning Network and published by . This book was released on 2009 with total page 4 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Medicaid Politics and Policy by : David G. Smith
Download or read book Medicaid Politics and Policy written by David G. Smith and published by Routledge. This book was released on 2017-09-08 with total page 472 pages. Available in PDF, EPUB and Kindle. Book excerpt: The story of Medicaid comes alive for readers in this strong narrative, including detailed accounts of important policy changes and extensive use of interviews. A central theme of the book is that Medicaid is a "weak entitlement," one less established or effectively defended than Medicare or Social Security, but more secure than welfare or food stamps. In their analysis, the authors argue that the future of Medicaid is sound. It has the flexibility to be adapted by states as well as to allow for policy innovation. At the same time, the program lacks an effective mechanism for overall reform. They note Medicaid has become a source of perennial political controversy as it has grown to become the largest health insurance system in the country. The book's dual emphasis on politics and policy is important in making the arcane Medicaid program accessible to readersand in distinguishing policy grounded in analysis from partisan ideology. This second edition features a new preface, three new chapters accounting for the changes to the Affordable Care Act, and an updated glossary.
Book Synopsis Handbook of Minority Aging by : Keith E. Whitfield, PhD
Download or read book Handbook of Minority Aging written by Keith E. Whitfield, PhD and published by Springer Publishing Company. This book was released on 2013-07-28 with total page 589 pages. Available in PDF, EPUB and Kindle. Book excerpt: "The array of topics covered is amazing, making this book a valuable, significant resource for many disciplines...This multidisciplinary review of the literature on minority aging presents the scholarship related to public health and 'social, behavioral, and biological concerns' of aged minorities like no other publication. Graduate students will certainly be well-served by this book, as would faculty teaching aging at both undergraduate and graduate levels...Highly recommended."--Choice: Current Reviews for Academic Libraries "...while practitioners of gerontology, family medicine, and any professional involved in the care of the elderly will find some practical guidance in the second part of the book, it will really earn a place on the bookshelf of anyone and everyone with an interest in US sociology and the development of public policy for the elderly. With the general aging of the population and the book’s accentuation of current issues, this outstanding review will become an indispensable tool."Healthy Aging Research This text provides up-to-date, multidisciplinary, and comprehensive information about aging among diverse racial and ethnic populations in the United States. It is the only book to focus on paramount public health issues as they relate to older minority Americans, and addresses social, behavioral, and biological concerns for this population. The text distills the most important advances in the science of minority aging and incorporates the evidence of scholars in gerontology, anthropology, psychology, public health, sociology, social work, biology, medicine, and nursing. Additionally, the book incorporates the work of both established and emerging scholars to provide the broadest possible knowledge base on the needs of and concerns for this rapidly growing population. Chapters focus on subject areas that are recognized as being critical in understanding the well being of minority elders. These include sociology (Medicare, SES, work and retirement, social networks, context/neighborhood, ethnography, gender, demographics), psychology (cognition, stress, mental health, personality, sexuality, religion, neuroscience, discrimination), medicine/nursing/public health (mortality and morbidity, disability, health disparities, long-term care, genetics, dietary issues, health interventions, physical functioning), social work (caregiving, housing, social services, end-of-life care), and many other topics. The book focuses on the needs of four major ethnic groups: Asian/Pacific Islander, Hispanic/Latino, African American, and Native American. Key Features: Provides current, comprehensive information about minority aging through a multidisciplinary lens Integrates information from scholars in gerontology, anthropology, psychology, public health, sociology, social work, biology, medicine, and nursing Emphasizes the principal public health issues concerning minority elders Offers “one-stop shopping” regarding the development of a substantial knowledge base about minority aging Includes recent progressive research pertaining to the social, cultural, psychological and health needs of elderly minority adults in the US
Book Synopsis Journal of the Senate of the United States of America by : United States. Congress. Senate
Download or read book Journal of the Senate of the United States of America written by United States. Congress. Senate and published by . This book was released on 1789 with total page 1266 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Congressional Record by : United States. Congress
Download or read book Congressional Record written by United States. Congress and published by . This book was released on 2012 with total page 1498 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Contextualizing Health and Aging in the Americas by : William A. Vega
Download or read book Contextualizing Health and Aging in the Americas written by William A. Vega and published by Springer. This book was released on 2018-09-22 with total page 392 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book presents new insights into the consequences of the impending growth in and impact of the older segment of Latino aging adults across distinctive regions of the Americas. It uses a comparative research framework to further understanding of current issues in health and aging in the transnational context of the health and migratory experiences of the U.S.- Mexican population. It provides an important contribution to the interdisciplinary investigation of chronic diseases and functional impairments, social care and medical services, care-giving and intervention development, and neighborhood factors supporting optimal aging, using new conceptual and methodological approaches (inter-group comparisons). Specifically, the chapters employ different methodologies that investigate trends in aging health and services related to immigration processes, family and household structure, macroeconomic changes in the quality of community life, and focus on the new realities of aging in Latino families in local communities. The book focuses on measurement, data-quality issues, new conceptual modeling techniques, and longitudinal survey capabilities, and suggests needed areas of new research. As such it is of interest to researchers and policy makers in a wide range of disciplines from social and behavioral sciences to economics, gerontology, geriatrics, and public health.
Book Synopsis Report to the Congress by : Medicare Payment Advisory Commission (U.S.)
Download or read book Report to the Congress written by Medicare Payment Advisory Commission (U.S.) and published by . This book was released on 2004 with total page 252 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Access to Health Care in America by : Institute of Medicine
Download or read book Access to Health Care in America written by Institute of Medicine and published by National Academies Press. This book was released on 1993-02-01 with total page 240 pages. Available in PDF, EPUB and Kindle. Book excerpt: Americans are accustomed to anecdotal evidence of the health care crisis. Yet, personal or local stories do not provide a comprehensive nationwide picture of our access to health care. Now, this book offers the long-awaited health equivalent of national economic indicators. This useful volume defines a set of national objectives and identifies indicatorsâ€"measures of utilization and outcomeâ€"that can "sense" when and where problems occur in accessing specific health care services. Using the indicators, the committee presents significant conclusions about the situation today, examining the relationships between access to care and factors such as income, race, ethnic origin, and location. The committee offers recommendations to federal, state, and local agencies for improving data collection and monitoring. This highly readable and well-organized volume will be essential for policymakers, public health officials, insurance companies, hospitals, physicians and nurses, and interested individuals.
Author :United States. Congress. Senate. Committee on Health, Education, Labor, and Pensions Publisher : ISBN 13 : Total Pages :88 pages Book Rating :4.:/5 (319 download)
Book Synopsis Improving Quality, Lowering Costs by : United States. Congress. Senate. Committee on Health, Education, Labor, and Pensions
Download or read book Improving Quality, Lowering Costs written by United States. Congress. Senate. Committee on Health, Education, Labor, and Pensions and published by . This book was released on 2014 with total page 88 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Best Care at Lower Cost by : Institute of Medicine
Download or read book Best Care at Lower Cost written by Institute of Medicine and published by National Academies Press. This book was released on 2013-05-10 with total page 437 pages. Available in PDF, EPUB and Kindle. Book excerpt: America's health care system has become too complex and costly to continue business as usual. Best Care at Lower Cost explains that inefficiencies, an overwhelming amount of data, and other economic and quality barriers hinder progress in improving health and threaten the nation's economic stability and global competitiveness. According to this report, the knowledge and tools exist to put the health system on the right course to achieve continuous improvement and better quality care at a lower cost. The costs of the system's current inefficiency underscore the urgent need for a systemwide transformation. About 30 percent of health spending in 2009-roughly $750 billion-was wasted on unnecessary services, excessive administrative costs, fraud, and other problems. Moreover, inefficiencies cause needless suffering. By one estimate, roughly 75,000 deaths might have been averted in 2005 if every state had delivered care at the quality level of the best performing state. This report states that the way health care providers currently train, practice, and learn new information cannot keep pace with the flood of research discoveries and technological advances. About 75 million Americans have more than one chronic condition, requiring coordination among multiple specialists and therapies, which can increase the potential for miscommunication, misdiagnosis, potentially conflicting interventions, and dangerous drug interactions. Best Care at Lower Cost emphasizes that a better use of data is a critical element of a continuously improving health system, such as mobile technologies and electronic health records that offer significant potential to capture and share health data better. In order for this to occur, the National Coordinator for Health Information Technology, IT developers, and standard-setting organizations should ensure that these systems are robust and interoperable. Clinicians and care organizations should fully adopt these technologies, and patients should be encouraged to use tools, such as personal health information portals, to actively engage in their care. This book is a call to action that will guide health care providers; administrators; caregivers; policy makers; health professionals; federal, state, and local government agencies; private and public health organizations; and educational institutions.
