Case-Mix Coefficients for MA & PDP CAHPS
|
|
|
- Paul Vernon Norris
- 5 years ago
- Views:
Transcription
1 Case-Mix Coefficients for MA & PDP CAHPS Approach to Case-mix Adjustment As noted in Chapter IX of the Medicare Advantage and Prescription Drug Plan CAHPS Survey Quality Assurance Protocols & Technical Specifications, V5.0 ( a- pdpcahps.org ), MA & PDP CAHPS results are adjusted for certain respondent characteristics not under the control of the health or drug plan but related to the sampled member s survey responses. The 2014 MA & PDP CAHPS case-mix coefficients are also publicly available in the Medicare 2015 Part C & D Star Rating Technical Notes. The case-mix model used to analyze MA & PDP CAHPS Survey data includes three selfreported characteristics (education, general health, mental health), together with age, indicators of Medicaid dual eligibility, eligibility for low-income subsidy, information indicating whether another person helped the respondent complete the questionnaire, and whether the survey was completed in Chinese. Case-mix adjustment is implemented via linear regression models predicting CAHPS measures from case-mix adjustors and contract indicators. In these models, missing casemix adjustors are imputed as the contract mean. Adjusted means represent the mean that would be obtained for a given contract if the average of the case-mix variables for that contract was equal to the national average across all contracts. 1 Data from MA contracts are weighted to represent each contract s proportion of Part D enrollees. The following three components are needed for case-mix adjustment at the contract level: Weighted contract means for each case-mix variable (only used in the case of respondents who answered the CAHPS items) Weighted national means for each case-mix variable (based on all respondents who answered the CAHPS items) Individual-level coefficients for each case-mix variable The formula used to calculate a case-mix adjusted score is as follows: Adjusted Score = Raw Score Net Adjustment. The net adjustment is the sum of a series of products. Each product is, for a single case-mix adjusted variable, calculated as follows: (contract mean - national mean) x Coefficient. To illustrate how the contract mean for a given case-mix variable is calculated, consider the case of age. The table below shows age data for a hypothetical contract with 7 1 Consequently, the national mean of contract means is unchanged by case-mix adjustment. Posted October
2 respondents. Seven indicator (0 or 1) age variables are created for each of the 5 age range groups. The age category is not shown because it serves as the reference category. Survey ID Actual age at time of finalizing survey 64 and under and older For this contract, the mean of each of the 5 age range variables is calculated as follows: H 64 = ( ) / 7 = 2/7 = 0.29 H = ( ) / 7 = 2/7 = 0.29 H = ( ) / 7 = 0/7 = 0.00 H = ( ) / 7 = 1/7 = 0.14 H 85+ = ( ) / 7 = 1/7 = 0.14 Case-mix Coefficients for 2015 Star Ratings Case-mix adjustment is performed by CMS contractors. The case-mix coefficients are re-estimated each year based on new data. The case-mix coefficients for 2015 Star Ratings were estimated from CAHPS data collected in 2014 and can be found in Tables 1 and 2, below. The coefficients indicate how much higher or lower people with a given characteristic tend to respond compared to others with the baseline value for that characteristic, on the scale used in consumer reports. For example, for the composite "Getting Needed Care", the coefficient for "age 80-84" is , indicating that respondents in that age range tend to score their contracts point higher than otherwise similar people in the age range (the baseline or reference category). Similarly, dual eligibles tend to respond points lower on this item than otherwise similar non-duals. Contracts with higher proportions of beneficiaries who are in the age range will be adjusted downwards to compensate for the positive response tendency of their respondents on this composite. Similarly, contracts with higher proportions of respondents who are dual eligibles will be adjusted upwards to compensate for their respondents negative response tendency. Posted October
3 The case-mix patterns are not always consistent across measures. The composites consist of multiple items, each of which is adjusted separately before combining the adjusted scores into a composite score. In the tables we report the average of the coefficients for these several items, for each of the categories (rows) of the table, as a summary of the adjustment for the composite. Posted October
4 Table 1. Case-mix Coefficients for Part C CAHPS Measures Predictor C23: Getting Needed Care C24: Getting Appointments and Care Quickly C25: Customer Service C26: Rating of Health Care Quality C27: Rating of Health Plan C28: Care Coordination : 64 or under : : : : 85 and older Less than an 8th grade education Some high school Some college College graduate More than a bachelor's degree General health rating: excellent General health rating: very good General health rating: fair General health rating: poor Mental health rating: excellent Mental health rating: very good Mental health rating: fair Mental health rating: poor Proxy helped Proxy answered Medicaid dual eligible Low-income subsidy (LIS) Chinese language survey Source: Medicare 2015 Part C & D Star Rating Technical Notes Posted October
5 Table 2. Case-mix Coefficients for Part D CAHPS Measures Predictor D06: Rating of Drug Plan MA-PD D07: Getting Needed Prescription Drugs D06: Rating of Drug Plan PDP D07: Getting Needed Prescription Drugs : 64 or under : : : : 85 and older Less than an 8th grade education Some high school Some college College graduate More than a bachelor's degree General health rating: excellent General health rating: very good General health rating: fair General health rating: poor Mental health rating: excellent Mental health rating: very Mental health rating: fair Mental health rating: poor Proxy helped Proxy answered Medicaid dual eligible Low-income subsidy (LIS) Chinese language survey N/A N/A Source: Medicare 2015 Part C & D Star Rating Technical Notes Posted October
WORKING WITH PRIVATE SECTOR PARTNERS TO MAXIMIZE MEDICARE SAVINGS PROGRAM AND PART D ENROLLMENT
WORKING WITH PRIVATE SECTOR PARTNERS TO MAXIMIZE MEDICARE SAVINGS PROGRAM AND PART D ENROLLMENT James M. Verdier Mathematica Policy Research, Inc. State Solutions Invitational Summit May 12, 2005 Washington,
Fact Sheet Part C and D Star Ratings
Fact Sheet - 2018 Part C and D Star Ratings Note: The information included in this Fact Sheet is based on the 2018 Star Ratings published on Medicare Plan Finder (MPF) on October 11, 2017. For details
The Impact of the Medicare Prescription Drug Benefit on State Programs
The Impact of the Medicare Prescription Drug Benefit on State Programs Molly Maginnis Executive Office of Elder Affairs SHINE Training and Outreach Coordinator Transition to Part D for Duals (Medicare
Chartpack Examining Sources of Supplemental Insurance and Prescription Drug Coverage Among Medicare Beneficiaries: August 2009
Chartpack Examining Sources of Supplemental Insurance and Prescription Drug Coverage Among Medicare Beneficiaries: Findings from the Medicare Current Beneficiary Survey, 2007 August 2009 This chartpack
Medicare Part D Prescription Drug Coverage 2006 RBC Changes
Medicare Part D Subgroup Medicare Part D Prescription Drug Coverage 2006 RBC Changes NAIC Fall National Meeting - New Orleans 9/10/2005 NAIC Fall Meeting - September, 2005 1 Topics Reasons for Changes
2017 Medicare Basics. Module 1
2017 Medicare Basics Module 1 What is Original Medicare? Medicare Overview It is health insurance that is available under Medicare Part A and Part B through the traditional fee-for-service Medicare payment
Linking Performance and Compliance: How Part D Quality Measures Relate to Plan Performance
Linking Performance and Compliance: How Part D Quality Measures Relate to Plan Performance Medicare Rx Part D Compliance Conf. Monday, December 8, 2008 9:45 a.m. 10:45 a.m. Cynthia Tudor, PhD Director
IMPACT OF THE ELIMINATION OF PREFERRED PHARMACY NETWORKS ON THE MEDICARE PART D PROGRAM
IMPACT OF THE ELIMINATION OF PREFERRED PHARMACY NETWORKS ON THE MEDICARE PART D PROGRAM March 7, 2014 CHRIS CARLSON FSA, MAAA RANDALL FITZPATRICK FSA, MAAA Prepared for: Considerations and Limitations
Cal MediConnect CY 2017 Draft Medicare Rate Report May 31, 2016
The State of California, in conjunction with the Centers for Medicare and Medicaid Services (CMS), is releasing the preliminary Medicare component of the CY 2017 rates for the California Demonstration
Medicare 2017 Part C & D Star Rating Technical Notes
Medicare 2017 Part C & D Star Rating Technical Notes Updated 09/26/2016 Document Change Log Previous Version Description of Change Revision Date - Final 2017 Part C & D Star Ratings Technical Notes, fall
2017 Number of Contracts. Weighted by Enrollment
Fact Sheet - 2019 Part C and D Star Ratings Note: The information included in this Fact Sheet is based on the 2019 Star Ratings published on Medicare Plan Finder (MPF) on October 10, 2018. For details
Issue Brief. What s in the Stars? Quality Ratings of Medicare Advantage Plans, 2010
Issue Brief What s in the Stars? Quality Ratings of Medicare Advantage Plans, 00 December 009 What s in the Stars? Quality Ratings of Medicare Advantage Plans, 00 The Centers for Medicare and Medicaid
2014 commission schedule
2014 commission schedule Individual and Family and Individual Only Plan Medicare Supplement plan Blue Shield Medicare Advantage Prescription Drug (MA-PD) plans for individuals Blue Shield Medicare Prescription
Express Scripts Medicare Prescription Drug Plan (PDP) for EIA
Medicare Prescription Drug Plan (PDP) for EIA SUPERIOR COURT OF SANTA BARBARA COUNTY Introducing Medicare (PDP) for EIA Beginning January 1, 2015, the Santa Barbara County Superior Court will be offering
Medicare-Medicaid Alignment Initiative CY 2015 Final Rate Report March 20, 2015
The Illinois Department of Healthcare and Family Services (HFS), in conjunction with the Centers for Medicare and Medicaid Services (CMS), is releasing the Medicaid and Medicare components of the CY 2015
Understanding Private- Sector Medicare
Understanding Private- Sector Medicare A primer for investors Updated June 27, 2013 This presentation is intended for informational purposes only to give the reader a basic understanding of the Medicare
Medicare-Medicaid Alignment Initiative CY 2016 Final Rate Report November 1, 2016
The Illinois Department of Healthcare and Family Services (HFS), in conjunction with the Centers for Medicare and Medicaid Services (CMS), is releasing the updated Medicare component of the CY 2016 rates
Understanding the Bidding Process
Medicare Prescription Drug, Modernization and Improvement Act ( MMA ) Understanding the Bidding Process Presented by William E. Gramlich, Esquire One Logan Square Philadelphia, PA 19103 215-569 569-57395739
Cal MediConnect CY 2014 Rate Report
The State of California, in conjunction with the Centers for Medicare and Medicaid Services (CMS), is releasing draft rates for the California Demonstration to Integrate Care for Dual Eligible Beneficiaries,
PRESCRIPTION DRUG PLANS. Enrollment Periods
PRESCRIPTION DRUG PLANS Enrollment Periods Common Election Periods and Usages Election Periods are an important piece of the enrollment process for Medicare Advantage: Special Needs Plans Prescription
MEDICARE-MEDICAID CAPITATED FINANCIAL ALIGNMENT MODEL QUALITY WITHHOLD TECHNICAL NOTES (DY 2 5)
MEDICARE-MEDICAID CAPITATED FINANCIAL ALIGNMENT MODEL QUALITY WITHHOLD TECHNICAL NOTES (DY 2 5) Effective as of January 1, 2015; Issued April 29, 2016; Updated XXXXX Introduction The Medicare-Medicaid
MEDICARE PART D PRESCRIPTION DRUG EVENTS (PDE) RECONCILIATION
MEDICARE PART D PRESCRIPTION DRUG EVENTS (PDE) RECONCILIATION 2-06-15 Presented by: Alexander Luong, Pharm.D. Candidate 2015 University of the Pacific Preceptor: Dr. Craig Stern, Pharm.D. MBA President,
Medicare Payment Advisory Commission (MedPAC) January Meeting Summary
Medicare Payment Advisory Commission (MedPAC) January Meeting Summary The Medicare Payment Advisory Commission (MedPAC) is an independent Congressional agency established by the Balanced Budget Act of
Cal MediConnect CY 2014 Final Joint Medicare-Medicaid Rate Report October 2017
The State of California (California), in conjunction with the Centers for Medicare and Medicaid Services (CMS), is releasing final calendar year (CY) 2014 rates for the California Demonstration to Integrate
Reforming Beneficiary Cost Sharing to Improve Medicare Performance. Appendix 1: Data and Simulation Methods. Stephen Zuckerman, Ph.D.
Reforming Beneficiary Cost Sharing to Improve Medicare Performance Appendix 1: Data and Simulation Methods Stephen Zuckerman, Ph.D. * Baoping Shang, Ph.D. ** Timothy Waidmann, Ph.D. *** Fall 2010 * Senior
Medicare Health Plans
Medicare Health Plans Part 2 Version 10.0 June 20, 2016 Terms and Conditions This training program is protected under United States Copyright laws, 17 U.S.C.A. 101, et seq. and international treaties.
Medicare Part D: What Are The Concerns?
Medicare Part D: What Are The Concerns? Stuart Guterman Director, Program on Medicare s Future The Commonwealth Fund Association of Healthcare Journalists March 17, 2006 (revised to reflect new data May
Vermont Department of Financial Regulation Insurance Division 2014 Vermont Household Health Insurance Survey Initial Findings
Vermont Department of Financial Regulation Insurance Division 2014 Vermont Household Health Insurance Survey Initial Findings Brian Robertson, Ph.D. Mark Noyes Acknowledgements: The Department of Financial
The Medicare Advantage program: Status report
C H A P T E R12 The Medicare Advantage program: Status report C H A P T E R 12 The Medicare Advantage program: Status report Chapter summary In this chapter Each year the Commission provides a status
Medicare: Changes, Challenges, and Opportunities for Grantmakers
Medicare: Changes, Challenges, and Opportunities for Grantmakers November 6, 2013 Grantmakers in Health Tricia Neuman, Sc.D. Director, Program on Medicare Policy Kaiser Family Foundation Wednesday, November
MEDICARE PART D PRESCRIPTION DRUG BENEFIT
MEDICARE PART D PRESCRIPTION DRUG BENEFIT On January 21, 2005, the Centers for Medicare & Medicaid Services ( CMS ) issued the final regulations implementing the Medicare prescription drug benefit as well
PO Box 350 Willimantic, Connecticut (860) (800) Connecticut Ave, NW Suite 709 Washington, DC (202)
PO Box 350 Willimantic, Connecticut 06226 (860)456-7790 (800)262-4414 1025 Connecticut Ave, NW Suite 709 Washington, DC 20036 (202)293-5760 Se habla español Produced under a grant from the Connecticut
Driving Member Engagement and Improving Star Ratings With Rewards Programs
Driving Member Engagement and Improving Star Ratings With Rewards Programs Entertainment Corporate Marketing Solutions White Paper INTRODUCTION In 2003 the Medicare Prescription Drug, Improvement, and
TRACKING MEDICARE HEALTH AND PRESCRIPTION DRUG PLANS Monthly Report for September 2007
TRACKING MEDICARE HEALTH AND PRESCRIPTION DRUG PLANS Monthly Report for September 2007 Prepared by Stephanie Peterson and Marsha Gold, Mathematica Policy Research Inc. as part of work commissioned by the
INSIGHT on the Issues
INSIGHT on the Issues AARP Public Policy Institute A First Look at How Medicare Advantage Benefits and Premiums in Individual Enrollment Plans Are Changing from 2008 to 2009 New analysis of CMS data shows
Prescription Drug Event (PDE) Data: Source and Processing
Prescription Drug Event (PDE) Data: Source and Processing Barbara Frank, M.S., M.P.H. Director of Workshops, Outreach, & Research University of Minnesota Frequently Repeated Acronyms CMS Centers for Medicare
INSIGHT on the Issues
INSIGHT on the Issues AARP Public Policy Institute A First Look at How Medicare Advantage Benefits and Premiums in Individual Enrollment Plans Are Changing from 2008 to 2009 Marsha Gold, Sc.D. and Maria
For agent use only - Not Intended for distribution to beneficiaries
Instructions for using this sales presentation: We want to help you deliver a compliant, effective sales presentation. Brokers/agents MUST follow not only the slides, but also the notes section. Each notes
Eligibility and Enrollment in the Medicare Prescription Drug Program
Eligibility and Enrollment in the Medicare Prescription Drug Program Danielle Moon, Centers for Medicare and Medicaid Services Linda A. Malek, Esq., Partner Moses & Singer LLP Medicare Prescription Drug
HEDIS CAHPS HEALTH PLAN SURVEY, ADULT AND CHILD Beneficiary Satisfaction Survey Results
HEDIS CAHPS HEALTH PLAN SURVEY, ADULT AND CHILD 2017 Beneficiary Satisfaction Survey Results HEDIS CAHPS HEALTH PLAN SURVEY, ADULT AND CHILD 2017 Beneficiary Satisfaction Survey Results TABLE OF CONTENTS
2015 Medicare Advantage Plans That Offer a $0 Drug Premium with Full Low-Income Subsidy (LIS)
2015 Medicare Advantage Plans That Offer a $0 with Full Low-Income Subsidy (LIS) ( County and Northeastern Illinois) County Name Plan Name Plan s Health and Part B premium Aetna Medicare Value Aetna Medicare
Medicare Part D In Massachusetts: Successes and Continuing Challenges. Cindy Parks Thomas Massachusetts Health Policy Forum May 30, 2007
Medicare Part D In Massachusetts: Successes and Continuing Challenges Cindy Parks Thomas Massachusetts Health Policy Forum May 30, 2007 2 I. Overview and Massachusetts Part D Landscape 3 Medicare Part
All MA-PD plans, 1876 Cost Plans, PACE organizations, and PDPs. Subject: Incoming File from CMS: Beneficiary-level file to support 2015 Part D bids
DEPARTMENT OF HEALTH & HUMAN SERVICES Centers for Medicare & Medicaid Services 7500 Security Boulevard Baltimore, Maryland 244-1850 CENTER FOR MEDICARE Date: April 11, 2014 To: All MA-PD plans, 1876 Cost
How States Can Monitor Dual Eligible Special Needs Plan Performance: A Guide to Using CMS Data Resources
TECHNICAL ASSISTANCE TOOL JANUARY 2018 How States Can Monitor Dual Eligible Special Needs Plan Performance: A Guide to Using CMS Data Resources By Danielle Chelminsky, Mathematica Policy Research IN BRIEF:
Transition Guidance for Non-Special Needs Enrollees in MA Special Needs Plans Under the Disproportionate Share Policy
DEPARTMENT OF HEALTH & HUMAN SERVICES Centers for Medicare & Medicaid Services 7500 Security Boulevard Baltimore, Maryland 21244-1850 CENTER FOR MEDICARE DATE: June 17, 2011 TO: FROM: SUBJECT: All Medicare
Via Electronic Submission (www.regulations.gov) January 16, 2018
Via Electronic Submission (www.regulations.gov) January 16, 2018 Ms. Seema Verma Administrator Centers for Medicare & Medicaid Services U.S. Department of Health and Human Services ATTN: CMS-4182-P 7500
Web Appendix for: Medicare Part D: Are Insurers Gaming the Low Income Subsidy Design? Francesco Decarolis (Boston University)
Web Appendix for: Medicare Part D: Are Insurers Gaming the Low Income Subsidy Design? 1) Data Francesco Decarolis (Boston University) The dataset was assembled from data made publicly available by CMS
Enrollment Guidance Medicare Advantage and Part D Plans
Enrollment Guidance Medicare Advantage and Part D Plans Part 5 Version 7.0 June 24, 2013 Terms and Conditions This training program is protected under United States Copyright laws, 17 U.S.C.A. 101, et
TITLE 42 - THE PUBLIC HEALTH AND WELFARE CHAPTER 7 - SOCIAL SECURITY SUBCHAPTER XVIII - HEALTH INSURANCE FOR AGED AND DISABLED
TITLE 42 - THE PUBLIC HEALTH AND WELFARE CHAPTER 7 - SOCIAL SECURITY SUBCHAPTER XVIII - HEALTH INSURANCE FOR AGED AND DISABLED Part D - Voluntary Prescription Drug Benefit Program subpart 2 - prescription
SAVINGS GENERATED BY PHARMACY BENEFIT MANAGERS IN THE MEDICARE PART D PROGRAM
February 6, 2014 GLENN GIESE KELLY BACKES SAVINGS GENERATED BY PHARMACY BENEFIT MANAGERS IN THE MEDICARE PART D PROGRAM June 26, 2017 GLENN GIESE RANDALL FITZPATRICK KEVIN MEYER CONTENTS Findings... 1
TRACKING MEDICARE HEALTH AND PRESCRIPTION DRUG PLANS Monthly Report for October 2006
TRACKING MEDICARE HEALTH AND PRESCRIPTION DRUG PLANS Monthly Report for October 2006 Prepared by Stephanie Peterson and Marsha Gold, Mathematica Policy Research Inc. as part of work commissioned by the
Medicare Updates. Illinois Department on Aging Senior Health Insurance Program (SHIP)
Medicare 2015 Updates Governor s Conference on Aging & Disability Session W2, Wednesday December 10, 2014 Illinois Department on Aging Senior Health Insurance Program (SHIP) 800-252-8966 Aging.SHIP@illinois.gov
An Overview of the Medicare Part D Prescription Drug Benefit
October 2018 Fact Sheet An Overview of the Medicare Part D Prescription Drug Benefit Medicare Part D is a voluntary outpatient prescription drug benefit for people with Medicare, provided through private
S E C T I O N. Medicare Advantage
S E C T I O N Medicare Advantage Chart 9-1. MA plans available to virtually all Medicare beneficiaries CCPs HMO Any Average plan or local Regional Any MA offerings per PPO PPO CCP PFFS plan county 2009
MEDICARE MADE SIMPLE. It s as easy as A, B, C, D
MEDICARE MADE SIMPLE It s as easy as A, B, C, D PINNACLE FINANCIAL SERVICES 65 W STREET RD, SUITE A-101 WARMINSTER, PA 18974 1-(800)-772-6881 WWW.PFSINSURANCE.COM LAST UPDATED JANUARY 2, 2019 WHAT IS MEDICARE?
2016 Medicare Deductibles and Premiums
2016 Medicare Deductibles and Premiums Yesterday the Centers for Medicare & Medicaid Services (CMS) announced the 2016 premiums and deductibles for the Medicare inpatient hospital (Part A) and physician
TRACKING MEDICARE HEALTH AND PRESCRIPTION DRUG PLANS Monthly Report for October 2008
TRACKING MEDICARE HEALTH AND PRESCRIPTION DRUG PLANS Monthly Report for October 2008 Prepared by Stephanie Peterson and Marsha Gold, Mathematica Policy Research Inc. as part of work commissioned by the
Figure 1. Differences in Out-of-Pocket Expenses for Poor Beneficiaries in the House and Senate Low-Income Subsidy Programs $1,200 $150
I S S U E kaiser commission on medicaid and the uninsured October 2003 P A P E R OUT-OF-POCKET COST-SHARING OBLIGATIONS FOR LOW-INCOME MEDICARE BENEFICIARIES UNDER THE HOUSE AND SENATE PRESCRIPTION DRUG
PACE & Medicare Part D
PACE & Medicare Part D www.npaonline.org Shawn Bloom National PACE Association Shawnb@npaonline.org (703) 535-1518 PACE & Part D Session Objectives PACE Medication Regulations What Does Part D Cover What
Medicare Advantage: Early Views and Trend Spotting: What We Know From Analyzing Public Data Files
Medicare Advantage: Early Views and Trend Spotting: What We Know From Analyzing Public Data Files By Marsha Gold, Sc.D. Senior Fellow Mathematica Policy Research Presentation to the Alliance for Health
TRACKING MEDICARE HEALTH AND PRESCRIPTION DRUG PLANS Monthly Report for January 2008
TRACKING MEDICARE HEALTH AND PRESCRIPTION DRUG PLANS Monthly Report for January 2008 Prepared by Stephanie Peterson and Marsha Gold, Mathematica Policy Research Inc. as part of work commissioned by the
Medicare Overview. James Cosgrove, Director U.S. Government Accountability Office (GAO) February 8, 2013
Medicare Overview James Cosgrove, Director U.S. Government Accountability Office (GAO) February 8, 2013 Presentation Outline General Structure, Eligibility, and Beneficiaries Medicare Providers Medicare
Rewards and Incentives Drive Member Engagement and Improve Star Ratings a Proven Model!
Entertainment Corporate Marketing Solutions White Paper Rewards and Incentives Drive Member Engagement and Improve Star Ratings a Proven Model! Introduction Since 200, the Medicare Prescription Drug, Improvement,
Medicare Advantage: Program Overview and Recent Experience. James Cosgrove, Ph.D. Director, Health Care U.S. Government Accountability Office
Medicare Advantage: Program Overview and Recent Experience James Cosgrove, Ph.D. Director, Health Care U.S. Government Accountability Office January 15, 2009 01/15/2009 1 In 2008, About 22 Percent of Medicare
WORKING P A P E R. Analysis of Case-Mix Strategies and Recommendations for Medicare Fee-for-Service CAHPS. Case-Mix Adjustment Report: 2004
WORKING P A P E R Analysis of Case-Mix Strategies and Recommendations for Medicare Fee-for-Service CAHPS Case-Mix Adjustment Report: 2004 MARC N. ELLIOTT, KATRIN HAMBARSOOMIANS, AND CAROL A. EDWARDS WR-332-CMS
The Under Age 65 Project
Medicare for Individuals Under Age 65 Webinar Series Choosing Traditional Medicare or Medicare Advantage: Pros and Cons for Individuals Under Age 65 October 20, 2016 Presented by Kathy Holt, M.B.A., J.D.,
Web Appendix for: Medicare Part D: Are Insurers Gaming the Low Income Subsidy Design? Francesco Decarolis (Boston University)
Web Appendix for: Medicare Part D: Are Insurers Gaming the Low Income Subsidy Design? 1) Data Francesco Decarolis (Boston University) The dataset was assembled from data made publicly available by CMS
CMS Releases Proposed Rule on Medicare Advantage and Medicare Prescription Drug Plan MLR Requirements. Jacinta L. Alves
CMS Releases Proposed Rule on Medicare Advantage and Medicare Prescription Drug Plan MLR Requirements Jacinta L. Alves Background: What is an MLR?» MLR stands for Medical Loss Ratio.» An MLR is expressed
January 16, Ms. Seema Verma Administrator Centers for Medicare & Medicaid Services 7500 Security Blvd. Baltimore, Maryland 21244
January 16, 2018 Ms. Seema Verma Administrator Centers for Medicare & Medicaid Services 7500 Security Blvd. Baltimore, Maryland 21244 Re: MAPRx Draft Comment Letter on Medicare Program; Contract Year 2019
Stand-Alone Prescription Drug Plans Dominated the Rural Market in 2011
Stand-Alone Prescription Drug Plans Dominated the Rural Market in 2011 Growth Driven by Medicare Advantage Prescription Drug Plan Enrollment Leah Kemper, MPH Abigail Barker, PhD Fred Ullrich, BA Lisa Pollack,
2018 Medicare Advantage and Part D Rate Announcement and Call Letter, and Request
2018 Medicare Advantage and Part D Rate Announcement and Call Letter, and Request for Information Date 2017-04-03 Title 2018 Medicare Advantage and Part D Rate Announcement and Call Letter, and Request
2015 Medicare Low-Income Subsidy (LIS), or Extra Help
2015 Medicare Low-Income Subsidy (LIS), or Extra Help Extra Help with Prescription Drug Costs Medicare LIS Overview Patient Eligibility and Application Process How LIS Affects Patient Responsibility for
This resource is being made available to you by Community Partners. - 1
Community Partners and the Blue Cross Blue Shield of Massachusetts Foundation hosted a Medicare Part D Training on October 21, 2005. Participants were invited to submit additional questions following the
Introduction to the Use of Medicare Part D Data for Research. Minneapolis MAY 15-16, 2013
Introduction to the Use of Medicare Part D Data for Research Minneapolis MAY 15-16, 2013 Educational Objectives of Workshop Understand the Medicare Part D Program and its benefits Understand what demographic,
Center for Beneficiary Choices
Center for Beneficiary Choices Business Owner for Medicare Advantage, Prescription Drug Program, and Associated Products Presented to the Northern Virginia Technology Council C. Mark Loper, FACHE, FAHM
Welcome to Kaiser Permanente
Welcome to Kaiser Permanente Presenting Medicare 101 and Kaiser Permanente Senior Advantage City of San Diego Nancy Voltero Retiree Consultant Basics of Medicare 2 What is Medicare? Medicare is a federally
TITLE 42 - THE PUBLIC HEALTH AND WELFARE CHAPTER 7 - SOCIAL SECURITY SUBCHAPTER XVIII - HEALTH INSURANCE FOR AGED AND DISABLED
TITLE 42 - THE PUBLIC HEALTH AND WELFARE CHAPTER 7 - SOCIAL SECURITY SUBCHAPTER XVIII - HEALTH INSURANCE FOR AGED AND DISABLED Part D - Voluntary Prescription Drug Benefit Program subpart 2 - prescription
To Switch or Not to Switch: Are Medicare Beneficiaries Switching Drug Plans To Save Money?
October 2013 Issue Brief To Switch or Not to Switch: Are Medicare Beneficiaries Switching Drug Plans To Save Money? Jack Hoadley, Elizabeth Hargrave, Laura Summer, Juliette Cubanski, and Tricia Neuman
Medicare and Patient Assistance
Medicare and Patient Assistance Sean M. Dougherty Senior Director Medicare Strategy & Patient Assistance Programs Government, Public Policy And Managed Markets Medicare and Patient Assistance Summary AstraZeneca
Introduction to the Use of Medicare Data for Research. Marshall McBean, M.D., M.Sc. Director of ResDAC University of Minnesota
Introduction to the Use of Medicare Data for Research Marshall McBean, M.D., M.Sc. Director of ResDAC University of Minnesota Structure and Content of the Medicare Program Eligibility, enrollment, benefits
TRACKING MEDICARE HEALTH AND PRESCRIPTION DRUG PLANS Monthly Report for August 2007
TRACKING MEDICARE HEALTH AND PRESCRIPTION DRUG PLANS Monthly Report for August 2007 Prepared by Stephanie Peterson and Marsha Gold, Mathematica Policy Research Inc. as part of work commissioned by the
M E D I C A R E I S S U E B R I E F
M E D I C A R E I S S U E B R I E F THE VALUE OF EXTRA BENEFITS OFFERED BY MEDICARE ADVANTAGE PLANS IN 2006 Prepared by: Mark Merlis For: The Henry J. Kaiser Family Foundation January 2008 THE VALUE OF
. The A, B, C and D s ( )
The World of Medicare. The A, B, C and D s 1 021749 (03-2010) Today Original Medicare Part A Part B Medicare Advantage Plans Part C Prescription Drug Plans Part D Medicare Supplement Insurance Serving
User Guide to Health Insurance in the Health and Retirement Study, Prepared by Helen Levy. May 2017
User Guide to Health Insurance in the Health and Retirement Study, 2006 2014 Prepared by Helen Levy May 2017 Abstract: This documentation report describes health insurance data in the HRS. We summarize
HEALTH AND RETIREMENT STUDY Prescription Drug Study Final Release V1.0, November 2008 (Sensitive Health Data) Data Description and Usage
HEALTH AND RETIREMENT STUDY 2005 Prescription Drug Study Final Release V1.0, (Sensitive Health Data) Data Description and Usage To the researcher: This data set is intended for exclusive use by you under
Minimizing Part D Costs for Medicare Beneficiaries: Not Just a Drop in the Bucket
University of the Pacific Scholarly Commons School of Pharmacy and Health Sciences Faculty Presentations Thomas J. Long School of Pharmacy and Health Sciences 11-4-2013 Minimizing Part D Costs for Medicare
National Health Policy Forum April 28, 2005 Sally Burner CMS
Understanding Medicare Advantage Bidding and Payment: Effects on Plan Choice and Beneficiary Premiums National Health Policy Forum April 28, 2005 Sally Burner CMS MA Bidding and Payment Pre-2006 payment
Medicare Prescription Drug Benefit Progress Report:
Chartpack Medicare Prescription Drug Benefit Progress Report: Findings from the Kaiser/Commonwealth/Tufts-New England Medical Center 2006 National Survey of Seniors and Prescription Drugs August 2007 Methodology
Better Medicare Alliance Webinar: Medicare Advantage and Part D 2019 Advance Notice and Draft Call Letter. February 8, 2018
Better Medicare Alliance Webinar: Medicare Advantage and Part D 2019 Advance Notice and Draft Call Letter February 8, 2018 RATE NOTICE CRASH Opening COURSE Remarks PAGE http://bettermedicarealliance.org/campaigns
Risk Adjustment User Group
Risk Adjustment User Group Thursday, December 5, 2013 3:00 pm - 4:00 pm ET Agenda Purpose Guidance for MAOs System Updates Highlights and Reminders Example Risk Score Calculation for PY 2014 Upcoming Events
2017 Medicare Part D Low-Income Subsidy (LIS) Income and Resource Standards
DEPARTMENT OF HEALTH & HUMAN SERVICES Centers for Medicare & Medicaid Services 7500 Security Boulevard Baltimore, MD 21244-1850 MEDICARE ENROLLMENT & APPEALS GROUP DATE: March 28, 2017 TO: FROM: SUBJECT:
Your New Medicare Prescription Drug Benefit
Your New Medicare Prescription Drug Benefit For Californians Living with HIV/AIDS LOW-INCOME BENEFICIARIES October 18, 2005 This brochure is intended to provide a basic overview of the new Medicare drug
Medicare and the New Health Care Law
Promoting the independence, health, and dignity of older adults through compassion, education, and advocacy. Mission The Council on Aging - Orange County promotes the independence, health, and dignity
PREFERRED PHARMACY NETWORKS AND THEIR IMPACT ON PART D PREMIUMS
PREFERRED PHARMACY NETWORKS AND THEIR IMPACT ON PART D PREMIUMS March 13, 2018 RANDALL FITZPATRICK FSA, MAAA GLENN GIESE FSA, MAAA ZACH HANSON ASA, MAAA CONTENTS Executive Summary... 2 Introduction...
Medicare Health & Drug Plan Quality and Performance Ratings 2012 Part C & Part D Technical Notes. First Plan Preview DRAFT
Medicare Health & Drug Plan Quality and Performance Ratings 2012 Part C & Part D Technical Notes First Plan Preview Updated 08/04/2011 Table of Contents INTRODUCTION... 1 DIFFERENCES BETWEEN THE 2011 PLAN
COMMUNITY ADVANTAGE PANEL SURVEY: DATA COLLECTION UPDATE AND ANALYSIS OF PANEL ATTRITION
COMMUNITY ADVANTAGE PANEL SURVEY: DATA COLLECTION UPDATE AND ANALYSIS OF PANEL ATTRITION Technical Report: February 2013 By Sarah Riley Qing Feng Mark Lindblad Roberto Quercia Center for Community Capital
The 2018 Advance Notice and Draft Call Letter for Medicare Advantage
The 2018 Advance Notice and Draft Call Letter for Medicare Advantage POLICY PRIMER FEBRUARY 2017 Summary Introduction On February 1, 2017, the Centers for Medicare & Medicaid Services (CMS) released the
Health Care Reform & Medicare: The Basics (and a little more) Leslie Fried, Esq. ABA Commission on Law & Aging
Health Care Reform & Medicare: The Basics (and a little more) Leslie Fried, Esq. ABA Commission on Law Brief Legislative History of Patient Protection & Affordable Care Act of 2010 Over a year of various
Brief Overview of Medicare Part D and Part C
Brief Overview of Medicare Part D and Part C National Health Policy Forum February 22, 2007 Jack Ebeler Medicare Part D Brief history Overview Plans Payments Benefits Low-income subsidies Preview of issues
Medicare Prescription Drug Congress. MMA and Medicaid. Gale Arden Director, Disabled & Elderly Health Programs Group CMSO CMS.
Medicare Prescription Drug Congress MMA and Medicaid Gale Arden Director, Disabled & Elderly Health Programs Group CMSO CMS October 2005 Part D: Medicare Prescription Drug Coverage Effective: January 1,