Susan R Williams,Margo L Rosenbach
Susan R Williams
States have shown creativity and adaptability in developing outreach strategies to promote State Children's Health Insurance Program (SCHIP) enrollment. As the program has matured and the fiscal environment has tightened, States have learne...
Physician code creep: evidence in Medicaid and State Employee Health Insurance billing [0.03%]
医保和州员工医疗保险中的医师滥加代码行为：证据分析
Eric E Seiber
Eric E Seiber
This study estimates a fixed effects ordered logit model physician office visit billing using claims data from South Carolina Medicaid and the State Employees Health Plan. The results find code creep increasing expenditures on physician off...
Kevin Quinn,Martin Kitchener
Kevin Quinn
To illuminate Medicaid's growing role as a health care purchaser, we estimated Medicaid spending and market shares for 30 markets defined by provider category of service. For approximately 15 markets, our estimates are more detailed than th...
Disabled Medicare beneficiaries by dual eligible status: California, 1996-2001 [0.03%]
1996-2001年加州残疾人的老年医疗保险资格调查研究报告
June E O&#x;Leary,Elizabeth M Sloss,Glenn Melnick
June E O&#x;Leary
This highlight describes the characteristics and inpatient utilization of under age 65 disabled California Medicare beneficiaries by dual eligible status (i.e., Medicaid State buy-in coverage or not). More disabled dually eligible beneficia...
Prescription drug use and expenditures among dually eligible beneficiaries [0.03%]
双重资格受益人中处方药的使用和支出
Ann D Bagchi,Dominick Esposito,James M Verdier
Ann D Bagchi
Using Medicaid Analytic eXtract (MAX) claims files for 1999 and 2001, the authors describe patterns of prescription drug use and expenditures among dually eligible Medicare and Medicaid beneficiaries for all Medicaid full dually eligible be...
Medicaid's expenditures for newer pharmacotherapies for adults with disabilities [0.03%]
医疗补助对残疾成年人的新一代药物疗法的支出状况
Theresa I Shireman,Jean P Hall,Sally K Rigler et al.
Theresa I Shireman et al.
Medicaid's drug expenditures have grown at double-digit inflation rates since 2000. These prescription drug costs are important contributors to increasing health care costs for disabled persons. In spite of this knowledge, little has been r...
Diagnosis-based risk adjustment for medicare prescription drug plan payments [0.03%]
基于诊断的风险调节医保处方药计划支付
John Robst,Jesse M Levy,Melvin J Ingber
John Robst
The 2003 Medicare Prescription Drug, Improvement, and Modernization Act (MMA) created Medicare Part D, a voluntary prescription drug benefit program. The benefit is a government subsidized prescription drug benefit within Medicare. This art...
Medicare's drug discount card program: beneficiaries' experience with choice [0.03%]
美国医疗补助制度的药品折扣卡计划：受援人选择经历分析
Andrea Hassol,Marian V Wrobel,Teresa Doksum
Andrea Hassol
This article describes Medicare beneficiaries' experience with the choice among Medicare drug discount cards and is based primarily on surveys and focus groups with beneficiaries as well as interviews with other stakeholders. Although compe...
Effect of Medicaid payment on rehabilitation care for nursing home residents [0.03%]
医疗补助付款对疗养院居民康复护理的影响
Walter P Wodchis,Richard A Hirth,Brant E Fries
Walter P Wodchis
There is considerable interest in examining how Medicaid payment affects nursing home care. This study examines the effect of Medicaid payment methods and reimbursement rates on the delivery of rehabilitation therapy to Medicaid nursing hom...
Medicare's quality improvement organization program value in nursing homes [0.03%]
关于改善医疗服务组织计划对护理院的价值研究
Anthony Shih,Diane M Dewar,Thomas Hartman
Anthony Shih
CMS operates the quality improvement organization (QIO) program to improve the quality of care delivered to Medicare beneficiaries. Although there have been several studies regarding the effectiveness of this program, there have not been st...