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3 records match your search on "Medicare" - Showing 1 to 3
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Assessing Home Health Care Quality for Post-Acute and Chronically Ill Patients (Project)
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Organization(s): Urban Institute |
The purpose of this project is to examine whether the current approach to Medicare home health care quality adequately captures the potential differences in the quality of care received by these two distinct groups of patients. More specifically, it will attempt to: (1) develop an algorithm for distinguishing post-acute from chronically ill patients using the OASIS and other Medicare data; (2) develop a core set of indicators that perform well as quality measures for both short-term and long-term home health patients; (3) identify indicators that are critical measures of quality for either the short-term or long-term home health patients, but not both; (4) determine whether agencies tend to provide the same quality of care to post-acute and chronically ill patients based on these measures as well as the existing Outcome-Based Quality Improvement measures; and (5) examine how the existing risk adjustment approach performs for this new way of measuring home health quality compared to the alternative risk adjustment approach developed in a previous ASPE study, and, if necessary, modify this alternative approach to accommodate this new way of measuring home health quality. In developing this new approach to home health quality, the guiding principle shall be to appropriately measure the quality of care received by the diverse home care population while minimizing the data collection and reporting burden on home health agencies. |
Year Funded: 2005
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Ongoing |
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Graduate Medical Education: Alternative Methods of Financing (Project)
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Organization(s): RAND |
Since the 1970s, graduate medical education (GME) in the U.S. has been financed largely via Medicare payments to teaching hospitals that train residents. While the historical bond between Medicare and GME is strong, the policy rationale for linking the two is weak. Growing financial pressures on the Medicare Trust Fund, along with the ever increasing complexity of the Medicare program, suggest that Medicare may no longer be the best mechanism for federal support of graduate medical education in the U.S. Policy Question: What alternatives exist for the financing of graduate medical education in the U.S.? Is Medicare the most appropriate vehicle for GME funding? If so, is the current system (direct and indirect medical education payments) the most efficient funding mechanism? If GME funding were to be separated from Medicare, what other means of GME support might be designed? What are the costs and benefits of a system of direct appropriation for GME? How is support provided for other socially-desirable programs such as post-secondary education, research, etc.? |
Year Funded: 2005
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Informing National Policy to Improve Palliative End-of-Life Care in Medicare (Project)
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Organization(s): Research Triangle Institute |
The purpose of this project is to develop a policy and research agenda addressing palliative end-of-life care issues for Medicare Beneficiaries. The components of the project include: (1) a focused literature review and regulatory analysis; (2) identification of existing Departmental as well as non-Departmental end-of-life care efforts; and (3) identification of policy and research issues including data gaps and needs. The resulting policy and research conceptual framework will help guide future Medicare efforts in palliative end-of-life care. |
Year Funded: 2005
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Ongoing |
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