|
|
| |
Continuation of Drug Risk Adjustment
(Report)
Drug Risk Adjustment |
Author(s): Claudia Schur, Jack Hoadley, Chris Hogan |
Organization(s): NORC (National Opinion Research Center) |
This project reports on analysis using linked Medicaid and FEHBP data examining refinements to the risk adjustment factors for drug plans for low income and institutionalized populations; geographic variation in drug spending by health plan area; and prior use models of drug plan risk-adjustment. |
Published: December, 2006 |
Availability:
Full HTML Version
Full PDF Version
|
| |
Analysis of the Characteristics of Medicare Advantage Plan Participation:
(Report)
Final Report |
Author(s): Marsha Gold and Stephanie Peterson |
Organization(s): Mathematica Policy Research |
This project examines the Medicare Advantage (MA) products available in 2006, how they compare to past offerings when only local MA options were authorized, initial plan decisions and experiences under the new competitive bidding process, and how well available offers and enrollment meet Congress's overall objectives in enacting the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA). |
Published: July, 2006 |
Availability:
Full HTML Version
Full PDF Version
Executive Summary
PDF Executive Summary
|
| |
Medicare+Choice: Payment and Service Areas
(Report)
Final Report |
Author(s): Katie Merrell |
Organization(s): Center for Health Administration Studies, University of Chicago |
This report addresses two distinct, but closely related, questions: What are the key factors that led plans to reconfigure their Medicare risk plan service areas in 1998 or to not renew their contracts with Medicare? Should Medicare continue to allow plans to design their own Medicare service areas, or should there be predetermined Medicare+Choice contract areas in each market area? |
Published: May, 2000 |
Availability:
Full HTML Version
Executive Summary
|
| |
State Regulatory Experience with Provider-Sponsored Organizations
(Report)
|
Author(s): The Lewin Group |
Organization(s): The Lewin Group |
This report describes the experience of selected state governments in regulating provider-owned health care delivery systems that accept insurance risk for the provision or arrangement of health care services. We refer to these entities as Provider-Sponsored Organizations (PSOs). The primary sources of the information used for this report were interviews with regulators, hospital and physician association representatives, and managed care industry representatives in nine selected states. The states included in the study are: California, Colorado, Illinois, Iowa, Minnesota, Ohio, Pennsylvania, Texas and Washington. |
Published: June, 1997 |
Availability:
Full HTML Version
Executive Summary
|
|
|
| |
| |
See Related Projects
|
See Related Information
|
Older or Archived Products
|
|
|
Studies by Topic |
Studies by Program |
Studies by Population |
Studies by ASPE Office |
Advanced Search |
Full Text Search
|
