This paper is the third in a series on SNPs and their relationship to Medicaid. In the second paper of the series, we identified all states which had some kind of contractual relationship with SNPs prior to MIPPA, and classified those relationships into broad categories.
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Medicaid Contracts with Medicare Special Needs Plans Reflect Diverse State Approaches to Dually Eligible Beneficiaries
Substitutability Across Institutional Post-Acute Care Settings: 1998-2006
U.S. Department of Health and Human Services
State Purchasing Strategies Drive State Contracts with Medicare Special Needs Plans
Tto understand better the Medicare Improvements for Patients and Providers Act (MIPPA) mandate for state Special Needs Plans (SNPs) contracting, it is important to understand the current status SNP contracting with state Medicaid agencies for their dually eligible members.
Evaluation of the Personal Health Record Pilot for Medicare Fee-For Service Enrollees from South Carolina
Contract No: HHSP23320045020XI Prepared for: Ms. Suzie Burke-Bebee U.S. Department of Health and Human Services Office of the Secretary Assistant Secretary for Planning and Evaluation Prepared by:
Evaluation of the Personal Health Record Pilot for Medicare Fee-For-Service Enrollees from South Carolina
This mostly qualitative study identified key usability and utility components of a personal health record (PHR) being used by an elderly population living in South Carolina.
Payment for Medicare Advantage Plans: Policy Issues and Options
Medicare Advantage (MA) is the current program under which beneficiaries can enroll in private health plans rather than having their care covered through Medicare's traditional fee for service (FFS) program. Payments to MA plans in many areas are now substantially greater than the cost of treating comparable beneficiaries in the traditional program.
Exploring Episode-Based Approaches for Medicare Performance Measurement, Accountability and Payment Final Report
Cheryl l. Damberg, Melony E. Sorbero, Peter S. Hussey, Susan Lovejoy, hangsheng liu, and ateev mehrotra WR-633-ASPE February 2009 Assistant Secretary for Planning and Evaluation U.S. Department of Health and Human Services
Exploring Episode-Based Approaches for Medicare Performance Measurement, Accountability and Payment
This project examines alternative episode definitions to better align performance measures, incentives, payments, and accountability within Medicare fee-for service in the near term and options for broader episode-based reforms.
Federal Authority for Medicare Special Needs Plans and their Relationship to State Medicaid Programs
This Brief reviews the history and current status of federal special needs plans (SNPs) authority, with particular attention to provisions of interest to state Medicaid programs that have or are considering entering into contracts with SNPs to integrate or coordinate Medicaid long-term care services with Medicare primary, acute and prescription drug services for dually eligible beneficiaries.
Volume Growth in Medicare. An Investigation of Ten Physicians' Services
Medicare’s Sustainable Growth Rate (SGR) is a target rate of growth in spending for physicians’ services. Payments for physicians’ services are supposed to automatically adjust in response to actual spending falling either above or below the target.