This report, Performance Improvement 2011-2012, the 17th in this series, summarizes the key findings from studies completed during the two fiscal-year period ending September 30, 2011.
Studies by Agency Elements of evaluation: Effective programs achieve results. Results derive from good management which requires good decisions. Good decision-making depends on good information. Good information requires good data and careful analysis. Creative project officers, skillful researchers, thoughtful an
Acronyms and Glossary 1915(c) waivers refers to section 1915(c) of the Medicaid program allowing the Secretary of HHS to waive certain program requirements in the law. Waivers permit States greater flexibility to target program eligibility and provide home and community based services for the disabled and/or elderly population
This study explored the evolving field of medication therapy management (MTM) and sought to understand attributes of MTM programs potentially useful for the Medicare program, including structure of organizations providing MTM, services and interventions included, providers involved, how beneficiaries are targeted, differences from and integration
Performance Improvement 2009. Do Participants in the Prescription Drug Payment Demonstration Provide More Generous and Varied Benefit Packages?
This study analyzed the impact of the prescription drug payment (Part D) demonstration on beneficiaries, sponsors and Medicare program costs. The 5-year demonstration extends from 2006 through 2011 and allows Part D plans to choose from among three main alternative payment methods for re-insurance: fixed capitation, flexible capitation, and Medic
The study examined early patterns of enrollment and early stage development of Medicare Savings Account (MSA) plans.
Performance Improvement 2009. How Did Medicare's Preferred Provider Organization Demonstration Affect Beneficiary Prescription Drug Plan Choice and Participation?
This study evaluated the Medicare Preferred Provider Organization (PPO) demonstration, which ended in 2006. The demonstration sought to expand the types of managed care products to Medicare beneficiaries and test the impact of enhanced payment and risk sharing on the range of options and benefits to beneficiaries.
Performance Improvement 2009. Why Do Medicare Beneficiaries Enroll in Prescription Drug Payment Demonstration Plans; Do Their Experiences Differ from Non-Demonstration Plan Enrollees?
The study focused on experiences among demonstration beneficiaries enrolled in Medicare Advantage-Prescription Drug plans or free-standing prescription drug plans versus non-demonstration beneficiaries in such plans. The five-year Medicare prescription drug (Part D) payment demonstration allows plans to choose alternative methods to pay for reins
Performance Improvement 2009. How Has Legislation Changed Medicare Advantage Plan Availability, Participation, Premiums, Benefits Cost Sharing, and Enrollment?
The study examined the impact of legislated changes in the Medicare Modernization Act.
Performance Improvement 2008. Appendix D - glossary of evaluation terms, terms-of-art used by some offices or agencies, and acronyms for the organizational units of HHS.
The glossary, new with this 2008 issue of the report, provides some assistance to readers who may be unfamiliar with the terms and acronyms found in the report. 1915(c) waivers – refers to section 1915(c) of the Medicaid program allowing the Secretary of HHS to waive certain program requirements in the law. Waivers permit States greater flexib
Performance Improvement 2008. Appendix C - table of the studies in this report, organized by agency and office, indicating the Objective where the study may be found.
Elements of evaluation: Effective programs achieve results. Results derive from good management which requires good decisions. Good decision-making depends on good information. Good information requires good data and careful analysis. Creative project officers, skillful researchers, thoughtful and receptive leaders contribute to value-added e
Performance Improvement 2008. What Was the Effect of Improved Financing for Medicare Advantage Plans on Plan Offerings?
Researchers examined whether funding affected availability of Medicare Advantage plans available locally and premiums and benefits under such plans. The Medicare Modernization Act (MMA) revised the monthly capitation rates, paying more to MA plans. HHS was required to report to Congress on the impact of additional financing provided under MMA and
Performance Improvement 2008. How Has Beneficiary Enrollment in Preferred Provider Organizations Affected Medicare Expenditures?
This study estimated the Medicare Preferred Provider Organization (PPO) Demonstration´s first year impact on total Medicare expenditures. The demonstration had sought to increase the number and variety of health plan choices available to Medicare beneficiaries, offering 33 new Medicare Advantage PPO plans from 2003 through 2005. This study examin
Performance Improvement 2008. Goal 1 - Improve the Safety, Quality, Affordability and Accessibility of Health CARE Including Behavioral Health CARE and Long Term CARE
IMPROVE THE SAFETY, QUALITY, AFFORDABILITY AND ACCESSIBILITY OF HEALTH CARE INCLUDING BEHAVIORAL HEALTH CARE AND LONG TERM CARE This Strategic Goal targets the need for people to be able to obtain and maintain affordable health care coverage, receive efficient high-quality health care services, and access appropriate information for informed
AGENCY ID TITLE G/O OBJECTIVE PROJECT OFFICER ACF-ACYF 8221 Synthesis of Findings: Title IV-E Flexible Funding Child Welfare Waiver Demonstrations 7.4 Increase the percentage of children and youth living in a permanent, safe environment Collins, Gail E. ACF-ACYF 8220
The purpose of this project was to develop a simulation model for assessing the potential effect of the Medicare Advantage (MA) stabilization fund in inducing MA plans to enter and remain in particular MA markets. The MA stabilization can be used to provide: (1) A bonus for insurers offering a national plan; (2) A plan entry bonus for plans enteri