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Medicare Part B Reimbursement of Prescription

Medicare Part B Reimbursement of Prescription Drugs

This ASPE Issue Brief describes how Medicare Part B reimburses the cost of prescription drugs administered in physician offices and hospital outpatient settings. It explains the changes made to the reimbursement system under the Medicare Prescription Drug, Improvement, and Modernization Act of 2003, summarizes the direct consequences of these chan
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Financial Condition and Health Care Burdens of

Financial Condition and Health Care Burdens of People in Deep Poverty

Americans living at the bottom of the income distribution often struggle to meet their basic needs on very limited incomes, even with the added assistance of government programs. The following analyses describe the characteristics of the poor population; available income for those at the deepest levels of poverty; and average medical care needs am
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Evaluation of HHS Delivery System Reform Efforts

Evaluation of HHS Delivery System Reform Efforts and Affordable Care Act Provisions: Consolidated Evaluation Design Recommendations

By: Robert Mechanic, MBA, Jennifer Perloff Phd, Darren Zinner Phd, Moaven Razavi Phd, Michael J. Keane Dr. P.H Abstract The purpose of this project is to provide a thought piece about what type of coordinated framework might be developed for evaluating the evidence HHS will receive from the multiple delivery system reform initiatives planne
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Opioid Abuse in the U.S. and HHS Actions to

Opioid Abuse in the U.S. and HHS Actions to Address Opioid-Drug Related Overdoses and Deaths

ASPE Issue Brief: Opioid Abuse in the U.S. and HHS Actions to Address Opioid-Drug Related Overdoses and Deaths (PDF-12 Pages)
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Figure 1: Managed Care and Fee-for-Service

Medicaid and CHIP Managed Care Payment Methods and Spending in 20 States

ASPE Report By: Brigette Courtot, Teresa Coughlin, and Emily Lawton The Urban Institute, Washington, DC Abstract
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See Table A-1 for data used to develop this Pie

Individuals Living in the Community with Chronic Conditions and Functional Limitations: A Closer Look

U.S. Department of Health and Human Services Individuals Living in the Community with Chronic Conditions and Functional Limitations: A Closer Look Lisa Alecxih, Sophie Shen, Iris Chan and Duke TaylorThe Lewin Group John DrabekOffice of the Assistant Secretary for Planning and Evaluation January 2010 PDF Version: http:/
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bar chart: comparison of prescription drug

A National Comparison of Prescription Drug Expenditures by Medicare Beneficiaries Living in the Community and Long-Term Care Facility Settings

U.S. Department of Health and Human Services A National Comparison of Prescription Drug Expenditures by Medicare Beneficiaries Living in the Community and Long-Term Care Facility Settings Linda Simoni-Wastila, PhD, Thomas Shaffer, MHS and Bruce Stuart, PhD University of Maryland, Baltimore, Peter Lamy Center on Drug Therapy
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bar chart: total LTCF prescription drug spending

National Estimates of Prescription Drug Utilization and Expenditures in Long-Term Care Facilities

U.S. Department of Health and Human Services National Estimates of Prescription Drug Utilization and Expenditures in Long-Term Care Facilities Linda Simoni-Wastila, PhD, Thomas Shaffer, MHS and Bruce Stuart, PhD University of Maryland, Baltimore, Peter Lamy Center on Drug Therapy and Aging October 25, 2006 PDF Version (2
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SSI-Related Disabled Children and Medicaid

SSI-Related Disabled Children and Medicaid

U.S. Department of Health and Human Services SSI-Related Disabled Children and Medicaid Marilyn Rymer Ellwood SysteMetrics/McGraw-Hill June 1990 PDF Version
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Organizational Chart.

Federal Programs for Persons with Disabilities

U.S. Department of Health and Human Services Federal Programs for Persons with Disabilities Brian O. Burwell, Bonnie Preston, and Sarah Bailey Mathematica Policy Research, Inc. January 1990 PDF Version: http://aspe.hhs.gov/daltcp/reports/task2es.pdf (143 PDF pages)
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See ALT TEXT at end of this exhibit.

Medicaid and Permanent Supportive Housing for Chronically Homeless Individuals: Emerging Practices From the Field

This is one of two reports examining the use of Medicaid to cover services for individuals experiencing chronic homelessness, particularly in Permanent Supportive Housing (PSH). It describes existing practices in the field of communities currently serving homelessness and formerly homeless individuals Medicaid beneficiaries.
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EXHIBIT 7.1, Bar Chart: Asthma and/or COPD--No

A Primer on Using Medicaid for People Experiencing Chronic Homelessness and Tenants in Permanent Supportive Housing

This is one of two reports examining the use of Medicaid to cover services for individuals experiencing chronic homelessness, particularly in Permanent Supportive Housing (PSH). It provides a “how-to” guide on the various ways that Medicaid can cover such services, including the Medicaid authorities and new options provided under the Affordabl
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Medicare's Bending Cost Curve. July 28, 2014

Medicare's Bending Cost Curve. July 28, 2014

Andre Chappel, Arpit Misra, Steven Sheingold Disclaimer : Persons with disabilities having problems accessing this document may call (202) 690-6870 for assistance.
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Actuarial Value and Employer-Sponsored Insurance

Actuarial Value and Employer-Sponsored Insurance

According to this preliminary analysis, the vast majority — at least approximately 98 percent — of enrollees in Employer-Sponsored Insurance (ESI) are enrolled in plans that meet and exceed an Actuarial Value (AV) of 60 percent whether a hybrid or internal approach is utilized to assess AV. Because there are so few individuals in plans with AV
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Variation and Trends in Medigap Premiums

Variation and Trends in Medigap Premiums

This report examines the variation in Medigap premiums, recent trends in premium growth and policies that experience relatively high premium growth. The report also compares the premium growth over different segments of the entire time period studied, and to changes in enrollment in both Medigap policies and the Medicare Advantage Program.
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The Affordable Care Act and Women

The Affordable Care Act and Women

The Affordable Care Act includes several provisions that are expected to significantly improve women's health. The Affordable Care Act improves coverage for important preventive services and maternity care, promotes higher quality care for older women, and ends the gender discrimination that requires women to pay more for the same insurance covera
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Historical and Projected Trends in Medicaid

Historical and Projected Trends in Medicaid

This paper presents data on the current state of Medicaid, the nation's program providing health and long-term care services to low-income families, elderly, and disabled individuals. The paper reports both historical and projected trends in Medicaid enrollment and spending. Information is presented on trends by major Medicaid eligibility category
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CHIPRA Mandated Evaluation of the Children's

CHIPRA Mandated Evaluation of the Children's Health Insurance Program: Final Findings

This report presents findings from an evaluation of CHIP mandated by CHIPRA and patterned after an earlier evaluation. Some of the evaluation findings are at the national level, while others focus on the 10 states selected for more intensive study: Alabama, California, Florida, Louisiana, Michigan, New York, Ohio, Texas, Utah, and Virginia. The ev
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Diabetes: A National Plan for Action

Diabetes: A National Plan for Action

Currently, more than 18 million Americans have diabetes and are at risk for related complications like heart disease, stroke, blindness, amputations, and kidney disease. This document provides up-to-date and accurate prevention, detection, and treatment information, and includes simple action steps for individuals, families, health practitioners,
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Using Behavioral Economics to Inform the

Using Behavioral Economics to Inform the Integration of Human Services and Health Programs under the Affordable Care Act

This paper examines opportunities to apply findings from behavioral economics and decision-making theory to two specific health/human services program interaction contexts: using targeted enrollment strategies to get SNAP recipients into Medicaid, and encouraging individuals seeking health insurance through state marketplaces to apply for SNAP.
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Pages

Form Approved OMB# 0990-0379 Exp. Date 9/30/2020