Department of Defense Subvention Demonstration Evaluation

Under this demonstration, enrollment in the Department of Defense's (DoD's) Senior Prime plan is offered to military retirees over age 65 who live within 40 miles of the primary care facilities of one of the six sites, have recently used military health facility services and are enrolled in Medicare Part B. Medicare makes a capitation payment to the DoD for each enrollee, but the DoD must maintain a level of effort for health care services to all retirees who are also Medicare beneficiaries, whether or not they choose to enroll. The evaluation will examine issues in four basic areas: (1) enrollment demand, (2) enrollee benefits, (3) cost of the program, and (4) impacts on other DoD and Medicare beneficiaries. See PIC ID 7171.1.

AGENCY SPONSOR: Office of Strategic Planning

FEDERAL CONTACT: Greenwald, Leslie M., Ph.D.
410-786-6502

PIC ID: 7171

PERFORMER: Rand Corporation
Santa Monica, CA

EXPECTED DATE OF COMPLETION: 03/02/2002

Evaluation of CAHPS/Bulletin/Medicare and You in Kansas City MSA

A consortium of organizations in Kansas and Missouri agreed to participate in an Agency for Healthcare Research and Quality (AHRQ) test of a health plan quality assessment system--the Consumer Assessment of health Plans Study (CAHPS) report. The report is designed to examine consumer quality ratings about local managed care plans' performance. HCFA joined AHRQ and the coalition to extend the evaluation from private plan enrollees and Medicaid enrollees to the Medicare population in Kansas City Metropolitan Statistical Area (MSA). The purpose of this study is to learn whether Medicare beneficiaries use comparative quality information to make health plan choices and whether the Medicare information program (print material) is effective.

AGENCY SPONSOR: Office of Strategic Planning

FEDERAL CONTACT: Terrell, Sherry
410-786-6601

PIC ID: 7168.1

PERFORMER: Research Triangle Institute
Box 12194, Research Triangle Park, NC 27707-2194

EXPECTED DATE OF COMPLETION: 12/31/2000

Evaluation of Competitive Bidding Demonstration for DME and POS

This project will test the feasibility and effectiveness of establishing Medicare fees for durable medical equipment (DME) and Prosthetics, Prosthetic devices, Orthotics and supplies (POS) through a competitive bidding process. The evaluation will examine competitive bidding impacts in terms of expenditures, quality, access and product diversity, as well as other impacts of the demonstration.

AGENCY SPONSOR: Office of Strategic Planning

FEDERAL CONTACT: Meadow, Ann
410-786-6602

PIC ID: 7173

PERFORMER: University of Wisconsin
Madison, WI

EXPECTED DATE OF COMPLETION: 05/15/2003

Evaluation of QMB and SLMB Programs

This project is designed to evaluate quantitatively and qualitatively the Qualified Medicare Beneficiary (QMB) and the Specified Low-Income Medicare Beneficiary (SLMB) Programs in the following areas: (1) the motivations and perceptions of enrollees and non enrollees, (2) reasons for state variation in enrollment patterns, (3) the impact of enrollment on Medicare and Medicaid costs and service use, and (4) the impact of enrollment on out-of-pocket costs of eligible individuals. Primary data collection activities will include: a survey of a national sample of QMB and SLMB enrollees and of eligible non- enrollees, focus groups of enrollees and non-enrollees, a survey of state agencies, and case study interviews with officials from agencies and advocacy groups. Secondary data sources include: the Medicare Current Beneficiary Survey, the Medicare National Claims History file, the Medicaid Statistical Information System, Third party Buy-In file, and the Medicare Enrollment Database. Descriptive and multivariate analyses will be conducted with the primary and secondary data.

AGENCY SPONSOR: Health Care Financing Administration

FEDERAL CONTACT: Rudolph, Noemi
410-786-6662

PIC ID: 7390

PERFORMER: Health Economics Research, Inc.
Waltham, MA

EXPECTED DATE OF COMPLETION: 12/14/2002

Evaluation of the Community Nursing Organization (CNO) Demonstration

This demonstration tests a capitated, nurse-managed system of care. The two fundamental elements of the CNO are capitated payment and nurse case management. The evaluation tests the feasibility and effect on patient care of this capitated, nurse case-managed service delivery model. Both qualitative and quantitative components are included.

AGENCY SPONSOR: Office of Strategic Planning

FEDERAL CONTACT: Hawthorne, James
410-786-6689

PIC ID: 6306.1

PERFORMER: Abt Associates, Inc.
Cambridge, MA

EXPECTED DATE OF COMPLETION: 12/31/1999

Evaluation of the Evercare Demonstration Program

The major goals of the Evercare demonstration are to reduce medical complications and dislocation trauma resulting from hospitalization, and to save the expense of hospital care when patients can be managed safely in nursing homes with expanded services. The EverCare evaluation will combine data from site case studies, a network analysis of nurse practitioners, participant and caregiver surveys and participant utilization data to examine: (1) a comparison of enrollees and non-enrollees; (2) the process of implementation and operation of EverCare changes in the care process, as well as quality of care; (3) effects of the demonstration on enrollees' health and health care utilization; (4) satisfaction of enrollees and their families; and (5) effects of the demonstration on the costs of care, as well as payment sources.

AGENCY SPONSOR: Office of Strategic Planning

FEDERAL CONTACT: Greenwald, Leslie M., Ph.D.
410-786-6502

PIC ID: 7185

PERFORMER: University of Minnesota
Minneapolis, MN

EXPECTED DATE OF COMPLETION: 03/30/2001

Evaluation of the Medical Savings Account Demonstration

This evaluation of the Medical Savings Account (MSA) demonstration will compare the experiences of MSA enrollees with other Medicare beneficiaries. The evaluation will address access to care and determine if MSAs promote an inappropriately low use of services.

AGENCY SPONSOR: Office of Strategic Planning

FEDERAL CONTACT: Mentnech, Renee
410-786-6692

PIC ID: 7172

PERFORMER: Barents Group, KPMG Peat Marwick LLP
Washington, DC

EXPECTED DATE OF COMPLETION: 09/27/2003

Evaluation of the Medicare Choice Demonstration

The HCFA is in the process of implementing the Medicare Choice Demonstration to test the feasibility and desirability of new types of managed care plans for Medicare, such as integrated delivery systems and preferred provider organizations. The purpose of this evaluation project is to provide a detailed assessment of the overall demonstration project, which looks specifically at beneficiary experiences in the demonstration, cost and use of services within the demonstration sites and quality of care issues.

AGENCY SPONSOR: Office of Strategic Planning

FEDERAL CONTACT: Mentnech, Renee
410-786-6692

PIC ID: 6292

PERFORMER: Mathematica Policy Research, Inc.
Plainsboro, NJ

EXPECTED DATE OF COMPLETION: 09/30/2000

Evaluation of the New York Medicare Graduate Medical Education Payment Demonstration and Related Provisions

Medicare's annual graduate medical education (GME) spending reached $7 billion, of which nearly 20 percent was for New York teaching hospitals. This is a coordinated evaluation of a major demonstration which provided incentives for New York State teaching hospitals to reduce their residencies by 20 to 25 percent over a 5-year period, and several provisions of the Balanced Budget Action of 1997 (BBA) which were also aimed at reducing Medicare GME spending. The evaluation assessed the impacts of residency reduction on access to service delivery as well as the economic and workforce effects. This is a follow-on project to the design effort; thus, the work is being performed in the manner described in the "Design for Evaluation of the New York Medicare GME Demonstration and Related Provisions in P.L. 105-330 (BBA): Recommended Design and Strategy for NY GME Demonstration and National BBA GME Provisions." The project will present a series of reports.

AGENCY SPONSOR: Health Care Financing Administration

FEDERAL CONTACT: Buczko, William
410-786-6593

PIC ID: 7379

PERFORMER: Health Economics Research, Inc.
Waltham, MA

EXPECTED DATE OF COMPLETION: 09/29/2004

Evaluation System for Medicare + Choice

The purpose of this task order is to design and implement a strategy for tracking and evaluating the performance of managed health care organizations, both nationwide and within specific markets. Dimensions of performance to be tracked include beneficiary access to managed care, as well as the cost and quality of services delivered to beneficiaries by managed care organizations.

AGENCY SPONSOR: Office of Strategic Planning

FEDERAL CONTACT: Goody, Brigid
410-786-6640

PIC ID: 7169

PERFORMER: Mathematica Policy Research, Inc.
Washington, DC

EXPECTED DATE OF COMPLETION: 09/15/2001

Expanded Evaluation of Medicare and You Handbook: 2000

The purpose of this project is to establish national measures of Medicare beneficiaries' knowledge of the basic Medicare program and their understanding of new Medicare+Choices available under the Balanced Budget Act of 1997. The program objective is to evaluate National Medicare Education Program (NMEP) print material (Handbook 2000) and selected information distribution channels (i.e., print, Internet, 1-800-MEDICARE) using the knowledge index. The policy objectives of this project are to support HCFA strategic plan initiatives, contribute to Government Performance and Results Act program performance reporting, and provide feedback for monitoring and continuous quality improvement of NMEP informational materials directed to the Medicare population over time.

AGENCY SPONSOR: Health Care Financing Administration
FEDERAL CONTACT: Terrell, Sherry
410-786-6601

PIC ID: 7393

PERFORMER: Research Triangle Park
Research Park, NC

EXPECTED DATE OF COMPLETION: 05/09/2000

NAS/Institute of Medicine Study on Preventive Services

This is an analysis of the expansion or modification of preventive or other services covered by Medicare. The study includes coverage of: (1) nutrition therapy, including parenteral and enteral nutrition; (2) skin cancer screening; (3) medically necessary dental care; (4) routing patient care costs for beneficiaries enrolled in approved clinical trial programs; and (5) elimination of time limitation for coverage of immunosuppressive drugs for transplant patients. The IOM will consider both short-term and long-term benefits and costs to the Medicare program.

AGENCY SPONSOR: Office of Clinical Standards & Quality

FEDERAL CONTACT: Pirotte, Kathy
410-786-6774

PIC ID: 7174

PERFORMER: National Academy of Sciences
Washington, DC

EXPECTED DATE OF COMPLETION: 02/28/2000

Normative Standards for Medicare Home Health Utilization

This task order will develop a model that uses scientifically based, normative standards to determine thresholds for payment authorization within home health service categories, and will test the model to determine the extent of its validity and reliability. The contractor will also recommend an appropriate demonstration design to evaluate the use of the model by fiscal intermediaries prior to full implementation.

AGENCY SPONSOR: Office of Clinical Standards & Quality

FEDERAL CONTACT: Wheeler, Mary
410-786-6892

PIC ID: 7175

PERFORMER: Center for Health Policy Research
Denver, CO

EXPECTED DATE OF COMPLETION: 09/24/2000

Survey and Evaluation of New Medicare Members of Medicare+Choice Plans

The purpose of this project is to design a survey for and collect data from Medicare beneficiaries who are new members of Medicare+Choice (M+C) plans and to evaluate the effectiveness of the National Medicare Education Program (NMEP) for these beneficiaries. The objective is to understand the special information needs of new Medicare members, their sources of information (who/where), their preferred distribution channels (how), their understanding of the basic (standard) Medicare program, their understanding of their particular M+C plan, and the impact NMEP activities may have on new members' decision to choose an M+C plan or change their plan. This project does not include the disenrollee population. The project will support HCFA strategic plan initiatives, contribute to Government Performance and Results Act program performance reporting, and provide feedback for monitoring and quality improvement to NMEP informational materials directed to the M+C population over time.

AGENCY SPONSOR: Health Care Financing Administration

FEDERAL CONTACT:

PIC ID: 7392

PERFORMER: Mathematica Policy Research, Inc.
Washington, DC

EXPECTED DATE OF COMPLETION: 09/07/2001