Performance Improvement 2004. Evaluation of Qualified Medicare Beneficiaries and Specified Low-Income Medicare Beneficiary Programs


This study was designed to identify the factors, both policy and individual, that influence enrollment in the Medicare Savings Programs, as well as program impacts on beneficiaries. This study focused primarily on Qualified Medicare Beneficiaries (QMBs) and Specified Low-Income Medicare Beneficiaries (SLMBs) who were not otherwise eligible for Medicaid under SSI or medically needy programs. Major findings included: (1) lack of awareness, not motivation was the main reason eligible beneficiaries did not enroll in the programs; (2) personal assistance is the key to enrolling more beneficiaries into Medicare savings programs; (3) enrollment in the QMB/SLMB programs increased utilization of medical care services; (4) most QMB/SLMB enrollees continued to incur some out-of-pocket costs; and (5) the effect on health outcomes was unknown.

PIC ID: 7390
Agency Sponsor: CMS, Office of Research, Development & Information
Federal Contact: Rudolph, Noemi, 410-786-6662
Performer: Research Triangle Institute, Waltham, MA

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"pi_2004.pdf" (pdf, 713.01Kb)

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