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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.
The study provides public programs, employers and private insurers with effective best practices used in Medicare, Medicaid, SCHIP, and the private insurance market to improve participation in health insurance coverage.
The Examining Relationships in an Integrated Hospital System research project with RTI explores whether an organizational link between a Medicare hospital and a Medicare post-acute care (PAC) setting, such as a long term care hospital, inpatient rehabilitation facility, skilled nursing facility, or home health agency, increases the likelihood of transfer to a Medicare PAC setting.
This report provides information on several proposed design components fo ran evaluation of the National Medicare Education Program, a program sponsored by the Centers for Medicare & Medicaid Services to educate and inform beneficiaries about the Medicare program and their choices for coverage.
This Policy Brief helps fill an important gap in our understanding of medication patterns in long-term care facilities (LTCFs) by comparing use and spending for prescription and over-the-counter drugs during skilled nursing facility (SNF) stays and related non-qualifying long-term care facility episodes.
This Policy Brief provides a snapshot of prescription drug use and spending in 2001, the latest year for which complete community and long-term care facility drug data are available.