Medicaid/Medicare
Medicare and Medicaid enrollment and outside hospitalizations among HIV infected and uninfected veterans engaged in VA care: a retrospective cohort study
... for Medicare & Medicaid Services from 2004 and 2005 to determine the frequency of Medicare and/or Medicaid enrollment among a cohort of HIV-infected and uninfected veterans engaged in VA ...
9
Early evidence from South Carolina’s Medicare Medicaid dual eligible financial alignment initiative: an observational study to understand who enrolled, and whether the program improved health?
... all Medicaid outpatient visits of individuals identified as Medicare-Medicaid dual eligibles from 2011 to 2016 from South Carolina ’ s Revenue and Fiscal Affairs ...the ...
13
The quality of Medicaid and Medicare data obtained from CMS and its contractors: implications for pharmacoepidemiology
... the Medicaid population; b) including Medicare PDE data, since its implementation in 2006; and c) assessing the consistency in quality across multiple data ...
7
Generic prescription drug price increases: which products will be affected by proposed anti-gouging legislation?
... analyzed Medicare Part D IQVIA data and found that from early 2010 to mid-2015 more than 20% of gen- eric drugs had undergone reimbursement price increases of over ...for Medicare and Medicaid ...
10
Prevalence of multiple chronic conditions in the United States' Medicare population
... for Medicare & Medicaid Services (CMS) was used for this ...the Medicare Modernization Act of 2003 (MMA) mandated a plan to improve the quality of care and reduce the cost of care for chronically ...
11
Persistent geographic variations in availability and quality of nursing home care in the United States: 1996 to 2016
... under Medicaid and 13% are short-term residents who receive post-acute care under Medicare ...of Medicare residents has increased over ...hospitalized Medicare beneficiaries are referred to ...
11
Policy and System Strategies in Promoting Child Health Information Systems, Including the Role of Medicaid, the State Children's Health Insurance Program, and Public Financing
... for Medicare and Medicaid Services and the redefining of what is an al- lowable expenditure under the Medicaid Management Information System have created an opportunity for statewide immunization ...
7
Health Care Economics: A Study Guide for Neuroradiology Fellows, Part 1
... Relative Value Unit. Many physicians, including radiologists, use relative value units (RVUs) as defined by Medicare as a measure of value in the Centers for Medicare and Medicaid Services (CMS) ...
8
Type 2 diabetes detection and management among insured adults
... the Medicare population using the 2011 Medi- care Standard Analytical File 5% sample (n = 2,805,812), and for the Medicaid population using the 2008 Mini-Max file (n = ...The Medicare extract con- ...
11
Sustainable Growth Rate Repealed, MACRA Revealed: Historical Context and Analysis of Recent Changes in Medicare Physician Payment Methodologies
... a Medicare Shared Savings Program for Accountable Care Organizations or similar pro- grams created by the Centers for Medicare and Medicaid Innova- ...
5
Insurance type and sepsis associated hospitalizations and sepsis associated mortality among US adults: A retrospective cohort study
... commercial insurance (for example, less access to care) or leading to a lack of commercial insurance (for exam- ple, unemployment). However, we cannot exclude con- tributions from the actual mechanism of health care ...
11
Follow-up analysis of federal process of care data reported from three acute care hospitals in rural Appalachia
... for Medicare and Medicaid Services “Hospital Compare” information suggests that process of care measurements at Fannin Regional Hospital are sig- nificantly higher than at either Murphy Medical Center or ...
6
Impact of Insurance Status on the Prognosis of Acute Lower Limb Ischemia
... Data collected in this retrospective study appear in Table 1. Acute Limb Ischemia (ALI) occurred more com- monly in African Americans (p = 0.0029) and in patients without insurance coverage regardless of race (p = ...
7
Towards the creation of a flexible classification scheme for voluntarily reported transfusion and laboratory safety events
... Transfusion and clinical laboratory services are integral parts of inpatient and outpatient care that heavily affect outcomes and costs [1–3]. Laboratory data may influ- ence up to 70% of important decisions made ...
10
The US Economy and the Great Recession. Jean Monnet/Robert Schuman Paper Series Vol. 11, No. 5, October 2011
... Furthermore, the tremendous national debt has recently reached $14 trillion and the current path of government spending needs has grown due to the critical economic situation. The problem is that the deficit must be ...
11
The Dark Side of the Boom: The Peculiar Dilemma of Modern False Claims Act Litigation
... and Medicaid directors have to deal with community pharmacists, and local pharmacists, and local politics, and that’s not the role of, in this administration, anyway, the role of the CMS administrator to go in and ...
39
Targeted Screening for Elevated Blood Lead Levels: Populations at High Risk
... 000 Medicaid enrollees be- tween ages 1 and 6 who are 3 times more likely than non-Medicaid children to have elevated blood lead levels; better enforcement of existing screening guidelines for these ...
5
The Medicare Health Outcomes Survey program: Overview, context, and near-term prospects
... in Medicare managed care for use in quality improvement activities, public reporting, plan accounta- bility and improving health outcomes based on competi- tion ...
10
The Qualified Clinical Data Registry: A Pathway to Success within MACRA
... the Medicare EHR (elec- tronic health record) Incentive Program (formerly known as Meaningful Use), and the Value-Based ...the Medicare EHR Incentive Program, and the Cost cat- egory replaces the ...
5
Will savings from biosimilars offset increased costs related to dose escalation? A comparison of infliximab and golimumab for rheumatoid arthritis
... 10]. Medicare is the largest single payer of biologic medications in the US, yet the Medicare program has a much more limited ability to negotiate price compared to its European counterparts, making the ...
10