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Medicare Advantage

Effectiveness of mailed letters to improve medication adherence among Medicare Advantage Plan participants with chronic conditions

Effectiveness of mailed letters to improve medication adherence among Medicare Advantage Plan participants with chronic conditions

... One assumption in the present study was that each individual who was mailed a letter also received and read the letter. However, the address listed in the organization’s system may have been incorrect, the letter may ...

10

Association of daily copayments with use of hospital care among medicare advantage enrollees

Association of daily copayments with use of hospital care among medicare advantage enrollees

... Strengths of our study include the use of a large sam- ple of over 400,000 beneficiaries in 59 MA plans across the country. By observing the entire structure of each plans’ benefit, we were able to identify plans that ...

11

Cost trends among commercially insured and Medicare Advantage-insured patients with chronic obstructive pulmonary disease: 2006 through 2009

Cost trends among commercially insured and Medicare Advantage-insured patients with chronic obstructive pulmonary disease: 2006 through 2009

... and Medicare Advantage ...Medicare Advantage. Possible reasons for this discrepancy include Medicare cost control and the difference in age between the ...

10

Chiropractic care and the risk of vertebrobasilar stroke: results of a case–control study in U.S. commercial and Medicare Advantage populations

Chiropractic care and the risk of vertebrobasilar stroke: results of a case–control study in U.S. commercial and Medicare Advantage populations

... Background: There is controversy surrounding the risk of manipulation, which is often used by chiropractors, with respect to its association with vertebrobasilar artery system (VBA) stroke. The objective of this study ...

10

Paying medicare advantage plans : to level or tilt the playing field

Paying medicare advantage plans : to level or tilt the playing field

... A Medicare beneficiary decides between health insurance from the public option of traditional Medicare (TM), or from a private plan offered through the Medicare Advantage (MA) ...ways. ...

37

Impact of roflumilast on exacerbations of COPD, health care utilization, and costs in a predominantly elderly Medicare Advantage population

Impact of roflumilast on exacerbations of COPD, health care utilization, and costs in a predominantly elderly Medicare Advantage population

... large Medicare Advantage Prescription Drug health ...care Advantage Prescription Drug plan members between 40 and 89 years of age with at least one COPD diagnosis, as identified by the ICD-9-CM ...

12

Characterizing idiopathic pulmonary fibrosis patients using US Medicare-advantage health plan claims data

Characterizing idiopathic pulmonary fibrosis patients using US Medicare-advantage health plan claims data

... US Medicare population, the Optum MAPD population has a similar distribution of gender and age, members from the Northeast and Midwest, and proportion of members who are African-American, Hispanic or ...

13

First dollar cost sharing for skilled nursing facility care in medicare advantage plans

First dollar cost sharing for skilled nursing facility care in medicare advantage plans

... When Medicare beneficiaries faced greater copayments for outpatient care and prescription drugs, they reduced their use of these services but increased their use of expensive inpatient care [8, ...

8

The Onset of ADL Difficulties and Changes in Health-Related Quality of Life

The Onset of ADL Difficulties and Changes in Health-Related Quality of Life

... While these studies provide evidence that ADLs are associated with HRQoL among older adults, for the most part they involved restricted samples that limit their generalizability, and used only one or two years of ...

30

Association of teriparatide adherence and persistence with clinical and economic outcomes in Medicare Part D recipients: a retrospective cohort study

Association of teriparatide adherence and persistence with clinical and economic outcomes in Medicare Part D recipients: a retrospective cohort study

... the Medicare Advantage with Prescrip- tion Drug coverage (MAPD) ...were Medicare Part D recipients, aged 18 to 89 years old, and not members of the Low In- come Subsidy program (LIS) for ...

17

Clinical and Economic Impact of an Integrated Care Team Model on Targeted, High-Risk Medicare Patients With Type 2 Diabetes

Clinical and Economic Impact of an Integrated Care Team Model on Targeted, High-Risk Medicare Patients With Type 2 Diabetes

... tated Medicare Advantage population cared for by an integrated delivery network (IDN) composed of a dis- trict hospital (Kaweah Delta Health Care District), medical group (Key Medical Group), and national ...

6

A retrospective, matched cohort study of potential drug drug interaction prevalence and opioid utilization in a diabetic peripheral neuropathy population initiated on pregabalin or duloxetine

A retrospective, matched cohort study of potential drug drug interaction prevalence and opioid utilization in a diabetic peripheral neuropathy population initiated on pregabalin or duloxetine

... MAPD: Medicare Advantage Prescription Drug; MEq: Morphine equivalents; mg: Milligrams; pDPN: Painful diabetic peripheral neuropathy; PHI: Protected health information; PS: Propensity score; PT: Physical ...

11

Economic evaluation of patient navigation programs in colorectal cancer care, a systematic review

Economic evaluation of patient navigation programs in colorectal cancer care, a systematic review

... Data sources: PNRP study records; Medicare fee schedules published by the Centers for Medicare and Medicaid Services Program costs: Overhead, office equipment, personnel, travel, phone/ [r] ...

12

The Qualified Clinical Data Registry: A Pathway to Success within MACRA

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

Use of outpatient care in VA and Medicare among disability eligible and age eligible veteran patients

Use of outpatient care in VA and Medicare among disability eligible and age eligible veteran patients

... of veterans facing different choices regarding access to pharmaceuticals. However, VA pharmaceutical prices and policies have remained attractive to veterans thus far. The current medication copayment is $9 for a 30- day ...

13

Healthcare spending in the State of Louisiana

Healthcare spending in the State of Louisiana

... The United States spends more on healthcare services and reports lower life expectancy and higher infant mortality than other high-income nations [1]. In 2014, the United States spent $3.0 trillion on healthcare with ...

13

Differences in hospitalizations, emergency room admissions, and outpatient visits among Mexican-American Medicare beneficiaries

Differences in hospitalizations, emergency room admissions, and outpatient visits among Mexican-American Medicare beneficiaries

... The Medicare Current Beneficiary Survey (MCBS) and other national data sets have produced important in- sights on the healthcare utilization of Hispanic Medicare beneficiaries [29, ...

11

A Conceptual Mapping Resource Advantage Theory, Competitive Advantage Theory, and Transient Competitive Advantage

A Conceptual Mapping Resource Advantage Theory, Competitive Advantage Theory, and Transient Competitive Advantage

... The temporary advantage strategy plays a significant role in creating advantage. The leadership must have his or her own perspective towards creating the advantage. He or she must hold assumption ...

10

Sustainable Growth Rate Repealed, MACRA Revealed: Historical Context and Analysis of Recent Changes in Medicare Physician Payment Methodologies

Sustainable Growth Rate Repealed, MACRA Revealed: Historical Context and Analysis of Recent Changes in Medicare Physician Payment Methodologies

... First, Medicare is going to expand what is generally known as means ...higher Medicare premiums. Second, Medicare reim- bursements for post-acute care facilities such as inpatient rehabil- itation ...

5

Persistent geographic variations in availability and quality of nursing home care in the United States: 1996 to 2016

Persistent geographic variations in availability and quality of nursing home care in the United States: 1996 to 2016

... for Medicare and Medicaid, may impact this decline, it is also unknown whether there were geographic varia- tions in the decline of availability of nursing home care, whether such variations persisted over time, ...

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