Your Source for Health Reform

Topic: Medicare

Medicare is the federal health insurance program for people 65 and older. It also covers younger people with certain disabilities. It is administered by the CMS and is America’s largest health insurance program. Medicare beneficiaries are largely unaffected by health reform, although some provisions of the ACA strengthen the program.

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The Diversity of Dual Eligible Beneficiaries

This April 2012 issue brief from the Kaiser Family Foundation analyzes linked Medicare and Medicaid data to examine utilization and spending in in 2007 by people eligible for both programs.

Medicare ACOs Implementation Brief

This April 2011 brief from Healthcare Reform GPS provides an overview of the April 7th proposed rule on Medicare Accountable Care Organizations and related rulemaking, and gives a detailed analysis of the issues, along with comprehensive citations.

On the Road to Better Value: State Roles in Promoting ACOs

This February 2011 report from The Commonwealth Fund examines the development of the Accountable Care Organization model in seven states, highlighting five key areas in which states have played a role in supporting the development of the ACO model. (more…)

The “Dual Eligible” Opportunity: Improving Care and Reducing Costs

A December 2010 report by the Center for American Progress and Community Catalyst on financing and delivering care to individuals eligible for both Medicare and Medicaid under the Affordable Care Act.

Illinois Cares Rx Elimination – Frequently Asked Questions

This July 2012 brief from the Make Medicare Work Coalition discusses the elimination of Illinois Cares Rx and answers the most frequently asked questions from counselors who are assisting clients to navigate the changes. It includes information on: Illinois Cares Rx special enrollment periods and switching Medicare Part D plans; Medicaid spend-down; Circuit Breaker, Ride Free, and license plate discount programs; and Medicare Part D premium issues.

The ACA Will Not Replace Illinois Cares Rx

This chart by the Make Medicare Work Coalition compares the benefits in 2012 of Illinois Cares Rx to the Affordable Care Act benefits for people with disabilities and older adults. It demonstrates that ACA benefits would not fill the gap left by ending the state program.

CMS EHR Incentive Programs

The Medicare and Medicaid Electronic Health Records Incentive Programs will provide payments to eligible professionals, eligible hospitals and critical access hospitals as they adopt, implement, upgrade or demonstrate meaningful use of certified EHR technology. (more…)

The Financial Burden of Health Spending by Medicare Households

This brief from the Kaiser Family Foundation compares the financial burden of average out-of-pocket health expenses as a share of total household expenditures for Medicare and non-Medicare households, based on analysis of the Consumer Expenditure Survey. (more…)

Chronic Disease Management in the Affordable Care Act

A February 2011 brief from Health Reform GPS about provisions in the Affordable Care Act to encourage chronic disease management as part of the overall emphasis on improving the efficiency of health care. ACA provisions incentivize active self-management by patients, provide opportunities for reimbursement of providers, and provide federal support for development of chronic disease management programs.

Health Reform and CLASS

This February 2011 brief from Health Reform GPS discusses implementation of the ACA’s Community Living Assistance Services and Support program, a voluntary, federally administered health insurance program designed to assist eligible individuals in purchasing long-term community living services and supports. To meet the needs of this group, Congress also as part of the ACA made a number of changes in Medicaid coverage of home and community based services.

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