New data on Medicaid prescription drug use and reimbursement in 1999, prepared by Mathematica for the Centers for Medicare & Medicaid Services, provide a tool states can use to identify potential problems in their Medicaid prescription drug programs and explore solutions. The data are organized...

This issue brief examines the mission of the Center for Medicare and Medicaid Innovation, as well as challenges in balancing relevance and rigor to learn how to improve payment and delivery.

A study examining the relationship between hospital characteristics and hospital prices can help inform the debate on controlling health care costs. Compared to other hospitals, high-price hospitals tend to be larger, be major teaching hospitals, belong to systems with large market shares,...

This book chapter examines how firms behaved with respect to employment-based health insurance before Affordable Care Act deliberations and uses that behavior to predict the changes that might occur when the legislative requirements become fully implemented.

This study focused on features that influence the enrollment of nonelderly, lower income adults into state and local programs that subsidize health coverage or care. Recognizing the well-established need for significant premium subsidies, the study focused on other determinants of enrollment and...

This report uses National Health Interview Survey (NHIS) data linked to data from the Social Security Disability Insurance (SSDI) and Medicare programs to create profiles of SSDI beneficiaries during the three years before and after SSDI entry to illustrate changes in insurance status, health...

Examines the price of the standard Medigap policies (H, I, and J) that cover prescription drugs. Notes that premiums for these policies are high, at about $1,400 per year for minimum coverage, with wide state variation. Furthermore, the average cost to upgrade a policy to cover drugs ranges from...

Explores reasons for differences in insurance estimates for the two surveys and suggests areas for future research to help measure the number of uninsured more precisely.

This chartbook for the Substance Abuse and Mental Health Services Administration (SAMHSA) provides comprehensive information on Medicaid beneficiaries who use mental health and substance abuse services and places the findings in a broad policy context.

This brief found that small businesses that continue to offer coverage will face changes in what plans are available to offer. As individual and Small Business Health Options Program (SHOP) exchanges are developed, employees of small businesses will likely receive more choices and more...