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, skilled nursing facilities, home health agencies, clinical laboratories, and other providers and suppliers. Medicare …
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Examines the relationship between rising Medicare risk and Medicare+Choice enrollment and the claims experience reported by Medigap insurers between 1996 and 1999. Concludes that adverse selection into Medicare HMOs has probably reduced average medical claims in standard Medigap plans, with a...
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This issue brief presents the results of the first study conducted using data from Medicaid Analytic eXtract (MAX) data and the Medicare Current Beneficiary Survey to assess the use of home- and community-based services by the presence and level of functional limitations, as measured by...
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Growing interest in using consumer satisfaction information to enhance quality of care and promote informed consumer choice has accompanied recent expansions in managed care. This article synthesizes information about consumer satisfaction surveys conducted by managed-care plans, government and...
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These FAQs offer information on 2010 Quality and Resource Use Reports, Phase II of the Physician Feedback Program established under Medicare and expanded by the Affordable Care Act. The program solicits feedback on both quality and resource use information from select Medicare medical...
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