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Author: Linda F. Wolf
Publisher: DIANE Publishing
Keywords: costs, role, medicare, medicaid, systems, delivery, eligible, beneficiaries, characteristics, dually
Number of Pages: 164
Published: 1998-11
ISBN-10: 0788186582
ISBN-13: 9780788186585

Articles include: research issues: dually eligible Medicare & Medicaid beneficiaries, challenges & opportunities; evolution of Medicaid coverage of Medicare cost sharing; effect of low-income elderly insurance co-payment subsidies; does health status explain higher Medicare costs of Medicaid enrollees? inpatient psychiatric care of Medicare beneficiaries with state buy-in coverage; risk adjustment for dually eligible beneficiaries using long-term care; linked data analysis of dually eligible beneficiaries in New England; evaluating alternative risk adjusters for Medicare; & MCBS Highlights: du

Author: DIANE Publishing Company
Publisher: DIANE Publishing
Keywords: prompt, hmo, performance, consumers, aid, hcfa, release, data, medicare
Number of Pages: 62
Published: 1997-01-01
ISBN-10: 0788137786
ISBN-13: 9780788137785

Today, almost 4 million Medicare beneficiaries have opted for HMOs. Although HMOs must cover the benefits available under traditional fee-for-service Medicare, they differ from one another in the provision of additional benefits, required premiums, networks of providers, & ability to satisfy members. Beneficiaries need information to pick the plan right for them. This report reviews issues in marketing & enrollment for HMO serving Medicare beneficiaries & information that could be made available to assist beneficiaries in choosing an HMO.

Author: Barbara D. Bovbjerg
Publisher: DIANE Publishing
Keywords: disability, programs, beneficiaries, ssa, effects, security, reform, potential, social
Number of Pages: 60
Published: 2001-05
ISBN-10: 0756712718
ISBN-13: 9780756712716

In 1999, disabled beneficiaries & their families accounted for about 17% of all Social Security (SS) beneficiaries. This report assesses the potential effects of Social Security reform options on the solvency of the Social Security Disability Insur. (DI) program trust fund & the benefits disabled beneficiaries receive. It analyzes both the potential effects of comprehensive SS reform proposals on the solvency of the DI trust fund & on the benefits that disabled beneficiaries receive & the likely contribution that individual proposal provisions would make to these effects. Examines the implicat

Author: DIANE Publishing Company
Publisher: DIANE Publishing
Keywords: benefits, older, beneficiaries, changing, associated, employees, compensation, issues, federal
Number of Pages: 69
Published: 1996-12-01
ISBN-10: 0788136054
ISBN-13: 9780788136054

Reviews issues related to possible changes to the Federal Employees' Compensation Act (FECA). Provides a profile of beneficiaries on the long-term FECA rolls, with information on beneficiaries' ages and time on the rolls; views of proponents and opponents of changing FECA benefits for older beneficiaries; and questions and issues that the Congress might consider if crafting benefit changes. Older FECA beneficiaries make up a high percentage of cases on the long-term rolls and account for a substantial portion of FECA benefits paid for long-term compensation.

Author: Randall B. Williamson
Publisher: DIANE Publishing
Keywords: health, care, satisfaction, similar, plans, beneficiary, indicate, access, surveys, defense, problems
Number of Pages: 70
Published: 2010-08
ISBN-10: 1437931707
ISBN-13: 9781437931709

The DoD provides health care and mental health care through its TRICARE program. Under TRICARE, beneficiaries may obtain care through TRICARE Prime, an option that includes the use of civilian provider networks and requires enrollment. TRICARE beneficiaries who do not enroll in this option may obtain care from non-network providers through TRICARE Standard, or from network providers through TRICARE Extra. Servicemembers who use TRICARE Standard, TRICARE Extra, or TRICARE Reserve Select are referred to as non-enrolled beneficiaries. This report analyzes the adequacy of DoD's surveys of TRICARE

Author: James Cosgrove
Publisher: DIANE Publishing
Keywords: limited, marketing, data, scope, issue, inappropriate, affected, advantage, cms, assists, beneficiaries, medicare
Number of Pages: 48
Published: 2010-05
ISBN-10: 1437928080
ISBN-13: 9781437928082

Questions have been raised about complaints that some Medicare Advantage (MA) org. and their agents inappropriately marketed their health plans to Medicare beneficiaries. Inappropriate marketing may include activities such as providing inaccurate info. about covered benefits and conducting prohibited marketing practices. The Centers for Medicare and Medicaid Services (CMS) is responsible for oversight of MA org. and their plans. This report examined: (1) the extent to which CMS has taken compliance and enforcement actions; (2) how CMS has helped beneficiaries affected by inappropriate marketin

Author: Kathleen M. King
Publisher: DIANE Publishing
Keywords: oversight, challenges, remain, operational, declining, part, complaint, rates, medicare
Number of Pages: 43
Published: 2009-02
ISBN-10: 1437909175
ISBN-13: 9781437909173

Medicare Part I coverage is provided through plan sponsors that contract with CMS. As of April 2008, 26 million beneficiaries were enrolled in Part D. When beneficiaries encounter problems with Part D, they can either file a complaint with CMS or a grievance with their plan sponsors. CMS tracks complaints data and plan sponsors report data on grievances. This report provides info. on: (1) complaints and what they indicate about beneficiaries¿ experiences with Part D; (2) whether grievances data provide additional insight about beneficiaries¿ experiences; and (3) CMS¿s oversight of the compl
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