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Vol. 3, No. 2, 2013

Medicare Part D Roulette: Potential Implications of Random Assignment and Plan Restrictions

Medicare-Medicaid "dually" eligible beneficiaries are randomly assigned to a benchmark plan, which provides prescription drug coverage under the Part D benefit without consideration of their prescription drug profile. To date, the potential for beneficiary assignment to a plan with poor formulary coverage has been minimally studied and the resultant financial impact to beneficiaries unknown.

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Data Shows Reduction in Medicare Hospital Readmission Rates During 2012

After years of holding steady, hospital readmission rates among fee-for-service Medicare beneficiaries declined significantly in 2012.  Hospital readmissions have been shown to be costly and are a common metric for assessing care quality, so the Medicare program, hospitals, and other stakeholders have made reducing re-hospitalizations a high priority.
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Forecasting the Use of Electronic Health Records: An Expert Opinion Approach

This paper combines an expert opinion method, a modified Delphi technique, with a technological diffusion framework to create a forecast of the percent of office-based physicians who will become adopters and “meaningful users” of health information technology from 2012 to 2019.

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Medicare Payments: How Much Do Chronic Conditions Matter?

The effect of chronic conditions on Medicare spending is dramatic. Average Medicare payments increase significantly with the number of chronic conditions.  “Stroke / Transient Ischemic Attack” and “Chronic Kidney Disease” are the costliest chronic conditions for Part A, and “Cancer” and “Chronic Kidney Disease” are the costliest for Part B.

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The Impact of Electronic Health Records on Ambulatory Costs Among Medicaid Beneficiaries

This study of Medicaid ambulatory care in Massachusetts suggests that the impact of widespread adoption of electronic health records (EHRs) can be significant, but inconsistent.

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