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Health Insurance Reform and Medicare: Making Medicare Stronger for America’s Seniors

Health Insurance Reform and Medicare Sources

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Sources

Prepared by the Office of Health Reform, Department of Health and Human Services

 

1 Medicare Payment Advisory Commission. March 2009 Report to Congress, Chapter 3: The Medicare Advantage Program. http://www.medpac.gov/chapters/Mar09_Ch03.pdf

2 Medicare Payment Advisory Commission. March 2009 Report to Congress, Chapter 3: The Medicare Advantage Program. http://www.medpac.gov/chapters/Mar09_Ch03.pdf

3 Neuman P. Medicare Advantage: Key Issues and Implications for Beneficiaries. Testimony before the House Committee on the Budget, United States House of Representatives, June 28, 2007. http://budget.house.gov/hearings/2007/06.28neuman_testimony.pdf

4 Neuman P. Medicare Advantage: Key Issues and Implications for Beneficiaries. Testimony before the House Committee on the Budget, United States House of Representatives, June 28, 2007. http://budget.house.gov/hearings/2007/06.28neuman_testimony.pdf

5 Mattes J. Testimony Before the Subcommittee on Health of the House Committee on Ways and Means, February 28, 2008. http://waysandmeans.house.gov/hearings.asp?formmode=view&id=6815

6 Angeles J, Park E. Curbing Medicare Advantage Overpayments Could Benefit Millions of Low-Income and Minority Americans. http://www.cbpp.org/files/2-19-09health.pdf

7 Medicare Payment Advisory Commission. March 2009 Report to Congress, Chapter 3: The Medicare Advantage Program. http://www.medpac.gov/chapters/Mar09_Ch03.pdf

8 Rick Foster, Office of the Actuary, Centers for Medicare and Medicaid Services. Letter to Congressman Stark, June 25, 2009.

9 Centers for Medicare and Medicaid Services, Office of the Actuary.

10 Congressional Budget Office. Letter to the Honorable Max Baucus. September 16, 2009.

11 AARP, American Medical Association, and American Nurses Association Survey, September 9, 2009. http://www.nursingworld.org/FunctionalMenuCategories/MediaResources/PressReleases/2009-PR/AARP-AMA-ANA-Survey-Report.aspx

12 Employee Benefit Research Institute, Savings Needed to Fund Health Insurance and Health Care Expenses
in Retirement, (Washington, DC: EBRI Issue Brief #295, July 2006).

13 Office of the Actuary. Centers for Medicare and Medicaid Services.

14 Zhang Y, Donohue JM, Newhouse JP et al. The Effects Of The Coverage Gap On Drug Spending: A Closer Look At Medicare Part D. Health Affairs 2009; 28(2): w317–w325.

15 Centers for Disease Control and Prevention. Behavioral Risk Factor Surveillance System 2008.

16 Estimated from Centers for Medicare and Medicaid Services payment rates for physician and outpatient hospital facilities, 2007. http://www.cms.hhs.gov/HealthCareConInit/04_Physician.asp#TopOfPage

17 Justice Department Announces Largest Health Care Fraud Settlement in its History. http://www.hhs.gov/news/press/2009pres/09/20090902a.html

18 Congressional Budget Office. Letter to the Honorable Max Baucus. September 16, 2009.

19 Jencks SF, Williams MV, Coleman EA. Rehospitalizations among patients in the Medicare fee-for-service program. NEJM 2009;360:1418-28.

20 Medicare Payment Advisory Commission. Payment Policy for Inpatient Readmissions. http://www.medpac.gov/chapters/Jun07_Ch05.pdf; inflated to 2009 dollars using CMS National Health Expenditure Accounts, http://www.cms.hhs.gov/NationalHealthExpendData/03_NationalHealthAccountsProjected.asp#TopOfPage

21 Agency for Healthcare Research and Quality. National Healthcare Quality Report 2008.

22 Grumbach K, Bodenheimer T and Grundy P. The Outcomes of Implementing Patient-Centered Medical Home Interventions: A Review of the Evidence on Quality, Access and Costs from Recent Prospective Evaluation Studies. http://familymedicine.medschool.ucsf.edu/cepc/pdf/outcomes%20of%20pcmh%20for%20White%20House%20Aug%202009.pdf

23 Kemper P, Komisar H, Alecxih L. Long-term care over an uncertain future: What can current retirees expect? Inquiry 2005; 42(4): 335-350.

26 AARP, American Medical Association, and American Nurses Association Survey, September 9, 2009. http://www.nursingworld.org/FunctionalMenuCategories/MediaResources/PressReleases/2009-PR/AARP-AMA-ANA-Survey-Report.aspx

27 American Medical Association. Member Connect Survey: Physicians’ reactions to the Medicare physician payment cuts. http://www.ama-assn.org/ama1/pub/upload/mm/399/mc_survey.pdf

28 Reid RJ, Fishman PA, Yu O et al. Patient-centered medical home demonstration: A prospective, quasi-experimental, before and after evaluation. American Journal of Managed Care 2009; http://www.ajmc.com/articles/managed-care/ajmc_09sep_reidwebx_e71toe87/

29 Medicare Payment Advisory Commission. A Databook: Healthcare Spending and the Medicare Program. June 2009. http://www.medpac.gov/documents/Jun09DataBookEntireReport.pdf

30 Rural Health Research & Policy Analysis Center at the Cecil G. Sheps Center for Health Services Research at the University of North Carolina at Chapel Hill.

31 Fordyce MA, Chen FM, Doescher MP, Hart LG. (2007). 2005 physician supply and distribution in rural areas of the United States. Final Report #116. Seattle, WA: WWAMI Rural Health Research Center, University of Washington.

32 2009 Annual Report of the Boards of Trustees of the Federal Hospital Insurance and Federal Supplementary Medical Insurance Trust Funds. http://www.cms.hhs.gov/reportstrustfunds/downloads/tr2009.pdf.

23 Office of the Actuary, Centers for Medicare and Medicaid Services.