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in Reforming the Medicare Part D Benefit Design: Financial Implications for Beneficiaries, Private Plans, Drug Manufacturers, and the Federal Government
> Journal of Health Politics, Policy and Law
Published: 01 December 2022
Figure 1 Distribution of beneficiary ending phase and spending by phase by LIS status under the current standard benefit design. Notes : LIS = low-income subsidy; ICL = initial coverage limit.
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in Reforming the Medicare Part D Benefit Design: Financial Implications for Beneficiaries, Private Plans, Drug Manufacturers, and the Federal Government
> Journal of Health Politics, Policy and Law
Published: 01 December 2022
Figure 2 Distribution of liability by payer, benefit phase, and beneficiary LIS status under the current standard benefit design. Panel A Non-LIS beneficiaries. Panel B LIS beneficiaries. Note : LIS= low-income subsidy.
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in Reforming the Medicare Part D Benefit Design: Financial Implications for Beneficiaries, Private Plans, Drug Manufacturers, and the Federal Government
> Journal of Health Politics, Policy and Law
Published: 01 December 2022
Figure 2 Distribution of liability by payer, benefit phase, and beneficiary LIS status under the current standard benefit design. Panel A Non-LIS beneficiaries. Panel B LIS beneficiaries. Note : LIS= low-income subsidy.
More
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in Reforming the Medicare Part D Benefit Design: Financial Implications for Beneficiaries, Private Plans, Drug Manufacturers, and the Federal Government
> Journal of Health Politics, Policy and Law
Published: 01 December 2022
Figure 3 Distribution of beneficiary ending phase and spending by phase by LIS status under the Part D redesign proposal included in the Build Back Better Act. Notes : LIS = low-income subsidy; ICL = initial coverage limit.
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in Reforming the Medicare Part D Benefit Design: Financial Implications for Beneficiaries, Private Plans, Drug Manufacturers, and the Federal Government
> Journal of Health Politics, Policy and Law
Published: 01 December 2022
Figure 4 Distribution of liability by payer, benefit phase, and beneficiary LIS status under the Part D redesign proposal included in the Build Back Better Act. Panel A Non-LIS beneficiaries. Panel B LIS beneficiaries.
More
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in Reforming the Medicare Part D Benefit Design: Financial Implications for Beneficiaries, Private Plans, Drug Manufacturers, and the Federal Government
> Journal of Health Politics, Policy and Law
Published: 01 December 2022
Figure 4 Distribution of liability by payer, benefit phase, and beneficiary LIS status under the Part D redesign proposal included in the Build Back Better Act. Panel A Non-LIS beneficiaries. Panel B LIS beneficiaries.
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Journal Article
J Health Polit Policy Law (1987) 12 (1): 53–76.
Published: 01 February 1987
...Nelda McCall; Thomas Rice; Arden Hall This paper examines the effects of state regulations on the quality of insurance policies sold to Medicare beneficiaries and on the amount of sales abuse reported in the sale of such policies. State regulations regarding such policies relate to policy content...
Journal Article
J Health Polit Policy Law (2021) 46 (2): 305–355.
Published: 01 April 2021
... not establish similar work supports. If work requirements are implemented, it would appear that Americans want beneficiaries to have access to support that makes compliance more feasible. Table 4a Support for Work Supports—All Respondents (1) (2) (3) (4) (5) Variables...
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Includes: Supplementary data
Journal Article
J Health Polit Policy Law (1992) 17 (1): 3–24.
Published: 01 February 1992
...Thomas Rice; Lyle Nelson; David C. Colby We assess the potential of increased economic competition by examining whether Medicare beneficiaries are willing to switch to physicians who agree to accept all services on assignment. Data come from a survey of Medicare beneficiaries conducted in November...
Journal Article
J Health Polit Policy Law (1995) 20 (1): 49–74.
Published: 01 February 1995
... financial protection to beneficiaries. In 1986, more than 60 percent of expenditures for physician services were on assigned claims for which there could be no balance billing; by 1990, 80 percent of expenditures were on assigned claims. Balance billing decreased by about 30 percent during the same period...
Journal Article
J Health Polit Policy Law (2022) 47 (6): 853–877.
Published: 01 December 2022
...Figure 1 Distribution of beneficiary ending phase and spending by phase by LIS status under the current standard benefit design. Notes : LIS = low-income subsidy; ICL = initial coverage limit. ...
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in More Than Words? How Highlighting Target Populations Affects Public Opinion about the Medicaid Program
> Journal of Health Politics, Policy and Law
Published: 01 October 2023
Figure 2 Marginal effects for perceptions of deservingness of Medicaid beneficiaries. Notes : All marginal effects compare the treatments to the control group. Low income is treatment 2, low income plus is treatment 3, citizens is treatment 4, low income and citizens is treatment 5, and low
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in To Extend or Not to Extend the Primary Care “Fee Bump” In Medicaid?
> Journal of Health Politics, Policy and Law
Published: 01 December 2014
Figure 2 Variation in the Fraction of Medicaid Beneficiaries Enrolled in Managed Care, 2011 Source : Authors' map, drawing on data from CMS 2011 Note : Alaska and North Dakota have not implemented the fee bump because their primary care fees already exceeded Medicare fees in 2009 (see fig
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in People, Places, Power: Medicaid Concentration and Local Political Participation
> Journal of Health Politics, Policy and Law
Published: 01 October 2017
Figure 3 Political Officials Target Non-Beneficiaries with Messages about Medicaid Source : www.barrykantrowitz.com/medicaid.html .
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in Reforming the Medicare Part D Benefit Design: Financial Implications for Beneficiaries, Private Plans, Drug Manufacturers, and the Federal Government
> Journal of Health Politics, Policy and Law
Published: 01 December 2022
Figure 6 Distribution of out-of-pocket savings for non-LIS beneficiaries under the Part D redesign proposal included in the Build Back Better Act. Note : LIS = low-income subsidy.
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Journal Article
J Health Polit Policy Law (1989) 14 (3): 565–585.
Published: 01 June 1989
...Shoshanna Sofaer; Erin Kenney To reduce Medicare costs, Medicare beneficiaries are being encouraged to enroll in “risk contract” HMOs. This paper explores the financial consequences to the elderly of joining a Medicare risk HMO. Using a new method for estimating consumer financial vulnerability...
Journal Article
J Health Polit Policy Law (2004) 29 (6): 1187–1226.
Published: 01 December 2004
... on the premiums charged by different health plans. Beneficiaries could choose something akin to the traditional fee-for-service option or a privately sponsored health plan such as a health maintenance organization. The article simulates the expected distributional impacts in three areas: among beneficiaries who...
Journal Article
J Health Polit Policy Law (2016) 41 (2): 287–300.
Published: 01 April 2016
... expiration of a preexisting section 1115 waiver that served sixty-five thousand Iowans. The Iowa Health and Wellness Plan emphasizes personal responsibility and private involvement. Key features include beneficiary premiums, incentives for healthy behaviors, and premium assistance for some beneficiaries...
Journal Article
J Health Polit Policy Law (2010) 35 (6): 961–997.
Published: 01 December 2010
...Thomas Rice; Janet Cummings The Medicare prescription drug benefit relies on private insurers. In most states, there are nearly fifty competing insurance plans available. The sheer number of choices makes it extremely difficult for Medicare beneficiaries, many of whom must cope with declining...
Journal Article
J Health Polit Policy Law (1997) 22 (2): 595–631.
Published: 01 April 1997
...Jonathan B. Oberlander A primary goal of many Medicare reform proposals is to move program beneficiaries into managed care plans operated by private insurance companies. Advocates contend that managed care based reforms? This article summarizes the claims that are made for and against incorporating...
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