Medicare

Innovations

Physician-Led Clinics Offer Integrated, Coordinated Care to High-Risk Seniors Under Capitated Contracts, Leading to Strong Performance on Quality Metrics, Low Inpatient Use, and High Patient Satisfaction 11/04/14

ChenMed is a physician-led practice serving more than 20,000 Medicare-eligible seniors through 36 centers in six States. ChenMed offers integrated, coordinated care under capitated contracts...

Community-Based Health Coaches and Care Coordinators Reduce Readmissions Using Information Technology To Identify and Support At-Risk Medicare Patients After Discharge 03/23/14

Supported by mobile technology, trained health coaches at Elder Services of Merrimack Valley (an Area Agency on Aging in Northeastern Massachusetts) visit recently discharged Medicare patients in...

Hospital Gain-Sharing Program Offers Incentives to Physicians Based on Their Efficiency, Producing Significant Cost Savings Without Decline in Quality 03/17/14

In a 3-year pilot demonstration program with the Centers for Medicare & Medicaid Services, 12 New Jersey hospitals known as the New Jersey Care Integration Consortium participated in a...

State Medicaid Program Pays Additional Capitated Fee to Integrated Primary Care and Mental Health Homes, Leading to Better Outcomes and Lower Costs 03/01/14

The Missouri Medicaid Health Home program provides a per-member–per-month payment to medical homes, including primary care clinics and mental health centers, that adopt an integrated staffing...

Statewide Health Information Exchange Provides Daily Alerts About Emergency Department and Inpatient Visits, Helping Health Plans and Accountable Care Organizations Reduce Utilization and Costs 08/07/13

The Nation's largest health information exchange (with more than 90 facilities linked through a secure, robust network), the Indiana Health Information Exchange provides health plans and Medicare-...

QualityTools

Improving Medication Safety in High Risk Medicare Beneficiaries Toolkit 09/04/15

This toolkit is based on experience gained in the Medication Evaluation and Drug Use Problem Identification to Improve Safety in High Risk Medicare Beneficiaries (MEDIS-MB) study. The toolkit has two goals: to describe the medication therapy...

Payment Adjustments Tool For eHealth Programs 07/02/14

This interactive tool helps practitioners determine their payment adjustments and reimbursements for each of the Medicare incentive programs. It shows what payment adjustments to expect based on past, current, and expected future participation in...

Dartmouth Atlas Project 05/09/12

The Dartmouth Atlas Project Web site provides data and information on how medical resources are distributed and used in the United States. The project uses Medicare data to provide comprehensive information and analysis about national, regional,...

Home Health Care CAHPS® Survey Materials 09/14/10

The Home Health Care CAHPS (Consumer Assessment of Healthcare Providers and Systems) Survey is designed to measure the experiences of people receiving home health care from Medicare-certified home health care agencies. The survey is designed to...

Dual Eligibles: Medicaid's Role for Low-Income Medicare Beneficiaries 09/22/08

This fact sheet describes the Medicaid/Medicare dual eligible population and related issues. Dual eligibles are low-income elderly and persons with disabilities who are enrolled in both Medicare and Medicaid. Information in the document discusses...

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