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1. Medicare Advantage appeal outcomes and audit findings raise concerns about service and payment denials

Publication:

[Washington, D.C.] : U.S. Department of Health and Human Services, Office of Inspector General, September 2018

Subject(s):

Health Services Accessibility
Insurance Claim Review -- statistics & numerical data
Insurance Coverage
Insurance, Health, Reimbursement
Medicare Part C
Financial Audit
Insurance Claim Review -- economics
Managed Care Programs
Humans
United States
United States. Department of Health and Human Services.
Centers for Medicare & Medicaid Services (U.S.)

2. Medicare at 50: origins and evolution

Author(s):

Hollander, Chris, author

Publication:

[New York, N.Y.] : Commonwealth Fund, 2015

Subject(s):

Medicare -- organization & administration
Aged
Eligibility Determination
Forecasting
Insurance Coverage
Medicare -- history
Medicare -- trends
Medicare Part A
Medicare Part B
Medicare Part C
Medicare Part D
History, 20th Century
History, 21st Century
Humans
United States

3. The effect of predictive analytics-driven interventions on healthcare utilization

Author(s):

David, Guy, author
Smith-McLallen. Aaron, author
Ukert, Benjamin, author

Publication:

Philadelphia, PA : Leonard Davis Institute of Health Economics, 2019

Subject(s):

Algorithms
Data Science
Facilities and Services Utilization -- statistics & numerical data
Heart Failure -- therapy
Risk Assessment
Emergency Medical Services -- statistics & numerical data
Hospitalization -- statistics & numerical data
Medicare Part C
Office Visits -- statistics & numerical data
Risk
Humans
United States

4. The Medicare Advantage Program in 2014

Publication:

[Washington, D.C.] : Department of Health and Human Services, Office of the Assistant Secretary for Planning and Evaluation, April 2014

Subject(s):

Medicare Part C
Private Sector
Outsourced Services
United States

5. Non-shoppable health care services: inpatient hospitalizations: average spending and length of stay (LOS) for non-shoppable services in Medicare Advantage (MA) and employer-sponsored insurance (ESI) populations

Author(s):

Barrette, Eric, author
Frost, Amanda, author

Publication:

Washington, DC, : Health Care Cost Institute, February 2017

Subject(s):

Health Expenditures -- statistics & numerical data
Hospital Costs -- statistics & numerical data
Hospitalization -- economics
Length of Stay -- statistics & numerical data
Patient Admission -- statistics & numerical data
Emergency Service, Hospital -- statistics & numerical data
Health Benefit Plans, Employee
Medicare Part C
Humans
United States

6. Effects of Medicare Advantage enrollment on beneficiary risk scores

Author(s):

Burns, Alice, author
Hayford, Tamara, author

Publication:

Washington, D.C. : Congressional Budget Office, November 2017

Subject(s):

Medicare Part C
Risk Adjustment
Fee-for-Service Plans
Models, Theoretical
Humans
United States

7. Employer contracting with HMOs for Medicare retirees

Author(s):

Fox, Peter D.

Publication:

Washington, DC : Public Policy Institute, AARP, c2000

Subject(s):

Insurance, Health
Health Maintenance Organizations
Medicare Part C
Retirement
United States

8. Supplemental benefits under Medicare Advantage. Part 1, An in-depth look at what they are today

Author(s):

Noel-Miller, Claire, author
Sung, Jane, author

Publication:

Washington, DC : AARP Public Policy Institute, December 2018

Subject(s):

Insurance Benefits
Medicare Part C
Hearing Aids
Hearing Tests
Insurance, Dental
Insurance, Vision
State Government
Humans
United States

9. Comparing outcomes for dual eligible beneficiaries in integrated care: final report

Author(s):

Feng, Zhanlian, author
Wang, Joyce, (Of RTI International), author
Gadaska, Angela, author
Knowles, Molly, author
Haber, Susan G., author
Ingber, Melvin, author
Grouverman, Valentina, author

Publication:

[Washington, D.C.] : U.S. Department of Health and Human Services, Office of the Assistant Secretary for Planning and Evaluation, Office of Behavioral Health, Disability, and Aging Policy, September 2021

Subject(s):

Delivery of Health Care, Integrated
Dual MEDICAID MEDICARE Eligibility
Managed Care Programs
Medicare Part C
Outcome Assessment, Health Care
United States

10. Estimating current-law health care spending of Medicare Advantage enrollees for use in microsimulation modeling of Medicare policies

Author(s):

Shartzer, Adele, author
Garrett, Bowen, author
Arnos, Diane, author
Banthin, Jessica, author
Gangopadhyaya, Anuj, author

Publication:

Washington, DC : Urban Institute, January 2021

Subject(s):

Health Expenditures
Medicare Part C
Models, Economic
United States