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Start Over Subjects Medicare Part C -- organization & administration

1. Assessment of the literature on integrated care models for people dually enrolled in Medicare and Medicaid: approaches used and priorities for future research

Author(s):
Barrie Smith, Laura, author
Waidmann, Timothy A., author
Caswell, Kyle J., author
Publication:
Washington, DC : Urban Institute, September 2021
Subject(s):
Dual MEDICAID MEDICARE Eligibility
Medicare Part C -- organization & administration
Outcome Assessment, Health Care -- statistics & numerical data
Treatment Failure
United States
Centers for Medicare & Medicaid Services (U.S.)

2. CMS’s encounter data lack essential information that Medicare Advantage organizations have the ability to collect

Publication:
Washington, D.C. : U.S. Department of Health and Human Services, Office of Inspector General, August 2020
Subject(s):
Data Management -- legislation & jurisprudence
Fraud -- prevention & control
Government Regulation
Medicare Part C -- organization & administration
Records -- statistics & numerical data
United States
United States. Department of Health and Human Services

3. The Medicare preferred provider organization demonstration: overview of design, characteristics, and outstanding issues of interest

Author(s):
Gold, Marsha R.
Publication:
Washington, DC : Public Policy Institute, AARP, c2003
Subject(s):
Medicare Part C -- organization & administration
Insurance Benefits -- statistics & numerical data
Preferred Provider Organizations -- statistics & numerical data
Risk Sharing, Financial -- organization & administration
United States
Medicare+Choice Program (U.S.)

4. Some Medicare Advantage Organization denials of prior authorization requests raise concerns about beneficiary access to medically necessary care

Publication:
Washington, DC : U.S. Department of Health and Human Services, Office of Inspector General, April 2022
Subject(s):
Government Regulation
Insurance, Health, Reimbursement -- economics
Medicare Part C -- economics
Medicare Part C -- organization & administration
Prior Authorization -- economics
Time-to-Treatment
United States
United States. Department of Health and Human Services