An Alternative to Medicare for All

Alternative geographic configurations for Medicare payments to health maintenance organizations

Under prevailing legislation, Medicare payments to health maintenance organizations (HMOs) are based upon projected fee-for-service reimbursement levels for enrollees' county of residence. These rates have been criticized in light of substantial variations in rates among neighboring counties and large fluctuations in rates over time. In this study, the use of nine alternative configurations and...

Evaluating Alternative Risk Adjusters for Medicare

In this study the authors use 3 years of the Medicare Current Beneficiary Survey (MCBS) to evaluate alternative demographic, survey, and claims-based risk adjusters for Medicare capitation payment. The survey health-status models have three to four times the predictive power of the demographic models. The risk-adjustment model derived from claims diagnoses has 75-percent greater predictive powe...

Alternative delivery systems and Medicare.

Codestrate Packages: An Alternative to "One-Size-Fits-All" Software

Copyright held by the owner/author(s). CHI’18 Extended Abstracts, April 21–26, 2018, Montreal, QC, Canada ACM 978-1-4503-5621-3/18/04. https://doi.org/10.1145/3170427.3188563 Abstract We present Codestrate Packages, a package-based system to create extensible software within Codestrates. Codestrate Packages turns content creation from an applicationcentric model into a document-centric model. C...

Impact of an All-or-Nothing Assignment Requirement under Medicare

In an effort to raise assignment rates, some policymakers have considered dropping Medicare's case-by-case assignment option. Physicians would have to decide whether to accept all of their patients on assignment, or none of them. In a 1976 national survey, over two-thirds of the physicians stated they would take none of their patients on assignment if forced to choose. Simulation analysis showe...