MD2 PER-PATIENT-PER-MONTH DRUG COSTS IN MEDICARE PART D PROTECTED CLASSES

An examination of periodontal treatment and per member per month (PMPM) medical costs in an insured population

BACKGROUND Chronic medical conditions have been associated with periodontal disease. This study examined if periodontal treatment can contribute to changes in overall risk and medical expenditures for three chronic conditions [Diabetes Mellitus (DM), Coronary Artery Disease (CAD), and Cerebrovascular Disease (CVD)]. METHODS 116,306 enrollees participating in a preferred provider organization ...

Medicare. Part D: Prescription drug coverage.

Medicare beneficiaries' knowledge of Part D prescription drug program benefits and responses to drug costs.

CONTEXT Medicare Part D drug benefits include substantial cost sharing. OBJECTIVE To determine beneficiaries' knowledge of benefits and cost responses. DESIGN, SETTING, AND PARTICIPANTS Telephone interviews were conducted in 2007 in a stratified random sample of community-dwelling Kaiser Permanente-Northern California Medicare Advantage beneficiaries aged 65 years or older, with a gap in co...

Association Between Medicare Star Ratings for Patient Experience and Medicare Spending per Beneficiary for US Hospitals

OBJECTIVE To test the association between patient experience and Centers for Medicare and Medicaid Services (CMS) spending at the hospital level. METHODS Using CMS Hospital Compare data set, we analyzed 2014 data for CMS patient experience star ratings and the hospital Medicare Spending per Beneficiary (MSPB) Measure, which assesses price-standardized, risk-adjusted payments for services prov...

Changes in per member per month expenditures after implementation of Florida's Medicaid reform demonstration.

OBJECTIVE To determine the impact of Florida's Medicaid Reform Demonstration on per member per month (PMPM) Medicaid expenditures. DATA Florida Medicaid claims data from the two fiscal years before implementation of the Demonstration (FY0405, FY0506) and the first two fiscal years after implementation (FY0607, FY0708) from two reform counties and two nonreform counties. STUDY DESIGN A diffe...