IMPORTANCE Fostering accountability in the Medicare Accountable Care Organization (ACO) programs may be challenging because traditional Medicare beneficiaries have unrestricted choice of health care providers, are attributed to ACOs based on utilization, and often receive fragmented care. OBJECTIVE To measure 3 related constructs relevant to ACO incentives and their capacity to manage care: s...

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...

BACKGROUND Atrial fibrillation (AF) is a common and costly problem among older persons. The frequency of AF increases with age, but representative national data about incidence and prevalence are limited. We examined the annual incidence, prevalence, and mortality associated with AF among older persons. METHODS AND RESULTS In a retrospective cohort study of Medicare beneficiaries 65 years and...

0022-1031/$ see front matter 2009 Elsevier Inc. A doi:10.1016/j.jesp.2009.08.017 * Corresponding author. Address: Department of H zational Behavior, Anderson School of Management, Angeles, 110 Westwood Plaza, Los Angeles, CA 90095 310 825 0218. E-mail address: [email protected] (M.M. Unzueta) Believing that affirmative action entails quotas may both help and hurt White women’s self-image – conti...

This research examines the return to work by Disability Insurance beneficiaries who were first entitled to benefits in 1980-81 and who were originally selected to be interviewed in the New Beneficiary Survey. To facilitate an examination of actual labor-force participation by beneficiaries, information on work and participation in program work incentives was collected from their claims folders....

OVERVIEW Medicare provides near-universal coverage for seniors and is an important source of health insurance for individuals with disabilities; however, many beneficiaries face gaps between the care they need and costs covered by Medicare. Most beneficiaries either participate in Medicare Advantage (a managed care version of Medicare that offers reduced cost-sharing) or seek supplemental cover...

Abstract This paper analyzed the relationship between Bolsa Família Program (BFP) and labor supply of women in rural areas from Brazil, using Propensity Score Matching (with nearest-neighbor, kernel, IPW criteria), Ordinary Least Squares on treatment (beneficiaries), control (non-beneficiaries) groups with robustness analysis proposed by Oster (2015). The results showed that BFP has an opposite...

CONTEXT The Medicare program has promoted capitation as a way to contain costs. About 15% of Medicare beneficiaries nationwide are currently under capitation, but tremendous regional variation exists. PRACTICE PATTERN EXAMINED The proportion of Medicare beneficiaries who have enrolled in risk-contract plans in individual states and in the 25 largest metropolitan areas in the United States. ...

CONTEXT Medicare Part C, or Medicare Advantage (MA), now almost 30 years old, has generally been viewed as a policy disappointment. Enrollment has vacillated but has never come close to the penetration of managed care plans in the commercial insurance market or in Medicaid, and because of payment policy decisions and selection, the MA program is viewed as having added to cost rather than saving...