Research
and Reports
2004
Doherty RB. Assessing the new Medicare prescription drug law. Ann Intern Med . 2004;141: 5:391-395.
Higgins N, Regan C. A systematic review of the effectiveness of interventions to help older people adhere to medication regimes. Age Ageing. 2004;33:224-229.
Landon BE, Zaslavsky AM, Bernard SL, Cioffi MJ, Cleary PD. Comparison of performance of traditional Medicare vs Medicare Managed Care. JAMA. 2004;291:1744-1752.
Tseng CW, Brook RH, Keeler E, Steers WN, Mangione CM. Cost-lowering strategies used by medicare beneficiaries who exceed drug benefit caps and have a gap in drug coverage. JAMA. 2004;292:952-960.
2003
Fisher ES, Wennberg DE, Stukel TA, Gottlieb DJ, Lucas FL,
Pinder L. The Implications of regional variations in medicare
spending. Part 1: the content, quality, and accessibility
of care. Ann Intern Med. 2003;138:273–287.
Fisher ES, Wennberg DE, Stukel TA, Gottlieb DJ, Lucas FL,
Pinder L. The implications of regional variations in medicare
spending. Part 2: health outcomes and satisfaction with
care. Ann Intern Med. 2003;138:288–298.
Fitzner K, Myers EF, Caputo N, Michael P. Are health plans
changing their views on nutrition service coverage? J
Am Diet Assoc. 2003;103:157-166.
Lubitz
J, Cai L, Kramarow E, Lentzner H. Health, life expectancy,
and health care spending among the elderly. N Engl
J Med. 2003;349:1048-1055.
Sambamoorthi U, Shea D, Crystal S. Total and out-of-pocket expenditures
for prescription drugs among older persons. Gerontologist.
2003;43:345-359.
Snyder
RE, Rice T, Kitchman M. Paying for choice: the cost implications
of health plan. Options for people on medicare. The Henry
J. Kaiser Family Foundation. January 2003:1-59.
Sudano JJ, Baker D. Intermittent lack of health insurance
coverage and use of preventive services. Am J Public
Health. 2003;93:130-137.
Remler
DK, Glied SA. What other programs can teach us: increasing
participation in health insurance programs. Am J Public
Health. 2003;93:67–74.
Weiner M, Fan MY, Johnson BA, Kasper JD, Anderson GF, Fried
LP. Predictors of health resource use by disabled older
female medicare beneficiaries living in the community.
J Am Geriatr Soc. 2003;51:371-379.
2002 and earlier
Committee
on Nutrition Services for Medicare Beneficiaries, Institute
of Medicine. The Role of Nutrition in Maintaining
Health in the Nation's Elderly: Evaluating Coverage
of Nutrition Services for the Medicare Population. Washington,
DC: National Academy Press. 1999.
Coombs J. The role of nutrition screening and intervention
programs in managed care.
Manag Care Q. 1998;6:43-50.
Davitt JK, Kaye LW, Bagati D, Graub P. Beneficiary profiles
and service consumption patterns in an urban Medicaid
home and community-based waiver program. Care Manag
J. 2001-2002;3:84-90.
Klein GL, Kita K, Fish J, Sinkus B, Jensen GL. Nutrition and
health for older persons in rural America: a managed
care model. J Am Diet Assoc. 1997;97:885-888.
Long-Term Care: Availability of Medicaid Home and Community
Services for Elderly Individuals Varies Considerably. Washington,
DC: United States General Accounting Offices; 2002.
GAO-02-1121.
The
PACE Model. Washington, DC: Center for Medicare
Education; 2001. Issue Brief Vol 2, no 10.
Position of
the American Dietetic Association: Nutrition services
in managed care. J Am Diet Assoc. 2002;102:1471-1478.
Reports
and Background Papers on topics such as Social Securtiy,
Medicare and Medicaid, Implications of an Aging Society,
and the Federal Budget.
Rowland D, Feder J, Keenan PS. Managed care for low-income elderly
people. Generations. 1998;22:43-50.
Ryan VC. Nutrition identified as a risk factor for elderly Medicare
patients; hospital readmission. J Nutr Elder. 1990;9:81-87.
Safran DG, Wilson IB, Rogers WH, Montgomery JE, Chang H. Primary
care quality in the medicare program comparing the performance
of Medicare health maintenance organizations and traditional
fee-for-service Medicare. Arch Intern Med. 2002;162:757-765.
Back to TOP
Resources
2003
2003 Social Security explained (2003). For consumers, this book provides
a concise explanation of the federal Old Age Survivors
and Disability Insurance (OASDI) program under Title II
of the Social Security Act. CCH Incorporated. (800) 248-3248.
HIPAA
Privacy Guide (2003). For professionals, this guide provides
assessment and implementation of the HIPAA Privacy Rules
at the State and Federal Levels. CCH Incorporated. (800) 248-3248.
Let's
Learn Medicare. For professionals and consumers, this
teaching package ($125) includes new modules on home health
and hospice benefits along with existing sections on appeals,
assistance for low-income beneficiaries and several other
topics. Includes access to PowerPoint presentations.
Medicare
Rights Center. 212-204-6219.
Medicare Coverage Database
(2003). For professionals and consumers, this database
contains National Coverage Determinations, National Coverage
Analyses, and Local Medical Review Policies. Centers for
Medicare & Medicaid Services. (877) 267-2323.
Medicare
Explained, 2003 Edition. For professionals and consumers, this book
provides a detailed explanation of Hospital Insurance
Benefits for the Aged and Disabled, and explains legislative
and regulatory analysis on Medicare + Choice Program,
Exclusions from Medicare, and much more. CCH Incorporated.
(800) 248-3248.
Social
Security under the gun: what every informed citizen needs
to know about pension reform (2003). For consumers, this book reviews how
Social Security works, the role of the trust fund in accounting
for payroll taxes that are used for other purposes, and
why there is growing pressure to reform the system.
2002 and earlier
ADA
Medicare MNT Benefit Provider Information Newsletter.
For professionals, this newsletter is designed to help eligible
providers of Medicare MNT navigate the complexities of
Medicare through timely articles, analysis and advice
on key aspects of practice and business strategies. It
includes updates of the Medicare program and its requirements,
guidelines for practice, billing, compliance and audit
procedures on a monthly basis. American Dietetic Association.
(800) 877-1600 ext. 5000
Let's
Learn Medicare. For professionals and consumers, this
teaching package includes new modules on home health
and hospice benefits along with existing sections on appeals,
assistance for low-income beneficiaries and several other
topics. The package is $125 and includes access to PowerPoint
presentations. Medicare
Rights Center. 212-204-6219.
The Medicaid Resource Book. For professionals and
consumers, this reference book (Pub#2236) describes four pivotal aspects of
how the Medicaid program operates: who it covers, what
it covers, how it is financed, and how it is administered.
It was written to assist the public and policymakers in
understanding the structure and operation of the Medicaid
program. The Kaiser Commission on Medicaid and the Uninsured
publications number (800) 656-4533 or (650) 854-9400.
Medicare at a Glance (2002). For professionals and
consumers, this fact sheet provides a basic overview
of the Medicare program including how it is financed,
who is eligible, and what benefits are covered under Medicare.
It also describes sources of supplemental health insurance
to fill in Medicare's gaps, recent trends in the Medicare+Choice
program, and current and future forecasts for Medicare
spending. The Kaiser Family Foundation. (800) 656-4533.
Medicare
MNT Benefit Provider Information
(2002). For professionals and consumers, this guide
provides information on benefit regulations, program compliance,
provider enrollment and claims processing. Also includes
a glossary of medicare terms, articles and government
resources. American
Dietetic Association. (800) 877-1600 ext.5000
Monitoring protocol
for review of home and community-based services waiver
programs. HCFA Regional Office Protocol for Conducting
Full Reviews of State Medicaid Home and Community-Based
Services Waiver Programs. Version 1.2. December 20, 2000.
http://cms.hhs.gov/medicaid/1915c/proto1-2.pdf
Paying for Choice: The Cost Implications of Health Plan.
Options for People on Medicare.
For professionals and consumers, this report examines
the financial implications associated with the Medicare
beneficiaries different choices by calculating how much
people on Medicare would spend annually out-of-pocket
on costs including—premiums, cost-sharing requirements,
and spending for uncovered services—under different supplemental
insurance arrangements.
The Henry J. Kaiser Family Foundation. (202) 347-5270.
Promising Practices: This section provides descriptions of
state programs that demonstrate effective and innovative
home and community-based services. http://www.hcbs.org/promising_practices.htm
