Are Fewer Diagnoses Better? Assessing A Proposal To Improve The Medicare Advantage Payment System.

Medicare Advantage (MA) plans report diagnoses more completely than they are reported in traditional Medicare. As a result, payment to MA plans is greater than it would be if coding patterns were identical in the two sectors. The Medicare Payment Advisory Commission estimates that the overpayment to MA attributable to differential coding was $50 billion in 2024.

Contributions of neurologists to diagnostic timelines of ALS and thinkALS as an early referral instrument for clinicians.

To evaluate neurologists and other clinicians' contributions to U.S. ALS diagnostic timelines.

National Health Accounts: A Framework For Understanding Health Care Financing.

Over the course of the past century, the challenges facing the United States in its consumption of health care goods and services have not changed very much. What is being consumed, who is paying for it, and how much is affordable are questions that arise in every cycle of the debate-if they ever go dormant. National Health Accounts are one tool to use in the search for answers to these questions and to the challenges behind the questions.

Prescription medication cost-related non-adherence among Medicare CAHPS respondents: disparity by Hispanic ethnicity.

Purpose: We examined whether there was disparity in prescription medication cost-related non-adherence (CRN) by Hispanic ethnicity among Medicare enrollees.

Methods: Multivariate logistic regression, adjusting for race, other socio-demographic variables, health status, health care utilization, and patient rating of their personal physician, was used to examine association of Hispanic ethnicity with CRN using cross-sectional data from Medicare's Consumer Assessment of Healthcare Providers and Systems (CAHPS) survey (data collected in Spring 2007).

Results: Hispanic respondents constituted 6.

Accuracy and Bias of Race/Ethnicity Codes in the Medicare Enrollment Database.

Medicare administrative data are fairly accurate in identifying people who affiliate with White or Black racial groups; but less so for other race groups or for Hispanic/Latino origin. Some differences were found between people who were identified as members of these other race groups and those who were missed by the administrative data. Although Medicare administrative files are a useful source of data for analysis of disparities in health care, researchers should be careful to use alternate data sources to test for potential differences between identified and unidentified members of racial and ethnic groups in the attributes being studied.