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156806330x   Medical Technology: Quality Assurance Needs Stronger Management Emphasis and Higher Priority
1428922598   Medical Testing and Health Insurance
1428937196   Medicar: Incomplete Plan to Transfer Appeals Workload from SSA to HHS Threatens Service to Appellants: Report to Congressional Committees
0788125591   Medicare & Graduate Medical Education
078814992x   Medicare & Medicaid Statistical Supplement
0788177613   Medicare & Medicaid Statistical Supplement
0788126547   Medicare & Medicaid Statistical Supplement (1994): A Reprint of the Journal, “Health Care Financing Review”
0756715490   Medicare & Medicaid Statistical Supplement (2000)
0756735114   Medicare & Medicaid Statistical Supplement (2001)
0756745411   Medicare & Medicaid Statistical Supplement (2002)
0756747708   Medicare & Medicaid Statistical Supplement (2003)
0756709008   Medicare & Medicaid: Implementing State Demonstrations for Dual Eligibles Has Proven Challenging
0788146769   Medicare & the American Health Care System: Report to the Congress
1457868962   Medicare Administrative Contractors: CMS Should Consider Whether Alternative Approaches Could Enhance Contactor Performance
1422329089   Medicare Advantage
1457831570   Medicare Advantage (MA): Quality Bonus Payment Demonstration Undermined by High Estimated Costs and Design Shortcomings
1437907148   Medicare Advantage Organizations: Actual Expenses and Profits Compared to Projections for 2005
1437912346   Medicare Advantage Organizations: Actual Expenses and Profits Compared to Projections for 2006
1457870649   Medicare Advantage: Actions Needed to Enhance CMS Oversight of Provider Network Adequacy
1457827077   Medicare Advantage: Changes Improved Accuracy of Risk Adjustment for Certain Beneficiaries
1437912354   Medicare Advantage: Characteristics, Financial Risks, and Disenrollment Rates of Beneficiaries in Private Fee-for-Service Plans
1437928080   Medicare Advantage: CMS Assists Beneficiaries Affected by Inappropriate Marketing but Has Limited Data on Scope of Issue
145785726X   Medicare Advantage: CMS Should Fully Develop Plans for Encounter Data and Assets Data Quality before Use
1457828901   Medicare Advantage: CMS Should Improve the Accuracy of Risk Score Adjustments for Diagnostic Coding Practices
1457873516   Medicare Advantage: Fundamental Improvements Needed in CMSäó»s Efforts to Recover Substantial Amounts of Improper Payments
1437901719   Medicare Advantage: Higher Spending Relative to Medicare Fee-for-Service May Not Ensure Lower Out-of-Pocket Costs for Beneficiaries: Congressional Testimony
1437901557   Medicare Advantage: Increased Spending Relative to Medicare Fee-for-Service May Not Always Reduce Beneficiary Out-of-Pocket Costs
142239736X   Medicare Advantage: Required Audits of Limited Value
1422399087   Medicare Advantage: Required Audits of Limited Value
1457845024   Medicare Advantage: Substantial Excess Payments Underscore Need for CMS to Improve Accuracy of Risk Score Adjustments
142893717x   Medicare Advisory Opinions As a Means of Clarifying Program Requirements: Report to Congressional Committees
1428974385   Medicare and Budget Surpluses: Perspective on the President’s Proposal and the Need for Reform
142893359x   Medicare and Medicaid Coverage: Therapies and Supplies for Inflammatory Bowel Disease: Report to Congressional Committees
143791442X   Medicare and Medicaid Participating Facilities: CMS Needs to Reexamine Its Approach for Funding State Oversight of Health Care Facilities
1437916902   Medicare and Medicaid Participating Facilities: CMS Needs to Reexamine Its Approach for Funding State Oversight of Health Care Facilities
1422306380   Medicare and Medicaid Statistical Supplement (2004): A Reprint From “Health Care Financing Review”
1422307697   Medicare and Medicaid Statistical Supplement (2005): A Reprint From “Health Care Financing Review”
1457872226   Medicare and Medicaid: Additional Oversight Needed of CMSäó»s Demonstration to Coordinate the Care of Dual-Eligible Beneficiaries
1437909159   Medicare and Medicaid: CMS and State Efforts to Interact with the Indian Health Service and Indian Tribes
1457841894   Medicare and Medicaid: Consumer Protection Requirements Affecting Dual-Eligible Beneficiaries Vary across Programs, Payment Systems, and States
1428972110   Medicare and Medicaid: Implementing State Demonstrations for Dual Eligibles Has Proven Challenging: Report to the Special Committee on Aging, U.S. Senate
1422309126   Medicare and Prevention: A Reprint From “Health Care Financing Review”
142894236x   Medicare Appeals: Disparity between Requirements and Responsible Agencies’ Capabilities
0788187732   Medicare at Risk: Emerging Fraud in Medicare Programs: Hearing Before the Committee on Governmental Affairs, U.S. Senate
0756746264   Medicare Challenge: It’s Not Just About Prescription Drugs: Hearing Before the Special Committee on Aging, U.S. Senate
0788176447   Medicare Computer Systems: Year 2000 Challenges Put Benefits & Services in Jeopardy
1428976450   Medicare Computer Systems: Year 2000 Challenges Put Benefits and Services in Jeopardy: Report to Congressional Requesters
1422302849   Medicare Contracting Reform: CMS’s Plan Has Gaps and Its Anticipated Savings Are Uncertain
1428933603   Medicare Contracting Reform: CMS’s Plan Has Gaps and Its Anticipated Savings Are Uncertain: Report to Congressional Committees
0788184644   Medicare Contractors: Despite its Efforts, HCFA Cannot Ensure Their Effectiveness or Integrity
0756745144   Medicare Demonstration PPOs: Financial & Other Advantages for Plans, Few Advantages for Beneficiaries
1428937250   Medicare Demonstration PPOs: Financial and Other Advantages for Plans, Few Advantages for Beneficiaries: Report to the Ranking Minority Member, Committee on Finance, U.S. Senate
1428937269   Medicare Dialysis Facilities: Beneficiary Access Stable and Problems in Payment System Being Addressed
1457864487   Medicare Fee-for-Service: Opportunities Remain to Improve Appeals Process
1428972129   Medicare Financial Management: Further Improvements Needed to Establish Adequate Financial Control and Accountability: Report
0756730120   Medicare Financial Management: Significant Progress Made to Enhance Financial Accountability
1428945253   Medicare Financial Management: Significant Progress Made to Enhance Financial Accountability
1457832763   Medicare Financing
0788180908   Medicare Fraud & Abuse: Hearing Before the Committee on Finance, U.S. Senate
1457841363   Medicare Fraud Prevention: CMS has Implemented a Predictive Analytics System, but Needs to Define Measures to Determine Its Effectiveness
0756702925   Medicare Fraud Prevention: The Medicare Enrollment Process: Hearing Before the Committee on Governmental Affairs, U.S. Senate
1428978569   Medicare HMO Enrollment Area Differences Affected by Factors Other Than Payment Rates: Report to the Honorable John F. Kerry, U.S. Senate
0788147625   Medicare HMOs: HCFA Can Promptly Eliminate Hundreds of Millions in Excess Payments
1428978577   Medicare HMOs: HCFA Can Promptly Eliminate Hundreds of Millions in Excess Payments: Report to the Chairman, Subcommittee on Health, Committee on Ways and Means, U.S. House of Representatives
0788176455   Medicare HMOs: Potential Effects of a Limited Enrollment Period Policy
1428978585   Medicare HMOs: Potential Effects of a Limited Enrollment Period Policy: Report to the Chairman, Committee on Finance, U.S. Senate
0788132075   Medicare HMOs: Rapid Enrollment Growth Concentrated in Selected States
0788178911   Medicare Home Health Agencies: Certification Process Ineffective in Excluding Problem Agencies
0788188933   Medicare Home Health Agencies: Closures Continue, with Little Evidence Beneficiary Access is Impaired
1428972137   Medicare Home Health Agencies: Overpayments Are Hard to Identify and Even Harder to Collect: Congressional Report
0756732077   Medicare Home Health Agencies: Weaknesses in Federal & State Oversight Mask Potential Quality Issues
1428945261   Medicare Home Health Agencies: Weaknesses in Federal and State Oversight Mask Potential Quality Issues
1428948775   Medicare Home Health Care: OASIS Data Use, Cost, and Privacy Implications: Report to Congressional Committees
1428972145   Medicare Home Health Care: Prospective Payment System Could Reverse Recent Declines in Spending: Congressional Report
0756702976   Medicare Home Health Care: Prospective Payment System will Need Refinement as Data Become Available
1428972153   Medicare Home Health Care: Prospective Payment System Will Need Refinement as Data Become Available: Congressional Report
1428937277   Medicare Home Health Payments to Most Freestanding Home Health Agencies More Than Covered Their Costs
0788180967   Medicare Home Health: Hearing Before the Committee on Commerce, U.S. House of Representatives
1428937285   Medicare Hospice Care: Modifications to Payment Methodology May Be Warranted: Report to the Committee on Finance, U.S. Senate, and the Committee on Ways and Means, U.S. House of Representatives
1422315711   Medicare Hospices: Certification and Centers for Medicare and Medicaid Services Oversight
1428972161   Medicare Hospital Payment: PPS Includes Several Policies Intended to Help Rural Hospitals
142230700x   Medicare Hospital Pharmaceuticals: Survey Shows Price Variation and Highlights Data Collection Lessons and Outpatient Rate-Setting Challenges for CMS
1457846659   Medicare Imaging Accreditation: Establishing Minimum National Standards and an Oversight Framework Would Help Ensure Quality and Safety of Advanced Diagnostic Imaging Services
142897217x   Medicare Improper Payments Challenges for Measuring Potential Fraud and Abuse Remain Despite Planned Enhancements: Congressional Statement
0756708966   Medicare Improper Payments: While Enhancements Hold Promise for Measuring Potential Fraud & Abuse, Challenges Remain
1428972188   Medicare Improper Payments: While Enhancements Hold Promise for Measuring Potential Fraud and Abuse, Challenges Remain: Congressional Report
1457849623   Medicare Information Technology: Centers for Medicare and Medicaid Services Needs to Pursue a Solution for Removing Social Security Numbers from Cards
1422398277   Medicare Inpatient Hospital Payments: CMS Has Used External Data for New Technologies in Certain Instances and Medicare Remains Primary Data Source
1457854791   Medicare Integrity Program Report for Fiscal Year 2013
1422311872   Medicare Integrity Program: Agency Approach for Allocating Funds Should be Revised
0788183931   Medicare Managed Care Plans: Many Factors Contribute to Recent Withdrawals; Plan Interest Continues
0788132164   Medicare Managed Care: Growing Enrollment Adds Urgency to Fixing HMO Payment Problem
1437927041   Medicare Managed Care: Observations about Medicare Cost Plans
1437927327   Medicare Managed Care: Observations about Medicare Cost Plans
0788170791   Medicare Managed Care: Securing Beneficiary Protections
1428948783   Medicare Management: CMS Faces Challenges to Sustain Progress and Address Weaknesses: Report to Congressional Requesters
1457847426   Medicare Outpatient Therapy: Implementation of the 2012 Manual Medical Review Process
145786892X   Medicare Part B Drugs: Action Needed to Reduce Financial Incentives to Prescribe 340B Drugs at Participating Hospitals
1437907954   Medicare Part B Imaging Services: Rapid Spending Growth and Shift to Physician Offices Indicate Need for CMS to Consider Additional Management Practices
1457863464   Medicare Part B: Data on Coupon Discounts Is Needed to Evaluate Methodology for Setting Drug Payment Rates
1457871416   Medicare Part B: Expenditures for New Drugs Concentrated among a Few Drugs, and Most Were Costly for Beneficiaries
0788122126   Medicare Part B: Regional Variation in Denial Rates for Medical Necessity
1457841037   Medicare Part D Coverage Gap: Discount Program Effects and Brand-Name Drug Price Trends
1437909647   Medicare Part D Low-Income Subsidy: Assets and Income are Both Important in Subsidy Denials, and Access to State and Manufacturer Drug Programs is Uneven
1437905927   Medicare Part D Low-Income Subsidy: SSA Continues to Approve Applicants, but Millions of Individuals Have Not Yet Applied: Congressional Testimony
1437911471   Medicare Part D Prescription Drug Coverage: Federal Oversight of Reported Price Concessions Data
1457852861   Medicare Part D: CMS Has Implemented Processes to Oversee Plan Finder Pricing Accuracy and Improve Website Usability
1422396649   Medicare Part D: CMS’s Process and Policy for Enrolling New Dual-Eligible Beneficiaries
1437909175   Medicare Part D: Complaint Rates are Declining, but Operational and Oversight Challenges Remain
1422324524   Medicare Part D: Is it Working for Low-income Seniors?: Congressional Hearing
1437912362   Medicare Part D: Opportunities Exist for Improving Information Sent to Enrollees and Scheduling the Annual Election Period
143790100X   Medicare Part D: Plan Sponsors’ Processing and CMS Monitoring of Drug Coverage Requests Could be Improved
1437909507   Medicare Part D: Some Plan Sponsors Have Not Completely Implemented Fraud and Abuse Programs, and CMS Oversight Has Been Limited
1437929966   Medicare Part D: Spending, Beneficiary Cost Sharing, and Cost-Containment Efforts for High-Cost Drugs Eligible for a Specialty Tier
1428937242   Medicare Payment Changes Are Needed for Assistants-at-Surgery
1428948759   Medicare Payments for Covered Outpatient Drugs Exceed Providers’ Cost
0756742293   Medicare Payments for Currently Covered Prescription Drugs: Hearing Before the Committee on Ways & Means, U.S. House of Representatives
0756742315   Medicare Payments for Medical Supplies: Special Hearing Before the Committee on Appropriations, U.S. Senate
1428972196   Medicare Payments: Use of Revised “Inherent Reasonableness” Process Generally Appropriate
1457855585   Medicare Physical Therapy: Self-Referring Providers Generally Referred More Beneficiaries but Fewer Services per Beneficiary
1428937293   Medicare Physician Fee Schedule: CMS Needs a Plan for Updating Practice Expense Component: Report to Congressional Committees
1428931546   Medicare Physician Fees: Geographic Adjustment Indices Are Valid in Design, but Data and Methods Need Refinement: Report to Congressional Committees
145786911X   Medicare Physician Payment Rates: Better Data and Greater Transparency Could Improve Accuracy
1428937307   Medicare Physician Payments: Concerns about Spending Target System Prompt Interest in Considering Reforms: Report to Congressional Committees
1437921485   Medicare Physician Payments: Fees Could Better Reflect Efficiencies Achieved When Services are Provided Together
1428987541   Medicare Physician Payments: Medicare and Private Payment Differences for Anesthesia Services
0756705118   Medicare Physician Payments: Need to Refine Practice Expense Values During Transition & Long Term
1422308340   Medicare Physician Services: Use of Services Increasing Nationwide and Relatively Few Beneficiaries Report Major Access Problems
1437924131   Medicare Physician Services: Utilization Trends Indicate Sustained Beneficiary Access with High and Growing Levels of Service in Some Areas of the Nation
075670961x   Medicare Prescription Drug Benefit: Hearing Before the Committee on Finance, U.S. Senate
0756741394   Medicare Prescription Drugs: A Reprint From the Journal, “Health Care Financing Review”
1428948767   Medicare Program Designed to Inform Beneficiaries and Promote Choice Faces Challenges
145783166X   Medicare Program Integrity: CMS Continues Efforts to Strengthen the Screening of Providers and Suppliers
1457864959   Medicare Program Integrity: CMS Pursues Many Practices to Address Prescription Drug Fraud, Waste, and Abuse
1457852160   Medicare Program Integrity: Contractors Reported Generating Savings, but CMS Could Improve Its Oversight
1457847361   Medicare Program Integrity: Few Payments in 2011 Exceeded Limits under One Kind of Prepayment Control but Reassessing Limits Could Be Helpful
1457842084   Medicare Program Integrity: Greater Prepayment Control Efforts Could Increase Savings and Better Ensure Proper Payment
1457857014   Medicare Program Integrity: Increased Oversight and Guidance Could Improve Effectiveness and Efficiency of Postpayment Claims Reviews
1457848406   Medicare Program Integrity: Increasing Consistency of Contractor Requirements May Improve Administrative Efficiency
1457869837   Medicare Program: Additional Actions Are Needed to Improve Eligibility Verification of Providers and Suppliers
0788185535   Medicare Provider Service Networks: Hearing Before the Committee on Commerce, U. S. House of Representatives
0756723205   Medicare Reform: Providing Prescription Drug Coverage for Seniors: Hearing Before the Committee on Energy & Commerce, U.S. House of Rep.
0788110535   Medicare Reimbursement & the Quality of Hospital Care
1457839407   Medicare Savings Programs: Implementation of Requrements Aimed at Increasing Enrollment
1428937315   Medicare Savings Programs: Results of Social Security Administration’s 2002 Outreach to Low-Income Beneficiaries
1457830825   Medicare Secondary Payer: Additional Steps are Needed to Improve Program Effectiveness for Non-Group Health Plans
0756714869   Medicare Self-Referral Laws: Hearing Before the Committee on Ways & Means, U.S. House of Representatives
145783961X   Medicare Special Needs Plans: CMS Should Improve Information Available about Dual-Eligible plansäó» Performance
1457849704   Medicare Supplemental Coverage: Medigap and Other Factors Are Associated with Higher Estimated Health Care Expenditures
0788140426   Medicare Transaction System: Success Depends Upon Correcting Critical Managerial & Technical Weaknesses
1437908683   Medicare Vulnerabilities: Payments for Claims Tied to Deceased Doctors: Materials from a Congressional Hearing
1422305090   Medicare y Usted
0788189573   Medicare+Choice Program After One Year: Hearing Before the Committee on Commerce, U.S. House of Representatives
0756716330   Medicare+Choice: An Examination of the Risk Adjuster: Hearing Before the Committee on Commerce, U.S. House of Representatives
1428948791   Medicare+Choice: Audits Lack of Audit Follow-up Limits Usefulness: Report to Congressional Committees
1428972234   Medicare+Choice: Payments Exceed Cost of Fee-for-Service Benefits, Adding Billions to Spending: Congressional Report
0756708931   Medicare+Choice: Plan Withdrawals Indicate Difficulty of Providing Choice While Achieving Savings
1428972226   Medicare+Choice: Plan Withdrawals Indicate Difficulty of Providing Choice While Achieving Savings: Congressional Report
142894527x   Medicare+Choice: Selected Program Requirements and Other Entities’ Standards for HMOs
0756711770   Medicare, Medicaid & S-CHIP Adjustment Act of 1999: Report from the Committee on Finance, U.S. Senate
1457843897   Medicare, Medicaid, and Other Health Provisions in the American Taxpayer Relief Act of 2012
0788126911   Medicare: 85 Commonly Asked Questions
1428937188   Medicare: Accuracy of Responses from the 1-800-MEDICARE Help Line Should Be Improved
1428937161   Medicare: Accuracy of Responses from the 1-800-MEDICARE Help Line Should Be Improved: Report to Congressional Committees
1457847590   Medicare: Action Needed to Address Higher Use of Anatomic Pathology Services by Providers Who Self-Refer
0788144952   Medicare: Advancing Towards the 21st Century 1966-1996
1457866145   Medicare: Bidding Results from CMSäó»s Durable Medical Equipment Competitive Bidding Program
1428937226   Medicare: Call Centers Need to Improve Responses to Policy-Oriented Questions from Providers: Report to the Ranking Minority Member, Subcommittee on Health, Committee on Ways and Means, House of Representatives
1437913067   Medicare: Callers Can Access 1-800-MEDICARE Services, but Responsibility within CMS for Limited English Proficiency Plan Remains Unclear
1457854120   Medicare: Certain Physician Fedback Reporting Practices of Private Entitities Could Improve CMSäó»s Efforts
0788117130   Medicare: Changes to HMO Rate Setting Method are Needed to Reduce Program Costs
1457864312   Medicare: Claim Review Programs Could Be Improved with Additional Prepayment Reviews and Better Data
1428937234   Medicare: CMS Needs Additional Authority to Adequately Oversee Patient Safety in Hospitals: Report to Congressional Requesters
1457837293   Medicare: CMS Needs an Approach and a Reliable Cost Estimate for Removing Social Security Numbers from Medicare Cards
1437926851   Medicare: CMS Working to Address Problems from Round 1 of the Durable Medical Equipment Competitive Bidding Program
1428937153   Medicare: CMS’s Program Safeguards Did Not Deter Growth in Spending for Power Wheelchairs: Report to the Chairman, Committee on Finance, U.S. Senate
1422306739   Medicare: Communications to Beneficiaries on the Prescription Drug Benefit Could be Improved
1437905706   Medicare: Competitive Bidding for Medical Equipment and Supplies Could Reduce Program Payments, but Adequate Oversight is Critical: Congressional Testimony
1422302695   Medicare: Concerns Regarding Plans to Transfer the Appeals Workload from SSA to HHS Remain
1428933565   Medicare: Contingency Plans to Address Potential Problems with the Transition of Dual-Eligible Beneficiaries from Medicaid to Medicare Drug Coverage
1457852942   Medicare: Continuous Insurance before Enrollment Associated with Better Health and Lower Program Spending
1437909221   Medicare: Covert Testing Exposes Weaknesses in the Durable Medical Equipment Supplier Screening Process
1422308278   Medicare: Divided Authority for Policies on Coverage of Procedures and Devices Results in Inequities
142893152x   Medicare: Drug Purchase Prices for CMS Consideration in Hospital Outpatient Rate-Setting
1422310485   Medicare: Early Evidence of Compliance Program Effectiveness Is Inconclusive
0788127586   Medicare: Excessive Payments for Medical Supplies Continue Despite Improvements
1422317218   Medicare: Focus on Physician Practice Patterns Can Lead to Greater Program Efficiency
0788182498   Medicare: HCFA Can Improve Methods for Revising Physician Practice Expense Payments
1428972102   Medicare: HCFA Could Do More to Identify and Collect Overpayments: Report to the Chairman, Committee on Government Reform, U.S. House of Representatives
0788137786   Medicare: HCFA Should Release Data to Aid Consumers, Prompt Better HMO Performance
1457841169   Medicare: High-Expenditure Part B Drugs
145783572X   Medicare: Higher Use of Advanced Imaging Services by Providers Who Self-Refer Is Costing Medicare Millions
1457848082   Medicare: Higher Use of Costly Prostate Cancer Treatment by Providers Who Self-Refer Warrants Scrutiny
1457832003   Medicare: Implementation of Financial Incentive Programs under Federal Fraud and Abuse Laws
1457833808   Medicare: Important Steps Have Been Taken, but More Could Be Done to Deter Fraud: Testimony Before the Committee on Finance, U.S. Senate
1422315630   Medicare: Improvements Needed to Address Improper Payments for Medical Equipment and Supplies
1437916139   Medicare: Improvements Needed to Address Improper Payments in Home Health
0788132113   Medicare: Increased HMO Oversight Could Improve Quality & Access to Care
1457871769   Medicare: Increasing Hospital-Physician Consolidation Highlights Need for Payment Reform
142893720x   Medicare: Information Needed to Assess Adequacy of Rate-Setting Methodology for Payments for Hospital Outpatient Services: Report to the Chairman, Subcommittee on Health, Committee on Ways and Means, U.S. House of Representatives

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