Topic Pages:
Medicare and Medicaid
On this page:
Tools
- Medicare Prescription Drug Plan Finder
Online tool for identifying and enrolling in Medicare prescription drug plans. Includes information about plans available in each state. Available in Spanish.
Sponsoring organization: Centers for Medicare and Medicaid Services
- BenefitsCheckUpRX
Helps Medicare beneficiaries learn about and enroll in government benefits, including Medicare Part D, the new outpatient prescription drug benefit, and other federal, state and private programs that can help save money on health care and prescription drugs.
Sponsoring organization: U.S. Department of Health and Human Services
- Prescription Drug Coverage Information for Partners
Outreach resource materials and information for organizations working to inform people about Medicare's new outpatient prescription drug coverage.
Sponsoring organization: Centers for Medicare and Medicaid Services
- The Toolkit for Healthcare Professionals: Medicare Prescription Drug Coverage
Educational materials for physicians and other healthcare professionals to learn about Medicare's prescription drug coverage. Also includes materials physicians can distribute to Medicare patients.
Sponsoring organization: Centers for Medicare and Medicaid Services
- Understanding the Remittance Advice: A Guide for Medicare Providers, Physicians, Suppliers, and Billers
Guide developed by the Centers for Medicare & Medicaid Services (CMS) as a resource for Medicare providers to promote a better understanding of the standard Remittance Advice (RA). Contains a variety of information describing the purpose of an RA and
how to read it. Highlights the process of reading an RA and describes how to interpret the fields and codes communicated by Medicare contractors: Fiscal Intermediaries (FIs), Regional Home Health Intermediaries (RHHIs), Carriers, and Durable Medical Equipment Regional Carriers (DMERCs).
Sponsoring organization: Centers for Medicare and Medicaid Services
- State Profiles of Medicaid and SCHIP in Rural and Urban Areas
Provides state-level data from a range of sources on Medicaid and SCHIP, with an emphasis on program characteristics relevant to rural areas.
Sponsoring organization: North Carolina Rural Health Research and Policy Analysis Center (Cecil G. Sheps Center)
Publications
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2007 CMS Statistics
Summary information about health expenditures and Centers for Medicare & Medicaid Services (CMS)
programs. Includes data on populations served by Medicare and Medicaid, Medicare providers, and expenditures.
Sponsoring organization: Centers for Medicare and Medicaid Services
Date: 2007
Format: PDF
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Displaced by Hurricane Katrina: Issues and Options for Medicare Beneficiaries
Identifies issues and challenges for individuals on Medicare affected by the hurricane and offers options for addressing these problems. This issue brief focuses on subgroups of the Medicare population, including beneficiaries in traditional Medicare, those enrolled in Medicare Advantage (MA) plans, and dual eligibles and nursing home residents.
Author(s): Nora Super, Brian Biles
Sponsoring organization: Kaiser Family Foundation
Date: 11 / 2005
Format: HTML
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Geographic Variation in Medicare Per Capita Spending: Should Policy-makers be Concerned?
Examines the research on geographic differences
in Medicare per capita spending. Discusses the causes of geographic differences in spending, quality of health care received, and policy implications.
Sponsoring organization: Robert Wood Johnson Foundation
Date: 07 / 2004
Format: PDF
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Health Centers and Rural Clinics: State and Federal Implementation Issues for Medicaid's New Payment System
Reviews states' implementation of
the prospective payment
system (PPS) for Medicaid
payments to Federally Qualified
Health Centers (FQHCs) and Rural
Health Clinics (RHCs). Includes recommendations for CMS on guidance and oversight for states.
Sponsoring organization: Government Accountability Office
Date: 06 / 2005
Format: PDF
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KYHealth Choices Medicaid Reform: Key Program Changes and Questions
Kentucky obtained a state plan amendment for its Medicaid program, becoming one of the first states to utilize new options available through the Deficit Reduction Act of 2005.
Sponsoring organization: Kaiser Commission on Medicaid and the Uninsured
Date: 07 / 2006
Format: PDF
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Medicare and Prescription Drugs, Fact Sheet
Discusses prescription drug coverage among the Medicare population, characteristics of beneficiaries who lack drug coverage and implications of being without coverage. Includes current data on prescription drug use and spending.
Sponsoring organization: Kaiser Family Foundation
Date: 04 / 2003
Format: PDF
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Medicare Chart Book, Third Edition
More than 80 charts and tables with data on the Medicare program and Medicare beneficiaries. Includes rural-specific and state-specific data for selected topics.
Author(s): Juliette Cubanski, Molly Voris, Michelle Kitchman, Tricia Neuman
Sponsoring organization: Kaiser Family Foundation
Date: 2005
Format: PDF
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Medicare Claims Processing Manual: Chapter 9 - Rural Health Clinics / Federally Qualified Health Centers
Describes the differences between Rural Health Clinics and Federally Qualified Health Centers. Identifies the rules and regulations for processing Medicare claims.
Sponsoring organization: Centers for Medicare and Medicaid Services
Format: PDF
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Medicare Data Compendium, 2003
Historic, current, and projected data on Medicare enrollment and Medicaid recipients, expenditures, and utilization. Includes key statistics about CMS programs and health care spending.
Sponsoring organization: Centers for Medicare and Medicaid Services
Format: HTML
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Medicare Fact Sheet: Medicare Drug Premiums Will Be Lower Than Expected Consumer Choice, Competition Will Help Beneficiaries
Discusses the Medicare prescription drug coverage including background information and average monthly premium information.
Sponsoring organization: Centers for Medicare and Medicaid Services
Date: 08 / 2005
Format: PDF
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Medicare Guide to Rural Health Services Information for Providers, Suppliers, and Physicians
Offers Medicare providers, suppliers, and physicians rural health information and resources including Ambulance Services, CAH's, FQHC's, HPSA, Home Health, Hospice, Medicare, Prescription Drug Plan, Quality Improvement, RHC's, Sole Community Hospital, Swing Bed, and Telehealth.
Sponsoring organization: Centers for Medicare and Medicaid Services
Date: 04 / 2007
Format: PDF
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Preparing for Medicare Part D: An Opportunity for State Offices of Rural Health and State Rural Health Associations
Discusses how state offices of rural health and state rural health associations have an inherent interest in helping beneficiaries access necessary health care services, including prescription medications. Implementation of Part D creates an opportunity to help beneficiaries through leadership, by connecting beneficiaries and those who serve them to resources that will help them react appropriately to changes in the program.
Author(s): Keith J. Mueller, Lisa Bottsford
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
Journal citation: RUPRI Rural Policy Brief Volume: 10 Issue: 2 Date: 08 / 2005
Format: PDF
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Report to the Congress: Issues in a Modernized Medicare Program, 2005
Examines issues affecting the Medicare program. Addresses Part D, Medicare's new outpatient prescription drug benefit, with some coverage of rural issues. Includes overview of the Medicare Advantage program. Discusses the effects of the Critical Access Hospital (CAH) provisions in the MMA.
Sponsoring organization: Medicare Payment Advisory Commission
Date: 06 / 2005
Format: PDF
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Report to the Congress: Medicare Payment Policy, 2007
Annual review of Medicare payment policies, with recommendations to Congress. Discussions of rural aspects of Medicare payment policies are included throughout the report.
Sponsoring organization: Medicare Payment Advisory Commission
Date: 03 / 2007
Format: PDF
Journals
Organizations
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