Dual Eligibles and Medicare Spending DataBrief No. 3

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Dual eligibles are those individuals who are enrolled in both Medicare and Medicaid. This DataBrief reports on the differences in Medicare spending overall and by type of service for dual eligibles and those enrolled in Medicare only.

Health & Medicine

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Dual eligibles with 5 or more chronic conditions have higher per capita Medicare spending than Medicare-only beneficiaries with 5 or more chronic conditions. 1 ,[object Object],Page ,[object Object],[object Object],[object Object],[object Object]

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The Medicare Diabetes Prevention Program (MDPP) Model Expansion Medicare Learning Network (MLN) Call was held from 1:30 p.m. – 3:00 p.m. EST on November 30, 2016. During this call, CMS experts provided a high-level overview of the finalized policies in the CY 2017 Medicare Physician Fee Schedule (PFS) final rule (the CY 2017 Medicare PFS final rule includes the expansion of the MDPP Model beginning January 1, 2018), reviewed the steps necessary for enrollment into Medicare as an MDDPP supplier, and answered some of the audiences most pressing questions. - - - CMS Innovation Center http://innovation.cms.gov We accept comments in the spirit of our comment policy: http://newmedia.hhs.gov/standards/comment_policy.html CMS Privacy Policy http://cms.gov/About-CMS/Agency-Information/Aboutwebsite/Privacy-Policy.html

Conference Call: Medicare Diabetes Prevention Program - Expansion Call

Centers for Medicare & Medicaid Services (CMS)

Effective claims management has become a sophisticated process and one that draws upon numerous areas of expertise including data analysis, accident investigation, managed care, return to work, subrogation, alternative dispute resolution, structured settlements, and Medicare compliance as well as more traditional areas of claims expertise. Technology is continually evolving allowing the risk manager improved decision-making capabilities. Strong claims management fundamentals can apply to any major line of coverage including general liability, workers’ compensation, and auto liability. This session will explore how to identify key cost drivers, ways to better integrate claims resources, how to achieve faster reporting, the use of performance standards and guarantees, and how to evaluate the quality of your current claims services.

Fundamentals of Claims Management

Sedgwick

Health Care Programs

Paolo Zabat

New Hampshire Dual's Eligibility: Medicaid and Medicare

Daniel DeBruyckere

The CMS Innovation Center held a Medicare Diabetes Prevention Program webinar on August 9, 2016 from 12:00 – 1:00p.m. EDT. This webinar provided an overview of the proposal in calendar year 2017 Medicare Physician Fee Schedule. - - - CMS Innovation Center http://innovation.cms.gov We accept comments in the spirit of our comment policy: http://newmedia.hhs.gov/standards/comment_policy.html CMS Privacy Policy http://cms.gov/About-CMS/Agency-Information/Aboutwebsite/Privacy-Policy.html

Webinar: Medicare Diabetes Prevention Program - Overview

Centers for Medicare & Medicaid Services (CMS)

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Dual Eligibles and Medicare Spending DataBrief No. 3

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Dual Eligibles and Medicare Spending DataBrief No. 3