Sourcebook

Chapter 2 – Medicare

The federal health insurance program for people age 65 and older and for other adults who qualify due to having a permanent disability or end-stage renal disease.

Advancing Patient-Centered Cancer Care

This 3-hour summit will convene and inform health policy and oncology research communities about critical issues related to patient-centered cancer care and offer lessons, strategies, and policy approaches for the short and long term.

Policy Options to Advance Mental Health Care During Pregnancy

This briefing will examine the difference between perinatal health and perinatal mental health and their intrinsic relationship. Panelists will delve into factors contributing to perinatal health and mental health as well as policy levers and promising solutions available to stakeholders to reduce and prevent mental health symptoms and mood disorders.

Closing the Coverage Coordination Gap for Dual Eligibles

This briefing provided a brief landscape of the dual eligible population and the challenges they face when seeking comprehensive coverage and care. Attendees learned about the spectrum of integration of the Medicare and Medicaid programs on behalf of this population, and defined what success looks like in an integrated plan.

Medicare Part D Basics and Policy Options for Redesign

This briefing will clarify the defining characteristics of Medicare Part D including eligibility, coverage, and benefits. Attendees will understand the case for Medicare Part D redesign and the implications and tradeoffs of current policy options on beneficiaries and other stakeholders.

Medicare Solvency Projections and Potential Policy Solutions

This briefing provided an overview of the Medicare Trust Funds, the nuances of solvency, and the consequences of not resolving funding shortfalls. Panelists explored short- and long-term policy options to address solvency and offer equitable access, as well as the potential impacts on providers, plans, and most importantly, Medicare beneficiaries.

Pandemic Flexibilities in Long-Term Care

The COVID-19 pandemic has exposed both new and longstanding needs of long-term care patients. Experts will overview the recent changes, remaining gaps, and benefits and risks to long-term care patients, caregivers, providers, and payers.

Modernizing Medicare Part D

During this congressional lunch briefing, analysts will outline the mechanisms of the Medicare Part D program under current law and discuss the potential implications of reforms put forward by Congress and the administration.

Our 2018 Speakers

What’s Next for Medicare Provider Payment?

The goal of this briefing was to provide an update on MACRA implementation, the issues on the table as policymakers consider next steps around shifting the way providers are paid, by both public and private payers, and what this all means for improving health outcomes and quality.

Navigating Next Steps on Payment Reform

This briefing provided an update on the overall state of play with payment reform, and the effort to move away from fee for service and toward value-based payment. Panelists discussed the interplay between the public and private sectors, and, given likely future directions for the CMS Center for Medicare and Medicaid Innovation, highlighted areas where the private sector may be best positioned to lead. Panelists shared what this means for future policy options and needs.

Medicare and Prescription Drug Prices

This briefing featured presentations by our experts highlighting the trends in Medicare regarding prescription drug pricing, and panelists discussed an array of policy options to align drug prices with value through alternative payment models.

High-Need, High-Cost Patients: Challenges & Promising Models

Health systems have applied many innovative new strategies for improving quality and reducing costs when it comes to care for high-need, high-cost patients, who typically have multiple chronic conditions. Which of these innovations show promise, and what can we learn from them?