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Reports and Articles

Government Accountability Office. “Medicare Part D: Some Plan Sponsors Have Not Completely Implemented Fraud and Abuse Programs, and CMS Oversight Has Been Limited.” August 2008.

Kaiser Family Foundation. “The Medicare Part D Coverage Gap: Costs and Consequences in 2007.” August 2008.

Kaiser Family Foundation. “Examining Sources of Coverage Among Medicare Beneficiaries: Supplemental Insurance, Medicare Advantage, and Prescription Drug Coverage.” August 2008.

House Committee on Oversight and Government Reform. “Medicare Part D: Drug Pricing and Manufacturer Windfalls.” July 24, 2008.

Gold, Marsha. “Medicare Advantage in 2008.” Kaiser Family Foundation. June 2008.

Hoadley, Jack. “Medicare Part D: Simplifying the Program and Improving the Value of Information for Beneficiaries.” The Commonwealth Fund. May 30, 2008.

Summer, Laura, Patricia Nemore, and Jeanne Finberg. “Medicare Part D: How Do Vulnerable Beneficiaries Fare?” The Commonwealth Fund. May 1, 2008.

Summer, Laura, Ellen O’Brien, and Patricia Nemore. “Medicare Part D: State and Local Efforts to Assist Vulnerable Beneficiaries.” The Commonwealth Fund. May 1, 2008.

O’Brien, Ellen, and Jack Hoadley. “Medicare Advantage: Options for Standardizing Benefits and Information to Improve Consumer Choice.” The Commonwealth Fund. April 14, 2008.

Kaiser Family Foundation. “Medicare Part D 2008 Data Spotlights.” April 2008.

Berenson, Robert. “From Politics To Policy: A New Payment Approach In Medicare Advantage.” Health Affairs, March/April 2008; 27(2): w156-w164.

Medicare Payment Advisory Commission. “Medicare Payment Policy.” March 2008.

Kaiser Family Foundation. “The Medicare Prescription Drug Benefit Fact Sheet.” February 2008.

Merlis, Mark. “The Value of Extra Benefits Offered by Medicare Advantage Plans in 2006.” Kaiser Family Foundation. January 2008.

Verdier, James, Marsha Gold, and Sarah Davis. “Do We Know If Medicare Advantage Special Needs Plans Are Special?” Kaiser Family Foundation. January 2008.

Biles B, Nicholas L, Cooper B. The cost of privatization: extra payments to Medicare advantage plans. New York: The Commonwealth Fund; 2004 May.

Podulka, Jennifer and Scott Harrison, “Special needs plans recommendations and an update on Medicare Advantage.” Presentation at public meeting. December 6, 2007.

Medicare Payment Advisory Commission. “Medicare payment basics: Medicare Advantage program payment system.” October 2007.

Charles J. Milligan, Jr. & Cynthia H. Woodcock, “Medicare Advantage Special Needs Plans for Dual Eligibles: A Primer.” Center for Medicare Advocacy. October 2007.

Kitchman Strollo, Michelle. “Medicare Advantage: The Role of Private Health Plans in Medicare.” On-line tutorial for KaiserEDU.org, Kaiser Family Foundation. July 2007.

Kaiser Family Foundation. “Medicare Advantage Fact Sheet.” June 2007.

Neuman, Patricia. “Medicare Advantage: Key Issues and Implications for Beneficiaries.” Testimony before the U.S. House of Representatives, Committee on the Budget. June 28, 2007.

Medicare Payment Advisory Commission. “Report to Congress: Promoting Greater Efficiency in Medicare.” Chapter 3 "Update on the Medicare Advantage Program and Implementing Past Recommendations." June 2007.

Medicare Payment Advisory Commission. “A Data Book: Health Care Spending and the Medicare Program 2007” Section 10: Medicare Advantage. June 2007.

Neuman, Patricia. “Private Fee-For-Service Plans In Medicare: Rapid Growth and Future Implications.” Testimony before the U.S. House of Representatives, Committee on Ways and Means, Subcommittee on Health. May 22, 2007.

Gold, Marsha. “Medicare Advantage In 2006-2007: What Congress Intended?.” Health Affairs Web Exclusive, May 15, 2007.

Kaiser Family Foundation. “Medicare Advantage Fact Sheet.” June 2007.

Gold, Marsha. “Private Plans in Medicare: A 2007 Update.” Kaiser Family Foundation. March 2007.

Blum, Jonathan, Ruth Brown, and Miryam Frieder. “An Examination of Medicare Private Fee-for-Service Plans.” Kaiser Family Foundation. March 2007.

Fuchs, Beth and Lisa Potetz. “Medicare Consumer-Directed Health Plans, Medicare MSAs and HSA-like Plans in 2007.” Kaiser Family Foundation. March 2007.

Medicare Payment Advisory Commission. “Report to the Congress: Medicare Payment Policy.” Chapter 4 "Update on Medicare Private Plans." March 2007.

Kaiser Family Foundation. “Medicare Advantage Fact Sheet.” February 2007.

Biles, Brian, Lauren Hersch Nicholas, Barbara Cooper, Emily Adrion, and Stuart Guterman. “The Cost of Privatization: Extra Payments to Medicare Advantage Plans—Updated and Revised”, The Commonwealth Fund, November 2006.

Verdier, Jim M. “Medicare Advantage Rate Setting and Risk Adjustment:A Primer for States Considering Contracting with Medicare Advantage Special Needs Plans to Cover Medicaid Benefits.” Center for Health Care Strategies, Inc., October 2006.

Gold, Marsha, Maria Cupples Hudson, and Sarah Davis. "2006 Medicare Advantage Benefits and Premiums." AARP, September 2006.

Gold, Marsha and Stephanie Peterson. "Analysis of the Characteristics of Medicare Advantage Plan Participation." Mathematica Policy Research, Inc., July 2006.

Verdier, Jim and Melanie Au. "Medicare Advantage Special Needs Plans Site Visits." Medicare Payment Advisory Commission, June 2006.

Medicare Payment Advisory Commission. “Report to the Congress: Increasing the Value of Medicare (June 2006).” Chapter 9 "The Medicare Advantage Program: Availability, Benefits, and Special Needs Plans" Washington, DC, June 2006.

Gold, Marsha. “The Landscape of Private Firms Offering Medicare Prescription Drug Coverage in 2006.” Kaiser Family Foundation. March 2006.

Gold, Marsha. “The Growth of Private Plans in Medicare, 2006.” Kaiser Family Foundation. March 2006.

Medicare Payment Advisory Commission. “MedPAC Data Book 2006: Section 10: Medicare Advantage.” February 14, 2006.

Blum, Jonathan, Jennifer Bowman, and Chiquita White. “The Impact of Enrollment in the Medicare Prescription Drug Benefit on Premiums” Washington DC: The Henry J. Kaiser Family Foundation, October 2005. (http://www.kff.org/medicare/7423.cfm).

Gold, Marsha. “Private Plans In Medicare: Another Look” Health Affairs, vol. 24, no. 5, September/October 2005.

Pizer, Steven D., Roger Feldman, and Austin B. Frakt. “Defective Design: Regional Competition In Medicare” Health Affairs, Web Exclusive W5-403, August 23, 2005. (www.healthaffairs.org)

Stuart, Bruce, Becky A. Briesacher, Dennis G. Shea, Barbara Cooper, Fatima S. Baysac, and M. Rhona Limcangco. “Riding the Rollercoaster: The Ups and Downs in Out-of-Pocket Spending under the Standard Medicare Drug Benefit” Health Affairs July/August 2005, pp. 1022-1031.

Hurley, Robert E., Bradley C. Strunk, and Joy M. Grossman. “Geography and Destiny: Local-Market Perspectives on Developing Medicare Advantage Regional Plans.” Health Affairs, July/August 2005 24(4): 1014-1021.

Medicare Payment Advisory Commission. “Report to the Congress: Issues in a Modernized Medicare Program” Washington, DC, June 2005.

Laschober, Mary. “Estimating Medicare Advantage Lock-In Provisions Impact on Vulnerable Medicare Beneficiaries.” Health Care Financing Review 26(3): 63-79, Spring 2005.

Mobley, Lee, Lauren McCormack, Bridget Booske, Jiantong Wange et al. “Voluntary Disenrollment from Medicare Managed Care: Market Factors and Disabled Beneficiaries” Health Care Financing Review 26(3): 63-79, Spring 2005.

Halpren, Rachel. “M+C Plan County Exist Decisions 1999-2001: Implications for Payment Policy.” Health Care Financing Review 26(3): 105-123, Spring 2005.

Achman, Lori and Lindsay Harris. “Early Effects of the Medicare Modernization Act: Benefits, Cost Sharing and Premiums of Medicare Advantage Plans, 2005.” Washington, DC: AARP, April 2005.

Gold, Marsha and Lindsay Harris. “Profile and Analysis of the 26 Medicare Advantage Regions.” Washington, DC: Henry J. Kaiser Family Foundation, March 2005.

Achman, Lori, and Marsha Gold. “Are the 2004 Payment Increases Helping to Stem Medicare Advantage’s Benefit Erosion?” New York, NY: The Commonwealth Fund, December 2004.

Berenson, Robert A. “Medicare Disadvantaged and the Search for the Elusive Level Playing Field.” Health Affairs Web Exclusive, December 15, 2004.

Biles, Brian, Geraldine Dallek, and Lauren Hersch Nicholas. “Medicare Advantage: Déjà vu All Over Again?” Health Affairs Web Exclusive, December 15, 2004.

Biles, Brian, Lauren Hersch Nicholas, and Barbara Cooper. The Cost of Privatization: Extra Payments to Medicare Advantage Plans. New York, NY: The Commonwealth Fund, Updated December 2004.

Congressional Budget Office. “CBO’s Analysis of Regional Preferred Provider Organizations Under the Medicare Modernization Act.” October 2004.

Gold, Marsha, Lori Achman, Jessica Mittler, and Beth Stevens. “Monitoring Medicare+Choice: What Have We Learned? Findings and Operational Lessons for Medicare Advantage.” Washington, DC: Mathematica Policy Research, September 2004.

Tseng, Chien-Wen, Robert Brook, Emmett Keeler, W. Neil Steers, Carol Mangione. “Cost Sharing Strategies Used by Medicare Beneficiaries Who Exceed Drug Benefit Caps and Have a Gap in Drug Coverage.” JAMA, August 25, 2004, vol. 292, no. 8.

Landon, Bruce, Alan Zaslavsky, Shulamit Bernard, Matthew Cioffi, and Paul Cleary. “Comparison of Performance of Traditional Medicare vs Medicare Managed Care.” JAMA, April 14, 2004, vol. 291, no. 14.

Medicare Payment Advisory Commission. “Chapter 4: Medicare+Choice Payment and Eligibility Policy,” in Report to Congress: Medicare Payment Policy. Washington, DC: Medicare Payment Advisory Commission, March 2004.

Lied, Terry, Steven Sheingold, Bruce Landon, James Shaul, and Paul Cleary. “Beneficiary Reported Experience and Voluntary Disenrollment in Medicare Managed Care.” Health Care Financing Review, Fall 2003, vol. 25, no. 1.

Dallek, Geraldine, Brian Biles, and Lauren Hersch Nicholas. “Lessons from Medicare+Choice for Medicare Reform.” New York, NY: The Commonwealth Fund, June 2003.

Gold, Marsha. “Can Managed Care And Competition Control Medicare Costs?” Health Affairs Web Exclusive, April 2, 2003.

Thorpe, Kenneth, and Adam Atherly. “Medicare+Choice: Current Role and Near-Term Prospects.” Health Affairs, July 17 2002; web exclusive W242-W252.

Casey, Michelle, Astrid Knott, and Ira Moscovice. “Medicare Minus Choice: The Impact of HMO Withdrawals on Rural Medicare Beneficiaries.” Health Affairs, May/June 2002, vol. 21, no. 3.

Safran, Dana Gelb et al. “Primary Care Quality in the Medicare Program: Comparing the Performance of Medicare Health Maintenance Organizations and Traditional Fee-for-Service Medicare.” Archives of Internal Medicine. 162(7):757-765, April 8, 2002.

Antos, Joseph. “Medicare+Choice: Where Did The Scorekeepers Go Wrong?” Health Affairs, November 28, 2001, Web Exclusive.

Gold, Marsha. “Medicare+Choice: An Interim Report Card.” Health Affairs, July/August 2001, 20 (4): 120-138.

General Accounting Office. “Medicare+Choice: Plan Withdrawals Indicate Difficulty of Providing Choice While Achieving Savings.” September 2000. GAO/HEHS-00-183.

General Accounting Office. “Medicare+Choice Payments Exceed Cost of Fee-for-Service Benefits, Adding Billions to Spending.” August 2000.

Laschober, Mary et al. “Medicare HMO Withdrawals: What Happens to Beneficiaries?” Health Affairs, November/December 1999; 18(6): 150-157.

Lamphere, Jo Ann, Patricia Neuman, Kathryn Langwell, and Daniel Sherman. “The Surge In Medicare Managed Care: An Update.” Health Affairs, May/June 1997, vol. 16, no. 3.