The Cash and Counseling Demonstration gives Medicaid beneficiaries who are eligible for personal care services a consumer-directed allowance in lieu of traditional agency services. Using survey and Medicaid claims data on 2,008 adult applicants randomly assigned to treatment or control groups,...

Before Medicare Part D, Congress authorized the Medicare disease management demonstration to evaluate whether disease management programs—in conjunction with a comprehensive prescription drug benefit—could improve health outcomes and reduce Medicare expenditures. The demonstration...

Notes that prospective payment led to sharp reductions in home health service use and no apparent effect on quality of care. Furthermore, the use of other Medicare-reimbursed services (such as hospital stays) did not increase, nor did the use of informal or other care. The new payment method...

This study examined the characteristics and service use of Medicaid Buy-In participants with higher incomes (above 250 percent of the federal poverty line), relative to participants with lower incomes. The study found higher-income participants were less likely to enroll in Medicare and more...

This study examined the characteristics and service use of Medicaid Buy-In participants with higher incomes (above 250 percent of the federal poverty line), relative to participants with lower incomes. The study found higher-income participants were less likely to enroll in Medicare and more...

Reports on the results of a national demonstration that tested whether paying home health agencies a fixed sum in advance for an episode of care would reduce use of services without adversely affecting quality of care. Finds that most prospectively paid agencies dramatically lowered their visits...

Notes that prospective payment led to sharp reductions in home health service use and no apparent effect on quality of care. Furthermore, the use of other Medicare-reimbursed services (such as hospital stays) did not increase, nor did the use of informal or other care. The new payment method...