Blog RSS https://www.vumc.org/health-policy/ en Advice to Providers: Communicate, Educate, Vaccinate. https://www.vumc.org/health-policy/measles-advice-health-care-providers <span class="field field--name-title field--type-string field--label-hidden">Advice to Providers: Communicate, Educate, Vaccinate.</span> <span class="field field--name-uid field--type-entity-reference field--label-hidden"><span lang="" about="/health-policy/users/lowaryj" typeof="schema:Person" property="schema:name" datatype="">lowaryj</span></span> <span class="field field--name-created field--type-created field--label-hidden">Wed, 06/05/2019 - 16:04</span> <a href="/health-policy/blog-post-rss/1300" class="feed-icon" title="Subscribe to Advice to Providers: Communicate, Educate, Vaccinate."> RSS: <i class="fa fa-rss-square"></i> </a> <div class="field field--name-field-barista-posts-external-url field--type-link field--label-hidden field__item"><a href="https://www.consultant360.com/exclusive/infectious-diseases/vaccines/measles-imperative-communicate-educate-vaccinate" target="_blank">https://www.consultant360.com/exclusive/infectious-diseases/vaccines/measles-imperative-communicate-educate-vaccinate</a></div> <div class="clearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><p><img alt="Computer generated image of measles virus. " data-entity-type="" data-entity-uuid="" src="https://www.vumc.org/health-policy/sites/vumc.org.health-policy/files/Measles%202.jpeg" /></p> <p>In a recent perspective piece written for and published by Infectious Diseases Consultant, <strong>Dr. William Schaffner, MD</strong>, professor in the Department of Health Policy, offers advice to providers who are encountering patients who may have questions or possible exposure to measles.</p> <p>In the blog post, Schaffner writes that health care providers "need to vaccinate as many persons who are susceptible and unvaccinated as quickly as possible.</p> <p>"That will end the outbreak and further ensure that future importations of measles from abroad will not spread widely in the United States," he writes.</p> <p><a href="https://www.consultant360.com/exclusive/infectious-diseases/vaccines/measles-imperative-communicate-educate-vaccinate">Read the full post by clicking this link. </a></p> </div> <div class="field field--name-field-lockdown-auth field--type-string field--label-above"> <div class="field__label">Lockdown Auth</div> <div class="field__item">1</div> </div> Wed, 05 Jun 2019 21:04:22 +0000 lowaryj 1300 at https://www.vumc.org/health-policy AJPH Editorials: Improving Public Health Systems for Substance-Affected Pregnancies https://www.vumc.org/health-policy/latest-publication-announcements/ajph-editorials-improving-public-health-systems-substance-affected <span class="field field--name-title field--type-string field--label-hidden">AJPH Editorials: Improving Public Health Systems for Substance-Affected Pregnancies</span> <span class="field field--name-uid field--type-entity-reference field--label-hidden"><span lang="" typeof="schema:Person" property="schema:name" datatype="">Visitor</span></span> <span class="field field--name-created field--type-created field--label-hidden">Sun, 12/23/2018 - 00:00</span> <a href="/health-policy/blog-post-rss/1234" class="feed-icon" title="Subscribe to AJPH Editorials: Improving Public Health Systems for Substance-Affected Pregnancies"> RSS: <i class="fa fa-rss-square"></i> </a> <div class="field field--name-field-barista-posts-external-url field--type-link field--label-hidden field__item"><a href="https://ajph.aphapublications.org/doi/pdf/10.2105/AJPH.2018.304831" target="_blank">https://ajph.aphapublications.org/doi/pdf/10.2105/AJPH.2018.304831</a></div> <div class="field field--name-field-lockdown-auth field--type-string field--label-above"> <div class="field__label">Lockdown Auth</div> <div class="field__item">1</div> </div> Sun, 23 Dec 2018 06:00:00 +0000 Visitor 1234 at https://www.vumc.org/health-policy Journal of The National Cancer Institute: Cost-Effective But Unaffordable: The CAR-T Conundrum https://www.vumc.org/health-policy/latest-publication-announcements/journal-national-cancer-institute-cost-effective-unaffordable-car <span class="field field--name-title field--type-string field--label-hidden">Journal of The National Cancer Institute: Cost-Effective But Unaffordable: The CAR-T Conundrum </span> <span class="field field--name-uid field--type-entity-reference field--label-hidden"><span lang="" typeof="schema:Person" property="schema:name" datatype="">Visitor</span></span> <span class="field field--name-created field--type-created field--label-hidden">Tue, 12/18/2018 - 10:41</span> <a href="/health-policy/blog-post-rss/1220" class="feed-icon" title="Subscribe to Journal of The National Cancer Institute: Cost-Effective But Unaffordable: The CAR-T Conundrum "> RSS: <i class="fa fa-rss-square"></i> </a> <div class="field field--name-field-barista-posts-external-url field--type-link field--label-hidden field__item"><a href="https://academic.oup.com/jnci/advance-article/doi/10.1093/jnci/djy195/5240702" target="_blank">https://academic.oup.com/jnci/advance-article/doi/10.1093/jnci/djy195/5240702</a></div> <div class="field field--name-field-lockdown-auth field--type-string field--label-above"> <div class="field__label">Lockdown Auth</div> <div class="field__item">1</div> </div> Tue, 18 Dec 2018 16:41:38 +0000 Visitor 1220 at https://www.vumc.org/health-policy Women's Health Issues: Health and Access to Care among Reproductive-Age Women by Sexual Orientation and Pregnancy Status https://www.vumc.org/health-policy/latest-publication-announcements/womens-health-issues-health-and-access-care-among-reproductive-age <span class="field field--name-title field--type-string field--label-hidden">Women&#039;s Health Issues: Health and Access to Care among Reproductive-Age Women by Sexual Orientation and Pregnancy Status</span> <span class="field field--name-uid field--type-entity-reference field--label-hidden"><span lang="" typeof="schema:Person" property="schema:name" datatype="">Visitor</span></span> <span class="field field--name-created field--type-created field--label-hidden">Tue, 12/18/2018 - 10:37</span> <a href="/health-policy/blog-post-rss/1219" class="feed-icon" title="Subscribe to Women&#039;s Health Issues: Health and Access to Care among Reproductive-Age Women by Sexual Orientation and Pregnancy Status"> RSS: <i class="fa fa-rss-square"></i> </a> <div class="field field--name-field-barista-posts-external-url field--type-link field--label-hidden field__item"><a href="https://www.whijournal.com/article/S1049-3867(18)30291-3/fulltext" target="_blank">https://www.whijournal.com/article/S1049-3867(18)30291-3/fulltext</a></div> <div class="field field--name-field-lockdown-auth field--type-string field--label-above"> <div class="field__label">Lockdown Auth</div> <div class="field__item">1</div> </div> Tue, 18 Dec 2018 16:37:18 +0000 Visitor 1219 at https://www.vumc.org/health-policy The Commonwealth Fund: Trends in Postacute Care Spending Growth During the Medicare Spending Slowdown https://www.vumc.org/health-policy/latest-publication-announcements/commonwealth-fund-trends-postacute-care-spending-growth-during <span class="field field--name-title field--type-string field--label-hidden">The Commonwealth Fund: Trends in Postacute Care Spending Growth During the Medicare Spending Slowdown</span> <span class="field field--name-uid field--type-entity-reference field--label-hidden"><span lang="" typeof="schema:Person" property="schema:name" datatype="">Visitor</span></span> <span class="field field--name-created field--type-created field--label-hidden">Wed, 12/12/2018 - 10:32</span> <a href="/health-policy/blog-post-rss/1212" class="feed-icon" title="Subscribe to The Commonwealth Fund: Trends in Postacute Care Spending Growth During the Medicare Spending Slowdown"> RSS: <i class="fa fa-rss-square"></i> </a> <div class="field field--name-field-barista-posts-external-url field--type-link field--label-hidden field__item"><a href="https://www.commonwealthfund.org/publications/issue-briefs/2018/dec/postacute-care-spending-growth-medicare" target="_blank">https://www.commonwealthfund.org/publications/issue-briefs/2018/dec/postacute-care-spending-growth-medicare</a></div> <div class="field field--name-field-lockdown-auth field--type-string field--label-above"> <div class="field__label">Lockdown Auth</div> <div class="field__item">1</div> </div> Wed, 12 Dec 2018 16:32:41 +0000 Visitor 1212 at https://www.vumc.org/health-policy JAMA Psychiatry: Association of Antipsychotic Treatment With Risk of Unexpected Death Among Children and Youths https://www.vumc.org/health-policy/latest-publication-announcements/jama-psychiatry-association-antipsychotic-treatment-risk <span class="field field--name-title field--type-string field--label-hidden">JAMA Psychiatry: Association of Antipsychotic Treatment With Risk of Unexpected Death Among Children and Youths</span> <span class="field field--name-uid field--type-entity-reference field--label-hidden"><span lang="" typeof="schema:Person" property="schema:name" datatype="">Visitor</span></span> <span class="field field--name-created field--type-created field--label-hidden">Wed, 12/12/2018 - 00:00</span> <a href="/health-policy/blog-post-rss/1221" class="feed-icon" title="Subscribe to JAMA Psychiatry: Association of Antipsychotic Treatment With Risk of Unexpected Death Among Children and Youths"> RSS: <i class="fa fa-rss-square"></i> </a> <div class="field field--name-field-barista-posts-external-url field--type-link field--label-hidden field__item"><a href="https://jamanetwork.com/journals/jamapsychiatry/fullarticle/2717966" target="_blank">https://jamanetwork.com/journals/jamapsychiatry/fullarticle/2717966</a></div> <div class="field field--name-field-lockdown-auth field--type-string field--label-above"> <div class="field__label">Lockdown Auth</div> <div class="field__item">1</div> </div> Wed, 12 Dec 2018 06:00:00 +0000 Visitor 1221 at https://www.vumc.org/health-policy VUMC Reporter: Study defines association of oral anticoagulants and proton pump inhibitors to gastrointestinal bleeding risk https://www.vumc.org/health-policy/latest-publication-announcements-press-room/vumc-reporter-study-defines-association-oral <span class="field field--name-title field--type-string field--label-hidden">VUMC Reporter: Study defines association of oral anticoagulants and proton pump inhibitors to gastrointestinal bleeding risk</span> <span class="field field--name-uid field--type-entity-reference field--label-hidden"><span lang="" typeof="schema:Person" property="schema:name" datatype="">Visitor</span></span> <span class="field field--name-created field--type-created field--label-hidden">Tue, 12/04/2018 - 00:00</span> <a href="/health-policy/blog-post-rss/1213" class="feed-icon" title="Subscribe to VUMC Reporter: Study defines association of oral anticoagulants and proton pump inhibitors to gastrointestinal bleeding risk"> RSS: <i class="fa fa-rss-square"></i> </a> <div class="field field--name-field-barista-posts-external-url field--type-link field--label-hidden field__item"><a href="http://news.vumc.org/2018/12/04/study-defines-association-of-oral-anticoagulants-and-proton-pump-inhibitors-to-gastrointestinal-bleeding-risk/" target="_blank">http://news.vumc.org/2018/12/04/study-defines-association-of-oral-anticoagulants-and-proton-pump-inhibitors-to-gastrointestinal-bleeding-risk/</a></div> <div class="field field--name-field-lockdown-auth field--type-string field--label-above"> <div class="field__label">Lockdown Auth</div> <div class="field__item">1</div> </div> Tue, 04 Dec 2018 06:00:00 +0000 Visitor 1213 at https://www.vumc.org/health-policy Pedagogy in Health Promotion: Health Equity Curricula Within Health Policy and Management Concentrations in U.S. Public Health Graduate Programs https://www.vumc.org/health-policy/latest-publication-announcements/pedagogy-health-promotion-health-equity-curricula-within-health <span class="field field--name-title field--type-string field--label-hidden">Pedagogy in Health Promotion: Health Equity Curricula Within Health Policy and Management Concentrations in U.S. Public Health Graduate Programs</span> <span class="field field--name-uid field--type-entity-reference field--label-hidden"><span lang="" typeof="schema:Person" property="schema:name" datatype="">Visitor</span></span> <span class="field field--name-created field--type-created field--label-hidden">Wed, 11/28/2018 - 00:00</span> <a href="/health-policy/blog-post-rss/1214" class="feed-icon" title="Subscribe to Pedagogy in Health Promotion: Health Equity Curricula Within Health Policy and Management Concentrations in U.S. Public Health Graduate Programs"> RSS: <i class="fa fa-rss-square"></i> </a> <div class="field field--name-field-barista-posts-external-url field--type-link field--label-hidden field__item"><a href="https://journals.sagepub.com/doi/10.1177/2373379918814024#articleCitationDownloadContainer" target="_blank">https://journals.sagepub.com/doi/10.1177/2373379918814024#articleCitationDownloadContainer</a></div> <div class="field field--name-field-lockdown-auth field--type-string field--label-above"> <div class="field__label">Lockdown Auth</div> <div class="field__item">1</div> </div> Wed, 28 Nov 2018 06:00:00 +0000 Visitor 1214 at https://www.vumc.org/health-policy New England Journal of Medicine: Disclosing Prescription-Drug Prices in Advertisements — Legal and Public Health Issues https://www.vumc.org/health-policy/latest-publication-announcements/new-england-journal-medicine-disclosing-prescription-drug-prices <span class="field field--name-title field--type-string field--label-hidden">New England Journal of Medicine: Disclosing Prescription-Drug Prices in Advertisements — Legal and Public Health Issues</span> <span class="field field--name-uid field--type-entity-reference field--label-hidden"><span lang="" typeof="schema:Person" property="schema:name" datatype="">Visitor</span></span> <span class="field field--name-created field--type-created field--label-hidden">Wed, 11/14/2018 - 16:18</span> <a href="/health-policy/blog-post-rss/1176" class="feed-icon" title="Subscribe to New England Journal of Medicine: Disclosing Prescription-Drug Prices in Advertisements — Legal and Public Health Issues"> RSS: <i class="fa fa-rss-square"></i> </a> <div class="field field--name-field-barista-posts-external-url field--type-link field--label-hidden field__item"><a href="https://www.nejm.org/doi/full/10.1056/NEJMp1814065?query=featured_home" target="_blank">https://www.nejm.org/doi/full/10.1056/NEJMp1814065?query=featured_home</a></div> <div class="field field--name-field-lockdown-auth field--type-string field--label-above"> <div class="field__label">Lockdown Auth</div> <div class="field__item">1</div> </div> Wed, 14 Nov 2018 22:18:16 +0000 Visitor 1176 at https://www.vumc.org/health-policy Cancer: The association between Medicare accountable care organization enrollment and breast, colorectal, and prostate cancer screening https://www.vumc.org/health-policy/latest-publication-announcements/cancer-association-between-medicare-accountable-care-organization <span class="field field--name-title field--type-string field--label-hidden">Cancer: The association between Medicare accountable care organization enrollment and breast, colorectal, and prostate cancer screening</span> <span class="field field--name-uid field--type-entity-reference field--label-hidden"><span lang="" typeof="schema:Person" property="schema:name" datatype="">Visitor</span></span> <span class="field field--name-created field--type-created field--label-hidden">Fri, 11/09/2018 - 00:00</span> <a href="/health-policy/blog-post-rss/1178" class="feed-icon" title="Subscribe to Cancer: The association between Medicare accountable care organization enrollment and breast, colorectal, and prostate cancer screening"> RSS: <i class="fa fa-rss-square"></i> </a> <div class="field field--name-field-barista-posts-external-url field--type-link field--label-hidden field__item"><a href="https://onlinelibrary.wiley.com/doi/full/10.1002/cncr.31700" target="_blank">https://onlinelibrary.wiley.com/doi/full/10.1002/cncr.31700</a></div> <div class="field field--name-field-lockdown-auth field--type-string field--label-above"> <div class="field__label">Lockdown Auth</div> <div class="field__item">1</div> </div> Fri, 09 Nov 2018 06:00:00 +0000 Visitor 1178 at https://www.vumc.org/health-policy Annual Review of Public Health: High-Deductible Health Plans and Prevention https://www.vumc.org/health-policy/latest-publication-announcements/annual-review-public-health-high-deductible-health-plans-and <span class="field field--name-title field--type-string field--label-hidden">Annual Review of Public Health: High-Deductible Health Plans and Prevention</span> <span class="field field--name-uid field--type-entity-reference field--label-hidden"><span lang="" typeof="schema:Person" property="schema:name" datatype="">Visitor</span></span> <span class="field field--name-created field--type-created field--label-hidden">Wed, 11/07/2018 - 00:00</span> <a href="/health-policy/blog-post-rss/1179" class="feed-icon" title="Subscribe to Annual Review of Public Health: High-Deductible Health Plans and Prevention"> RSS: <i class="fa fa-rss-square"></i> </a> <div class="field field--name-field-barista-posts-external-url field--type-link field--label-hidden field__item"><a href="https://www.annualreviews.org/doi/abs/10.1146/annurev-publhealth-040218-044225" target="_blank">https://www.annualreviews.org/doi/abs/10.1146/annurev-publhealth-040218-044225</a></div> <div class="field field--name-field-lockdown-auth field--type-string field--label-above"> <div class="field__label">Lockdown Auth</div> <div class="field__item">1</div> </div> Wed, 07 Nov 2018 06:00:00 +0000 Visitor 1179 at https://www.vumc.org/health-policy Health Affairs: Changes In End-Of-Life Care In The Medicare Shared Savings Program https://www.vumc.org/health-policy/latest-publication-announcements/health-affairs-changes-end-life-care-medicare-shared-savings <span class="field field--name-title field--type-string field--label-hidden">Health Affairs: Changes In End-Of-Life Care In The Medicare Shared Savings Program</span> <span class="field field--name-uid field--type-entity-reference field--label-hidden"><span lang="" typeof="schema:Person" property="schema:name" datatype="">Visitor</span></span> <span class="field field--name-created field--type-created field--label-hidden">Mon, 10/15/2018 - 00:00</span> <a href="/health-policy/blog-post-rss/1207" class="feed-icon" title="Subscribe to Health Affairs: Changes In End-Of-Life Care In The Medicare Shared Savings Program"> RSS: <i class="fa fa-rss-square"></i> </a> <div class="field field--name-field-barista-posts-external-url field--type-link field--label-hidden field__item"><a href="https://www.healthaffairs.org/doi/full/10.1377/hlthaff.2018.0491#.W-7ZxIOijbY.twitter" target="_blank">https://www.healthaffairs.org/doi/full/10.1377/hlthaff.2018.0491#.W-7ZxIOijbY.twitter</a></div> <div class="field field--name-field-lockdown-auth field--type-string field--label-above"> <div class="field__label">Lockdown Auth</div> <div class="field__item">1</div> </div> Mon, 15 Oct 2018 05:00:00 +0000 Visitor 1207 at https://www.vumc.org/health-policy Journal of Palliative Medicine: Complaints About Hospice Care in the United States, 2005–2015 https://www.vumc.org/health-policy/latest-publication-announcements/journal-palliative-medicine-complaints-about-hospice-care-united-0 <span class="field field--name-title field--type-string field--label-hidden">Journal of Palliative Medicine: Complaints About Hospice Care in the United States, 2005–2015</span> <span class="field field--name-uid field--type-entity-reference field--label-hidden"><span lang="" typeof="schema:Person" property="schema:name" datatype="">Visitor</span></span> <span class="field field--name-created field--type-created field--label-hidden">Thu, 08/09/2018 - 12:25</span> <a href="/health-policy/blog-post-rss/1129" class="feed-icon" title="Subscribe to Journal of Palliative Medicine: Complaints About Hospice Care in the United States, 2005–2015"> RSS: <i class="fa fa-rss-square"></i> </a> <div class="field field--name-field-barista-posts-external-url field--type-link field--label-hidden field__item"><a href="https://www.liebertpub.com/doi/pdf/10.1089/jpm.2018.0125" target="_blank">https://www.liebertpub.com/doi/pdf/10.1089/jpm.2018.0125</a></div> <div class="field field--name-field-lockdown-auth field--type-string field--label-above"> <div class="field__label">Lockdown Auth</div> <div class="field__item">1</div> </div> Thu, 09 Aug 2018 17:25:14 +0000 Visitor 1129 at https://www.vumc.org/health-policy Health Affairs: Regional Variations: The Use Of Hospitals, Home Health, And Skilled Nursing In Traditional Medicare And Medicare Advantage https://www.vumc.org/health-policy/latest-publication-announcements/health-affairs-regional-variations-use-hospitals-home-health-and <span class="field field--name-title field--type-string field--label-hidden">Health Affairs: Regional Variations: The Use Of Hospitals, Home Health, And Skilled Nursing In Traditional Medicare And Medicare Advantage</span> <span class="field field--name-uid field--type-entity-reference field--label-hidden"><span lang="" typeof="schema:Person" property="schema:name" datatype="">Visitor</span></span> <span class="field field--name-created field--type-created field--label-hidden">Thu, 08/09/2018 - 11:57</span> <a href="/health-policy/blog-post-rss/1120" class="feed-icon" title="Subscribe to Health Affairs: Regional Variations: The Use Of Hospitals, Home Health, And Skilled Nursing In Traditional Medicare And Medicare Advantage"> RSS: <i class="fa fa-rss-square"></i> </a> <div class="field field--name-field-barista-posts-external-url field--type-link field--label-hidden field__item"><a href="https://www.healthaffairs.org/doi/full/10.1377/hlthaff.2018.0147" target="_blank">https://www.healthaffairs.org/doi/full/10.1377/hlthaff.2018.0147</a></div> <div class="field field--name-field-lockdown-auth field--type-string field--label-above"> <div class="field__label">Lockdown Auth</div> <div class="field__item">1</div> </div> Thu, 09 Aug 2018 16:57:27 +0000 Visitor 1120 at https://www.vumc.org/health-policy Health Affairs: Study defines spending trends among dual-eligible beneficiaries https://www.vumc.org/health-policy/latest-publication-announcements/health-affairs-study-defines-spending-trends-among-dual-eligible <span class="field field--name-title field--type-string field--label-hidden">Health Affairs: Study defines spending trends among dual-eligible beneficiaries</span> <span class="field field--name-uid field--type-entity-reference field--label-hidden"><span lang="" typeof="schema:Person" property="schema:name" datatype="">Visitor</span></span> <span class="field field--name-created field--type-created field--label-hidden">Thu, 08/09/2018 - 11:53</span> <a href="/health-policy/blog-post-rss/1119" class="feed-icon" title="Subscribe to Health Affairs: Study defines spending trends among dual-eligible beneficiaries"> RSS: <i class="fa fa-rss-square"></i> </a> <div class="clearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><h4>Study defines spending trends among dual-eligible beneficiaries</h4>&#13; &#13; <p>By Jill Clendening</p>&#13; &#13; <p>While there has been much effort to control spending for individuals eligible for both Medicaid and Medicare in the United States, for the first time a team of Vanderbilt University health policy researchers have analyzed spending trends for this population over a multi-year period in order to gain a much clearer understanding of exactly how much is being spent and by whom.</p>&#13; &#13; <p>“We measured how much Medicare spends per dual-eligible beneficiary and how much that changed between 2007 to 2015, and we compared those trends to other beneficiaries who don't have Medicaid,” said lead author <strong>Laura Keohane</strong>, PhD, Assistant Professor of Health Policy at Vanderbilt University School of Medicine. “After adjusting for increases in Medicare payment rates, over this time period we found that dual-eligible beneficiaries over age 65 on average had very similar spending growth compared to other Medicare beneficiaries. In the most recent years of our study, dual-eligible beneficiaries had lower average annual spending growth.”</p>&#13; &#13; <p>For younger Medicare beneficiaries under age 65, the team found that dual-eligible beneficiaries actually had slightly lower average spending growth over the entire time period and especially lower spending growth in the latest years of the study period.</p>&#13; &#13; <p>The results of their study, which was funded by The Commonwealth Fund, were published in the August edition of Health Affairs, a peer-reviewed journal published by Project Hope.</p>&#13; &#13; <p>“It is important for policy makers to know that during this period of slow growth in Medicare spending per beneficiary, spending growth for dual-eligible beneficiaries was even slower,” said one of the authors, <strong>Melinda Buntin</strong>, PhD, Professor and Mike Curb Chair of the Department of Health Policy at Vanderbilt, one of the study’s co-authors.</p>&#13; &#13; <p>In 2016, there were 11.7 million individuals simultaneously enrolled in Medicare and Medicaid, according a recent report from the Centers for Medicare and Medicaid Services (CMS). These dual-eligible beneficiaries typically experience high rates of chronic illness, with many having multiple chronic conditions and long-term care needs. Additionally, 41 percent of dual-eligible beneficiaries have at least one mental health diagnosis. About half of dual-eligible beneficiaries rely upon some form of long-term supports and services, including institutional as well as home and community-based supports (HCBS).</p>&#13; &#13; <p>Dual-eligible beneficiaries are challenged by the need to navigate two separate programs: Medicare for coverage of most health care services and prescription medications, and Medicaid for coverage of long-term care, certain behavioral health services, and for help with Medicare premiums and cost-sharing.</p>&#13; &#13; <p>“It is very true that dual-eligible beneficiaries have higher spending levels than other Medicare beneficiaries, but the implication of our work is that the gap in spending levels between dual eligible beneficiaries and other beneficiaries is not increasing over time,” Keohane said. “If anything, in the last couple of years that gap has decreased a little bit.</p>&#13; &#13; <p>‘So, yes, dual-eligible beneficiaries are a very high cost population, but in terms of understanding the sustainability of future spending for this population, it is at least somewhat reassuring that they are spending growth rates are similar or even lower than other Medicare beneficiaries.”</p>&#13; &#13; <p>Another finding of the study is that when looking at spending growth across all Medicare beneficiaries, one group with the highest average annual spending growth was individuals who use long-term nursing home use. This population had average annual spending growth rates ranging from 1.7 to 4.1 percent depending on age group and Medicaid participation.</p>&#13; &#13; <p>The next step for this line of research is discovering why dual-eligible beneficiaries have lower spending growth in recent years and if that decrease is related to some of the measures that have been put in place to contain cost, such as the shift to value-based payments and efforts to better coordinate care for dual-eligible beneficiaries, Keohane said.</p>&#13; &#13; <p>“To be able to benchmark dual-eligible beneficiaries' spending growths and how spending varies across different sectors and for individuals with different diseases and different demographic characteristics is helpful for being able to better identify areas where we might be able to do more for the dual-eligible population,” Keohane said. “There is better data available than ever about who is participating in Medicaid; lack of data had historically been one of the major challenges trying to research this population.  </p>&#13; &#13; <p>“It's so exciting to see more and more researchers making use of that data. 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