Medicare private fee-for-service (PFFS) plans are paid like other Medicare Advantage (MA) plans but are exempt from many MA requirements. Recently, Congress set average payments well above the costs of traditional fee-for-service (FFS) Medicare, inducing dramatic increases in PFFS plan enrollment. This has significant implications for Medicare's budget, provoking calls for policy change. We pre...

This paper examines the impact of coverage on demand for health insurance in the Medicare Advantage (MA) insurance market. Estimating the effects of coverage on demand poses a challenge for researchers who must consider both the hundreds of benefits that affect out-of-pocket costs (OOPC) to consumers, but also the endogeneity of coverage. These problems are addressed in a discrete choice demand...

Abstract: There exist problems of small samples and heteroscedastic noise in design time forecasts. To solve them, a kernel-based regression with Gaussian distribution weights (GDW-KR) is proposed here. GDW-KR maintains a Gaussian distribution over weight vectors for the regression. It is applied to seek the least informative distribution from those that keep the target value within the confide...

In this paper, the performance of [different] units of Water and Sewage Company in Isfahan Province was evaluated using Data Envelopment Analysis (DEA). The purpose of this study was to provide a clear picture of the relative performance of Decision-Making Units (DMUs) in 2018. The advantage of using the DEA model over parametric models is to measure the performance of units using specific weig...

the classical test theory (ctt) and item response theory (irt) are widely used in construction and analysis of exams and questionnaires. because of the various shortcomings of ctt, irt has been designed. even though irt has overcome most of the limitations of ctt and has made computer adaptive testing possible, it is still important to point out that not enough reasons exist to totally discard ...

By March 2015, 30% of all Medicare beneficiaries were enrolled in Medicare Advantage (MA) plans. Research to date has not explored the impacts of MA market penetration on individual or population health outcomes. The primary objective of this study is to examine the relationships between MA market penetration and the beneficiary's portfolio of cardiometabolic diagnoses. This study uses 2004 to ...

The Medicare Modernization Act of 2003 explicitly increased Medicare payments to private Medicare Advantage (MA) plans. As a result, MA plans have, for the past six years, been paid more for their enrollees than they would be expected to cost in traditional fee-for-service Medicare. Payments to MA plans in 2009 are projected to be 13 percent greater than the corresponding costs in traditional M...