Medicare Policy

Medicare Policy is a body of federal regulations and administrative determinations established by the Centers for Medicare & Medicaid Services that establish eligibility criteria, benefit coverage standards, reimbursement mechanisms, and service delivery requirements governing the provision of health care services to Medicare beneficiaries.

Publications

155.4K

Citations

6.2K

Authors

1.4K

Institutions

Publications per year

2017–2026

764

Parents

Health Policy

Children

Access PolicyDual Eligibility PolicyLong-term Care CoverageMedicare Abuse PreventionMedicare AdvantageMedicare AppealsMedicare Benefit DesignMedicare EligibilityMedicare EnrollmentMedicare Financing

Publications

Rehospitalizations among Patients in the Medicare Fee-for-Service Program

Stephen F. Jencks, Mark V. Williams, Eric A. Coleman · New England Journal of Medicine · 2009 · 5.2K citations

Public Affairs, Health Services Administration, Internal Medicine +12

A statistical model for the analysis of ordinal level dependent variables

Richard D. McKelvey, William Zavoina · Journal of Mathematical Sociology · 1975 · 2.6K citations

Social Sciences, Health Policy, Econometrics +16

Prevalence, Expenditures, and Complications of Multiple Chronic Conditions in the Elderly

Jennifer L. Wolff, Bárbara Starfield, Gerard F. Anderson · Archives of Internal Medicine · 2002 · 2.3K citations

Education, Geriatric Medicine, Geriatric Care +14

The Implications of Regional Variations in Medicare Spending. Part 1: The Content, Quality, and Accessibility of Care

Elliott S. Fisher, David E. Wennberg, Thérèse A. Stukel et al. · Annals of Internal Medicine · 2003 · 1.5K citations

Public Affairs, Internal Medicine, Health Services Research +15

The Medicare Payment Advisory Commission.

Curreri Pw · PubMed · 1998 · 1.2K citations

Public Affairs, Health Policy, Health Services Administration +12

1–5 of 3K

Authors

6.2K

JP
Joseph P. Newhouse
Harvard University, United States
36 publications · 2.9K citations
28
h-index
JM
J. Michael McWilliams
Harvard University, United States
33 publications · 2.8K citations
25
h-index
VM
Vincent Mor
Brown University, United States
40 publications · 2.1K citations
24
h-index
DC
David C. Grabowski
Harvard University, United States
32 publications · 1.9K citations
23
h-index
AN
Amal N. Trivedi
Brown University, United States
30 publications · 1.4K citations
22
h-index

1–5 of 6.2K

Institutions

1.4K

1–8 of 1.4K

Venues

Health Affairs
340 publications · 18.4K citations
68
h-index
New England Journal of Medicine
NEJM · 185 publications · 23.3K citations
63
h-index
PubMed
Repository · 418 publications · 16.1K citations
58
h-index
JAMA
104 publications · 9.7K citations
46
h-index
Medical Care
113 publications · 5.3K citations
40
h-index

1–5

See also Medicare Policy
Coverage Standards	Necessary Standard Authorization
Payment Systems	Payment Systems Inpatient Prospective Payment System Hospital Outpatient Prospective Payment Medicare Physician Fee Schedule Medicare Severity Diagnosis-related Groups New Technology Add-on Payment Resource-based Relative Value Scale Fee-for-service Payment Bundled Payment Models Capitation Arrangements Accountable Care Organizations Merit-based Incentive Payment System
Eligibility Rules	Age Eligibility Criteria Disability Insurance Eligibility Medication Therapy Management
Administrative Requirements	Revenue Cycle Management Medical Coding Claims Submission Compliance Auditing Patient Eligibility Verification Denial Management Medical Necessity Documentation
Delivery Models	Medicare Advantage Care Coordination Fee-for-service Payment Value-based Care Accountable Care Organizations Patient-centered Medical Home