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Economic Costs of Diabetes in the U.S. in 2002

March 2003

American Diabetes Association

For the American Diabetes Association, The Lewin Group conducted a study on the national cost of diabetes. We estimated that diabetes cost the nation approximately $132 billion in 2002, with direct medical expenditures totaling $91.2 billion and indirect expenditures (resulting from lost work days, restricted activity days, mortality and permanent disability) totaling $39.8 billion.

Client Area: Associations
Expertise Area: Chronic Disease / Cost of Illness


Reducing Pharmacy Fraud, Abuse and Waste: Promising Practices of States

February 2003

National Governors Association

Drawing upon our expertise in the effective management of Medicaid's prescription drug benefit, the Center for Best Practices at the National Governors Association commissioned an Issue Brief from The Lewin group entitled "Reducing Pharmacy Fraud, Abuse and Waste: Promising Practices of States." This Issue Brief identifies several tools states may utilize to prevent pharmacy fraud, abuse and waste. By utilizing these tools, states may save money without imposing reductions in the pharmacy benefit itself and without impairing access to prescription drugs by Medicaid beneficiaries.

Client Area: Associations
Expertise Area: Medicaid and CHIP


Analysis of Medicaid Reimbursement in Oregon

February 2003

Oregon Association of Hospitals and Health Systems

The Oregon Association of Hospitals and Health Systems asked The Lewin Group to focus on four areas related to the Oregon Health Plan (OHP) Medicaid program and provider reimbursement. The areas were: An analysis of Medicaid provider payments compared to actual provider costs Comparisons to other states' Medicaid programs and to Medicare The impact of proposed budget reductions The effect of Medicaid payment rates on access to care. This report describes Oregon's Medicaid reimbursement system and analyzes Oregon and national health expenditure data related to reimbursement issues. It presents discussions of the various findings and conclusions.

Client Area: Associations
Expertise Area: Medicaid and CHIP


Update to Payer-Specific Financial Analysis of Nursing Facilities

January 2003

American Health Care Association

This study updates an earlier report by The Lewin Group released in March 2002. This study update provides the impact of Medicare and Medicaid payment shortfalls on nursing facilities in 2003 and 2004.

Client Area: Associations
Expertise Area: Aging and Disability


Drivers of Health Care Costs Associated with Physician Services

October 2002

Blue Cross Blue Shield Association

The Blue Cross Blue Shield Association (BCBSA) commissioned The Lewin Group to identify, discuss and analyze variables that "drive" physican healthcare costs. This study is one of several research efforts associated with BCBSA's national Healthcare Cost Campaign.

Client Area: Associations


Study of Health Care Outpatient Cost Drivers

October 2002

Blue Cross Blue Shield Association

The Blue Cross Blue Shield Association (BCBSA) commissioned The Lewin Group to identify, analyze and discuss variables that "drive" healthcare costs in outpatient settings. This study is one of several research efforts associated with BCBSA's national Healthcare Cost Campaign.

Client Area: Associations


The Clinical Review Process Conducted by Group Purchasing Organizations (GPOs) and Their Partners

September 2002

Health Industry Group Purchasing Association

On behalf of the Health Industry Group Purchasing Association, The Lewin Group conducted a survey to determine the extent to which group purchasing organizations (GPOs) and health systems employ clinical review processes to inform technology decision-making. HIGPA's central question to Lewin was whether these clinical review processes support timely adoption and evidence-based, cost-effective use of health care technology.

Client Area: Associations


Ensuring Blood Safety and Availability in the U.S.: Technological Advances, Costs, and Challenges to Payment

September 2002

Advanced Medical Technology Association (AdvaMed)
Lewin contact: Clifford Goodman

The Lewin Group was commissioned by The Advanced Medical Technology Association (AdvaMed) to examine certain key aspects of the U.S. blood collection and distribution processes. In particular, this study examined the role of technological improvements in ensuring blood safety and the ability of the third-party reimbursement system to capture and account for increased costs of blood products and related services.

Client Area: Associations
Expertise Area: Evidence-Based Medicine / HTA


Impact of Financial Uncertainty on Capital Formation for the Nursing Facility Industry

August 2002

American Health Care Association; Alliance for Quality Nursing Home Care

This study builds on an earlier analysis prepared by The Lewin Group that assessed the implications of the expiration of Medicare add-ons for nursing facility margins. It examines the magnitude and implications of reduced Medicare revenue on the industry's ability to generate and access capital in the future.

Client Area: Associations
Expertise Area: Medicare


A Study of the Workforce in Emergency Medicine: 1999

July 2002

American College of Emergency Physicians (ACEP)
Lewin contact: Paul Hogan

This study, commissioned by the American College of Emergency Physicians,  provides estimates of the total number of physicians practicing clinical emergency medicine during a specified period, describes certain characteristics of those individuals, and estimates the total number of full-time equivalents (FTEs), as well as the total number of individuals needed to staff those FTEs. The study appears in the July 2002 issue of the Annals of Emergency Medicine.

Client Area: Associations
Expertise Area: Health Professionals Workforce

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