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
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
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
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
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
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
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
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
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
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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