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News about Health Services Research

News items 4 weeks and older are available on the News Archive Web page.

  • New Studies Confirm A Surge In Coal Miners' Disease - (National Public Radio (NPR) USA)  - 25-MAY-2018    Details

    More coal miners in central Appalachia have suffered the advanced stages of the deadly disease black lung than previous government research has found, and more miners working in the region today have earlier stages of the disease.

  • Reporting of Indian Health Service Coverage in the American Community Survey (May 2018) images/pdf.gif icon - (U.S. Census Bureau U.S.)  - 25-MAY-2018    Details

    Our study evaluates the quality of IHS coverage reporting among AIANs in the American Community Survey (ACS), by asking three main research questions - first, how accurate are ACS estimates of the total number of AIANs with IHS coverage; second, what is the extent of misreporting of IHS coverage in the ACS; and third, what characteristics are associated with this misreporting.

  • Library of Patient-Centered Outcomes Research Resources - (Agency for Healthcare Research and Quality (AHRQ), HHS)  - 25-MAY-2018    Details

    AHRQ is seeking feedback by June 11 from researchers, clinicians, policymakers, consumers, and others on its comprehensive Web-based Library of Patient-Centered Outcomes Research (PCOR) resources. Feedback will be used to assess and potentially revise the layout, design, and content of the library of resources.

  • Health, Well-Being, and Education in an Urban School District - (RAND Corporation USA)  - 24-MAY-2018    Details

    This report presents findings from the initial phase of a study to examine whether and how rebuilding and renovating of Baltimore City Public Schools buildings affects students, school staff, school conditions, and the surrounding community.

  • Medicaid Work Requirements in Arkansas - (Urban Institute (UI))  - 24-MAY-2018    Details

    On June 1, 2018, Arkansas will be the first state to begin implementing work requirements in its Medicaid program. This report assesses the size and composition of Medicaid enrollees in Arkansas who could be affected by the program's new work and community engagement requirements.

  • Establishing Effective Patient Navigation Programs in Oncology: Proceedings of a Workshop - (National Academies of Science, Engineering, and Medicine (NASEM))  - 24-MAY-2018    Details

    Proceedings of a November 2017 workshop which provided an overview of patient navigation, explored current models of patient navigation programs, identified lessons learned from implementation of patient navigation programs as well as gaps in the evidence base, and explored policy challenges and opportunities to improve patient navigation for patients with cancer.

  • Behavioral Health Integration and Workforce Development (May 2018) images/pdf.gif icon - (Milbank Memorial Fund)  - 23-MAY-2018    Details

    Brief uses case studies to illustrate the need for behavioral health integration and workforce development, with the intention of assisting state policymakers such as legislators and executive branch staff who are responsible for BHI policy in their states.

  • Evaluation of the Comprehensive Primary Care Initiative: Fourth Annual Report - (Mathematica Policy Research, Inc.)  - 23-MAY-2018    Details

    This is the fourth and final report evaluating the four-year Comprehensive Primary Care (CPC) initiative, which was launched by CMS' Center for Medicare & Medicaid Innovation to improve primary care delivery, health care quality, and patient experience, and lower costs. This fourth and final report to CMS covers the full CPC intervention period (October 2012 through December 2016).

  • Moving Forward Together: An Update on Building and Measuring a Culture of Health - (Robert Wood Johnson Foundation (RWJF))  - 22-MAY-2018    Details

    To chart and measure the nation's progress to improve population health, well-being, and equity, in 2015 RWJF developed an Action Framework (report titled From Vision to Action) of four areas that individuals and organizations can use to recognize opportunities to realize the vision of a Culture of Health-locally and nationally. This 2018 update reflects work the Foundation has done to understand how those 41 measures (refined now to 35) in four action areas are, and can be, used by diverse constituents.

  • The Effect of Workforce Assignment on Performance: Evidence from Home Health Care - (University of Pennsylvania, Leonard Davis Institute of Health Economics (LDI) US)  - 22-MAY-2018    Details

    In this study of more than 43,000 home health episodes following a hospitalization, handoffs between skilled nursing providers-a marker of discontinuity of care-substantially increased hospital readmissions, and were more detrimental for sicker patients.

  • Marketplace Pulse: Bright Spots - (Robert Wood Johnson Foundation (RWJF))  - 22-MAY-2018    Details

    Brief highlights one standout state participating in the federally-facilitated ACA marketplace from each region, based on a combination of enrollment, affordability, and carrier participation.

  • 2018 Health Equity Research Snapshot - (Association of American Medical Colleges (AAMC))  - 22-MAY-2018    Details

    The 2018 Health Equity Research Snapshot highlights seven videos that feature innovative community-partnered research projects at CDC Prevention Research Centers housed within AAMC member medical schools with preventive medicine residency programs.

  • Medicare: CMS Should Take Actions to Continue Prior Authorization Efforts to Reduce Spending - (U.S. Government Accountability Office (GAO) USA)  - 21-MAY-2018    Details

    GAO was asked to examine CMS's prior authorization programs. GAO examined 1) the changes in expenditures and the potential savings for items and services subject to prior authorization demonstrations, 2) reported benefits and challenges of prior authorization, and 3) CMS's monitoring of the programs and plans for future prior authorization.

  • 2018 NIMHD #HealthEquityChat Twitter Chat - (Office of Minority Health (OMH), HHS)  - 21-MAY-2018    Details

    On April 18, 2018, @NIMHD hosted a chat to discuss partnering for health equity in observance of National Minority Health Month. The chat was co-hosted by @MinorityHealth and @FDAOMH. Here are highlights of some of what was discussed.

  • Uninsured Rate Rises in 17 States in 2017 - (Gallup)  - 21-MAY-2018    Details

    The uninsured rate rose by statistically significant margins in 17 states in 2017, the first time since the full implementation of the major mechanisms of the Affordable Care Act (ACA) in 2014 that any state had a rate increase.

  • The Case for Health Literacy - Moving from Equality to Liberation - (National Academy of Medicine (NAM))  - 21-MAY-2018    Details

    Commentary states that promoting health literacy across all who interact with the health care system will improve care, provide a better experience for both doctors and patients, and may even lead to an overall reduction in health care costs.

  • Legal and Policy Best Practices in Response to the Substance Abuse Crisis (March 2018) images/pdf.gif icon - (Indiana University USA)  - 18-MAY-2018    Details

    Report analyzes select law and policy areas identified as promising interventions to combat the substance abuse crisis in Indiana. The report identifies general or medium-term law and policy issues, a list of specific findings that may be appropriate for more immediate action, and a suggestion of topics requiring further research.

  • Illicit Opioids: Office of National Drug Control Policy and Other Agencies Need to Better Assess Strategic Efforts - (U.S. Government Accountability Office (GAO) USA)  - 18-MAY-2018    Details

    As the Congress is currently considering a bill to reauthorize the Office of National Drug Control Policy, GAO was asked to discuss (1) federal agencies' specific opioid-related strategies and the extent to which each agency is measuring its performance, and (2) federal agencies efforts to enhance collaboration and information sharing to limit the availability of illicit opioids, ongoing challenges to doing this, and ONDCP's role in enhancing such collaboration.

  • CMS Sends Clear Message to Plans: Stop Hiding Information from Patients - (Centers for Medicare & Medicaid Services (CMS), HHS)  - 18-MAY-2018    Details

    CMS recently sent a letter to companies that provide Medicare prescription drug coverage in Part D explaining that so-called "gag clauses" are unacceptable, as part of the Administration-wide "American Patients First" initiative to lower prescription drug costs.

  • America's Health Rankings Senior Report 2018 images/pdf.gif icon - (United Health Foundation)  - 18-MAY-2018    Details

    Using 34 measures of senior health, report highlights successes and challenges this population faces on a national and state-by-state basis. This year's report highlights two supplemental measures - the suicide rate among seniors as well as a new measure to identify locations where seniors are at higher risk of social isolation.

  • The State of Senior Hunger in America 2016 (May 2018) images/pdf.gif icon - (Feeding America)  - 18-MAY-2018    Details

    Report provides a broad overview of the extent and distribution of food insecurity among seniors in the United States in 2016, along with trends over the past decade and a half using national and state-level data from the December Supplements to the Current Population Survey (CPS).

  • State of Health Equity (SHE) at CDC Forum - (Centers for Disease Control and Prevention (CDC), HHS)  - 18-MAY-2018    Details

    Since 2012 CDC has held an annual State of Health Equity (SHE) at CDC Forum. This internal forum brings together health equity experts and senior leaders from across the agency to discuss efforts to achieve health equity. The most recent forum looked at healthy child development through the lens of health equity.

  • NLM to Discontinue PubMed Health on October 31 - (National Library of Medicine (NLM), NIH USA)  - 17-MAY-2018    Details

    The National Library of Medicine has decided to discontinue PubMed Health effective October 31, 2018, as the majority of information it provides is available in more heavily used NLM resources, such as PubMed, Bookshelf, and MedlinePlus.

  • Tell me a Story: How Patient Narrative Can Improve Health Care - (Robert Wood Johnson Foundation (RWJF))  - 17-MAY-2018    Details

    This report assesses the UK's Care Opinion initiative, an online platform that facilitates the collection and use of patient feedback to drive culture change and improvements in health care delivery, and shares recommendations for how U.S. health systems can incorporate some of the model's unique attributes into their own efforts to elicit and act upon patient feedback.

  • Individual Insurance Market Performance in 2017 - (Kaiser Family Foundation (KFF) USA)  - 17-MAY-2018    Details

    A new issue brief examines annual financial data from 2017 to determine if recent premium increases were sufficient to bring insurer performance back to pre-2014 levels.

  • Natural Family Planning as a Means of Preventing Pregnancy - (Kaiser Family Foundation (KFF) USA)  - 15-MAY-2018    Details

    This fact sheet provides an overview of Fertility Awareness Methods and their efficacy, reviews some of the new apps and natural family planning models, and discusses limitations as well as associated costs and insurance coverage of these methods.

  • Providing Access to Mental Health Services for Children In Rural Areas - (Centers for Disease Control and Prevention (CDC), HHS)  - 15-MAY-2018    Details

    Policy brief identifies the barriers to providing mental health services to children in rural areas, outlines policy options, and provides case studies of successful programs, including Project ECHO and school-based health centers.

  • The new City Health Dashboard is here! - (New York University)  - 15-MAY-2018    Details

    The updated one-stop resource features data on 36 neighborhood- and city-specific measures of health and the factors that shape health, now for the 500 largest U.S. cities or those with a population of about 66,000 and above.

  • Medical Records: Fees and Challenges Associated with Patients' Access - (U.S. Government Accountability Office (GAO) USA)  - 14-MAY-2018    Details

    The 21st Century Cures Act included a provision for GAO to study patient access to medical records. Among other things, this report describes (1) what is known about the fees for accessing patients' medical records and (2) challenges identified by patients and providers when patients request access to their medical records.

  • Opioid Misuse and Addiction Resources in Multiple Languages - (National Library of Medicine (NLM), NIH USA)  - 14-MAY-2018    Details

    In response to the current opioid crisis, the National Library of Medicine partnered with Healthy Roads Media to produce a collection of materials that teach people about opioids and opioid misuse. The collection has 22 easy-to-read handouts, videos, and audio recordings in English and Spanish.

  • The Healthy America Program: Building on the Best of Medicare and the Affordable Care Act - (Urban Institute (UI))  - 14-MAY-2018    Details

    Paper presents a set of policy ideas that would provide universal access to comprehensive coverage but would also allow people to keep their employer-sponsored coverage, would offer a range of insurer options and ensure broad pooling of health care risk, would not have an employer mandate, would provide income-related federal assistance, and would create a more flexible individual incentive to remain insured than that under the ACA.

  • CMS Rural Health Strategy images/pdf.gif icon - (Centers for Medicare & Medicaid Services (CMS), HHS)  - 14-MAY-2018    Details

    CMS's strategy regarding specific health care provider issues in rural areas.

  • H.R. 3832, Veterans Opioid Abuse Prevention Act - (Congressional Budget Office (CBO) USA)  - 14-MAY-2018    Details

    H.R. 3832 would require medical providers at the VA who prescribe controlled substances to veterans to seek information regarding those veterans from state programs that monitor prescription drug use. As a result, CBO estimates that implementing the bill would cost less than $500,000 over the 2019-2023 period, primarily to prepare the necessary regulations.

  • PCORI's LGBT Health Portfolio Works to Address Major Disparities - (Patient-Centered Outcomes Research Institute (PCORI) USA)  - 14-MAY-2018    Details

    PCORI's mandate includes funding research that addresses healthcare disparities in underserved populations, a categorization that includes LGBT individuals. To date, PCORI has funded eight clinical comparative effectiveness research studies related to LGBT health, an investment of $26 million. While the studies address very different health concerns, they share goals of reducing disparities and improving health outcomes for the LGBT community.

  • VA Expands Telehealth by Allowing Health Care Providers to Treat Patients Across State Lines - (U.S. Department of Veterans Affairs (VA))  - 11-MAY-2018    Details

    Today the U.S. Department of Veterans Affairs (VA) announced a new federal rule that will allow VA doctors, nurses and other health-care providers to administer care to Veterans using telehealth, or virtual technology, regardless of where in the United States the provider or Veteran is located, including when care will occur across state lines or outside a VA facility.

  • Opportunities for Improving Programs and Services for Children with Disabilities - (National Academies of Science, Engineering, and Medicine (NASEM))  - 11-MAY-2018    Details

    Report describes the characteristics of effective programs and services available to children with disabilities and their families; identifies gaps and limitations in access to programs and services, quality of programs and services, the availability of data on childhood disability, and the evidence base for programs and services serving children with disabilities and their families.

  • National Prevention Week - (Substance Abuse & Mental Health Services Administration (SAMHSA), HHS)  - 10-MAY-2018    Details

    National Prevention Week is an annual health observance dedicated to increasing public awareness of, and action around, mental and/or substance use disorders.

  • DASH Bright Spot: Partnering with Managed Care Organizations to Share Data for Community Health Improvement - (Data Across Sectors for Health (DASH))  - 09-MAY-2018    Details

    Health departments are increasingly recognizing that managed care organizations (MCOs) can be critical allies in working collaboratively to share key data and understand health outcomes and health care service utilization in their communities. The Allegheny County Health Department is one example of a public health agency that has forged successful partnerships with MCOs in order to work towards shared population health goals.

  • Is Bigger Better? Exploring the Impact of System Membership on Rural Hospitals (May 2018) images/pdf.gif icon - (California HealthCare Foundation (CHCF))  - 09-MAY-2018    Details

    Study explores how system membership impacts the financial performance and transfer patterns of rural hospitals in California. It examines which rural hospitals are in systems, the extent to which rural hospitals receive direct subsidies or other financial benefits from their system, and whether joining a system increases or decreases the likelihood of a rural hospital remaining open.

  • CMS Rural Health Strategy - (Centers for Medicare & Medicaid Services (CMS), HHS)  - 08-MAY-2018    Details

    CMS has launched the agency's first Rural Health Strategy to help improve access to high quality, affordable healthcare in rural communities. The strategy is intended to provide a proactive and strategic focus on healthcare issues across rural America to ensure the nearly one in five individuals who live in these areas have access to care that meets their needs.

  • Request for Information: Administrative Streamlining and Burden Reduction - (Health Resources and Services Administration (HRSA), HHS)  - 07-MAY-2018    Details

    HRSA is actively working to reduce public and stakeholder burden in complying with administrative and reporting requirements and is seeking public input on changes that it could make, consistent with current law, that would result in a more streamlined, flexible, and less burdensome compliance and reporting structure, while maintaining appropriate program oversight.

  • The National Evaluation of the MFP Demonstration: Health Care Expenditures Two Years Post-Transition - (National Association of States United on Aging and Disabilities (NASUAD) USA)  - 04-MAY-2018    Details

    Report studies changes in the second year after individuals transitioned out of institutional care into community settings. Participants in the Money Follows the Person (MFP) program had higher costs during the first twelve months than non-MFP participants who also transitioned to community-based care. However, this study showed that these costs became comparable after the first year of transition.

  • Summary of Responses from a Request for Information: People with Disabilities and Opioid Use Disorder - (Administration for Community Living (ACL), HHS USA)  - 04-MAY-2018    Details

    NIDILRR issued a request for information about people with disabilities and opioid use disorder, which yielded comments from 50 respondents, including consumers, community and national organizations, research teams, and federal partners. These responses provided information about what is known and what are the most pressing research questions for the disability and rehabilitation research finds.

  • Draft Research Plan for Lung Cancer: Screening - (U.S. Preventive Services Task Force (USPSTF))  - 04-MAY-2018    Details

    The USPSTF is requesting public comment on their draft research plan for lung cancer screening. The comment period closes May 30, 2018 at 8:00 PM EST.

  • National Arthritis Awareness Month - May 2018 - (Morbidity and Mortality Weekly Report (MMWR))  - 03-MAY-2018    Details

    May is National Arthritis Awareness Month. In the United States, 54 million adults have some form of doctor-diagnosed arthritis, a number projected to increase to 78 million by 2040. Approximately two thirds of adults with arthritis have overweight or obesity, and only 36% meet the recommended aerobic physical activity guidelines.

  • Complex Care Innovation in Action Series - (Center for Health Care Strategies (CHCS) USA)  - 03-MAY-2018    Details

    Series of briefs spotlights pioneering health care organizations within a diverse range of delivery system, payment, and geographic environments that are enhancing care for individuals with complex needs.

  • Preventing Suicide In Rural America - (Centers for Disease Control and Prevention (CDC), HHS)  - 03-MAY-2018    Details

    Policy brief outlines effective policies and strategies to prevent suicide in rural areas, including improving access to mental health services, reducing stigma, increasing connectedness, and working with communities to reduce risk.

  • Medical Office Survey on Patient Safety Culture (April 2018) images/pdf.gif icon - (Agency for Healthcare Research and Quality (AHRQ), HHS)  - 03-MAY-2018    Details

    This report presents statistics (averages, standard deviations, minimum and maximum scores, and percentiles) on the patient safety culture composites and items from the Surveys on Patient Safety Culture (SOPS) Medical Office Survey.

  • Cigna U.S. Loneliness Index (2018) - 03-MAY-2018    Details

    Cigna conducted an online survey of more than 20,000 U.S. adults 18 years and older using the UCLA Loneliness Scale to further examine loneliness in America and found that most Americans are considered lonely.

  • Short-Term Plans Could Bring Long-Term Risks to California's Individual Market - (California HealthCare Foundation (CHCF))  - 02-MAY-2018    Details

    Report provides an overview of short-term plans and the current market for these plans in California. It explains how changes to federal policy around short-term plans might affect California's individual health insurance market and describes policies that various states are pursuing in response to these changes.

  • Learning Resources Database Redesign - (National Library of Medicine (NLM), NIH USA)  - 02-MAY-2018    Details

    On April 18, 2018, the National Library of Medicine (NLM) released a new design and improved functionality for the Learning Resources Database. This database makes it easy to find educational resources for NLM products and services by allowing users to search multiple areas of the library through one search interface.

  • NIH announces national enrollment date for All of Us Research Program to advance precision medicine - (National Institutes of Health (NIH), HHS)  - 01-MAY-2018    Details

    On May 6, the National Institutes of Health will open national enrollment for the All of Us Research Program (link is external), a momentous effort to advance individualized prevention, treatment and care for people of all backgrounds. The official launch date will be marked by community events (link is external) in seven cities across the country as well as an online event.

  • Needs of Male Sexual Assault Victims in the U.S. Armed Forces - (RAND Corporation USA)  - 01-MAY-2018    Details

    Brief addresses the characteristics of sexual assaults against men in the civilian and military populations, the needs of those victims, and what changes need to be provided by the Department of Defense to better address the needs of male sexual assault victims.

  • Community Development Can Improve Resident Health - (RAND Corporation USA)  - 01-MAY-2018    Details

    Research brief describes the findings of the Pittsburgh Hill/Homewood Research on Neighborhoods and Health (PHRESH) project, a unique study following residents and their changing environments in two similar, predominantly African-American, low-income neighborhoods in Pittsburgh, Pennsylvania.

  • Older Americans Month 2018 - (Administration on Aging (AoA), ACL, HHS (AOA) USA)  - 01-MAY-2018    Details

    Every May, the Administration on Aging, part of the Administration for Community Living, leads our nation's observance of Older American's Month. The 2018 theme, Engage at Every Age, emphasizes that you are never too old (or young) to take part in activities that can enrich your physical, mental, and emotional well-being.

  • Download the Mobile App - (  - 30-APR-2018    Details

    Now users can easily search for federal grant opportunities on their Apple or Android devices and setup different notifications-for new grants that meet a saved search criteria or changes to grants they are interested in.

  • CMS Drives Patient-Centered Care over Paperwork in Proposals to Modernize Medicare and Reduce Burden - (Centers for Medicare & Medicaid Services (CMS), HHS)  - 30-APR-2018    Details

    CMS just proposed transformative changes to the payment systems for services furnished by a range of medical facilities. The agency's proposed payment rules also set out to continue to modernize Medicare through innovation in skilled nursing facility payment to drive value, advance meaningful quality measure reporting, and reduce paperwork and administrative costs.

  • CMS Encourages Eligible Suppliers to Participate in Expanded Medicare Diabetes Prevention Program Model - (Centers for Medicare & Medicaid Services (CMS), HHS)  - 30-APR-2018    Details

    In April, CMS expanded the Medicare Diabetes Prevention Program (MDPP), a national performance-based payment model offering a new approach to type 2 diabetes prevention in eligible Medicare beneficiaries with an indication of pre-diabetes. For the first time, both traditional healthcare providers and community-based organizations can enroll as Medicare suppliers of health behavior change services.

  • 2017 Profile of Older Americans (April 2018) images/pdf.gif icon - (Administration for Community Living (ACL), HHS USA)  - 30-APR-2018    Details

    An annual summary of the latest statistics on the older population compiled primarily from U.S. Census data, including population, income and poverty, living arrangements, education, health, and caregiving.

  • Patterns of Opioid Prescribing in Minnesota: 2012 and 2015 - (Mathematica Policy Research, Inc.)  - 27-APR-2018    Details

    This issue brief focuses on opioid prescription patterns among Minnesotans with private or public insurance coverage in 2012 and 2015, exploring opioid prescription trends by payer, patients' diagnoses preceding a prescription opioid fill, number of prescribers, and patients' geographic location.

  • Delivering community benefit: Healthy food playbook - 26-APR-2018    Details

    The "Delivering community benefit: Healthy food playbook" is a suite of resources to support hospital community benefit professionals and community partners in developing community health interventions that promote healthy food access and healthier food environments. (Health Care Without Harm)

  • Evaluation of Healthy Fit: A Community Health Worker Model to Address Hispanic Health Disparities - (Centers for Disease Control and Prevention (CDC), HHS)  - 26-APR-2018    Details

    Healthy Fit uses community health workers to extend public health department infrastructure and address Hispanic health disparities related to cardiovascular disease and access to preventive health services. Study evaluated the effectiveness of Healthy Fit in 1) reaching Hispanic Americans facing health disparities, and 2) helping participants access preventive health services and make behavior changes to improve heart health.

  • The 2017 Access to Care Index - (Colorado Health Institute)  - 26-APR-2018    Details

    The Colorado Health Institute's third biennial Access to Care Index measures health insurance coverage, access to care, preventive services, prescription drug costs, and other factors to determine whether Coloradans can obtain the care they need - a crucial component for a lifetime of good health.

  • Drug Overdose Deaths in Appalachia - (Appalachian Regional Commission (ARC) USA, University of Chicago, Walsh Center for Rural Health Analysis)  - 25-APR-2018    Details

    Tool to allow users to map overdose hotspots and overlay them with data that provide additional context to opioid addiction and death - including the strength and diversity of local economies, ethnicity, educational attainment, and disability status of residents.

  • CMS Innovation Center: Model Implementation and Center Performance - (U.S. Government Accountability Office (GAO) USA)  - 25-APR-2018    Details

    In this report, GAO: (1) describes the status of payment and delivery models implemented and the resources used; (2) describes the CMS Innovation Center's use of model evaluations; and (3) examines the center's assessment of its own performance.

  • Improving Health Professional Education and Practice Through Technology: Proceedings of a Workshop - (National Academies of Science, Engineering, and Medicine (NASEM))  - 25-APR-2018    Details

    Summary of a public workshop to explore gaps within education and across the continuum of health professional education to practice. The discussions looked at current and future technologies that could bridge the identified gaps in order to optimize health and education system performance and access in high-, middle-, and low-income regions.

  • Data Filters in PMC and PubMed - (National Library of Medicine (NLM), NIH USA)  - 25-APR-2018    Details

    Looking for journal articles with associated data sets? New search filters in in PubMed Central (PMC) and PubMed aim to increase the discoverability of articles and citations with associated data information.

  • The Modernizing Medicare Plan Finder Report - (National Council on Aging (NCOA))  - 25-APR-2018    Details

    Report includes 11 key and 25 detailed recommendations that NCOA and Clear Choices believe will improve the Medicare Plan Finder and ensure that every beneficiary has access to the information they need to make the best Medicare decision for their situation.