In Poor Health, the Federal Commitment to Vulnerable Americans: Hearing Before the Select Committee on Aging, House of Representatives, One Hundred First Congress, Second Session, March 5, 1990, Volume 4

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U.S. Government Printing Office, 1990 - 124 pages

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Page 106 - Preventive services including prenatal care, well-child care, mammograms, pap smears, colorectal and prostate cancer screening procedures and other preventive services that evidence shows are effective relative to cost. * Early, periodic, screening, diagnosis and treatment services (EPSDT) are included for children in the public program.
Page 4 - School, those 85 and older have a three-fold greater risk of losing their independence, seven times the chance of entering a nursing home and two-and-a-half times the risk of dying compared to persons 65 to 74 years of age.
Page 27 - LOUIS W. SULLIVAN, MD, SECRETARY OF HEALTH AND HUMAN SERVICES Secretary SULLIVAN.
Page 109 - Measures to promote efficiency in provider payment would include: * Cost-sharing in the minimum benefit package that makes consumers sensitive to price. * Insurance reform that leads insurers to compete around efficient service delivery, rather than competing for "good" risks. * Extending "managed care" to small employers and including "managed care" as a means to provide the minimum benefit package in private insurance and the public plan.
Page 111 - If 80% of uninsured employees of firms with fewer than 25 workers (as of Year 1) are not insured through their employers, along with their dependents, all employers of this size are required to provide coverage or contribute toward the cost of coverage in the public plan.
Page 111 - If 80% of uninsured employees of firms with 25-100 workers (as of Year 1) are not insured through their employers, along with their dependents, all employers of this size are required to provide private insurance coverage or contribute toward the cost of their coverage in the public plan. If coverage target is met, the Secretary of Health and Human Services is required to recommend to Congress ways to cover those still left out.
Page 6 - Medicaid benefits to all pregnant women and children up to age 6 with family incomes up to 133 percent of the Federal poverty level. (See box 16-B for a summary of OBRA-89 and OBRA-90...
Page 115 - Financing 1. The federal government is responsible for the home and community-based care program and the three-month "front-end" nursing home care program. 2. The federal and state governments share the financial responsibility for the NHP. Administration 1. The federal government contracts with...
Page 50 - It is a classic case of the left hand not knowing what the right hand is doing.
Page 116 - The federal government encourages the development of private long-term care insurance through clarification of the tax code. This includes: * Treating, for tax purposes, the premiums paid and the benefits received as health insurance. * Enabling qualified long-term care policies to be sold in . employers

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