The Future of Medicare--N.J.: Hearing Before the Subcommittee on Human Services of the Select Committee on Aging, House of Representatives, Ninety-eighth Congress, First Session, March 28, 1983, Princeton, N.J.U.S. Government Printing Office, 1983 - 219 pages |
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Page 8
... So the p Part A We a benefi incent And p day ea If w medica I th day co We hospita hospit day , of We the co aries charge deduct And vidual then u much cost of posal , billions of dollars Insura ( billions of dollars ) $ 8.
... So the p Part A We a benefi incent And p day ea If w medica I th day co We hospita hospit day , of We the co aries charge deduct And vidual then u much cost of posal , billions of dollars Insura ( billions of dollars ) $ 8.
Page 9
... charged more than twice in 1 year's time . nd if I may use an example , under the current law , if an indi- al was severely ill , and was hospitalized , let's say for 150 days , 1 under the current law the individual could be liable for ...
... charged more than twice in 1 year's time . nd if I may use an example , under the current law , if an indi- al was severely ill , and was hospitalized , let's say for 150 days , 1 under the current law the individual could be liable for ...
Page 23
... charged of FOI requestors . Regions II and III have granted waivers . -for retrieval of the requested data from our ... charge as payment in full P agrees not to charge the beneficiary any additional amounts above partment of Health and ...
... charged of FOI requestors . Regions II and III have granted waivers . -for retrieval of the requested data from our ... charge as payment in full P agrees not to charge the beneficiary any additional amounts above partment of Health and ...
Page 24
... charge the beneficiary any additional amounts above the statu- 20 percent coninsurance . he problem is that beneficiaries have difficulty determining which physicians in ir communities usually , or even sometimes , accept Medicare ...
... charge the beneficiary any additional amounts above the statu- 20 percent coninsurance . he problem is that beneficiaries have difficulty determining which physicians in ir communities usually , or even sometimes , accept Medicare ...
Page 28
... charged prematurely under a DRG system . However , the evaluation of our New Jersey_experiment provided no evidence ... charge for this service to other payors . ( b ) We do not require extension of this system to all hosptial inpatients ...
... charged prematurely under a DRG system . However , the evaluation of our New Jersey_experiment provided no evidence ... charge for this service to other payors . ( b ) We do not require extension of this system to all hosptial inpatients ...
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AARP accept assignment acute Administration alth Association average benefits bills budget catastrophic chronic clients coinsurance Committee Congress copayments cost containment County coverage deductible Department of Health disabled discharge doctors DRG system durable medical equipment elderly evaluation expenditures Federal fees fiscal Gray Panthers HCFA health care costs health insurance health services home care home health hospital costs Hospital Insurance Human Services incentives income increase inflation Jersey KEISERMAN legislation Livengood long-term major medi Medicaid Medicare and Medicaid Medicare beneficiaries Medicare patients Medicare program ment million Monmouth County National nursing home out-of-pocket payers payment system percent physicians premium preventive private insurance problems proposal prospective payment prospective payment system prospective reimbursement reduce reform revenues RINALDO savings senior citizens skilled nursing SMITH Social Security Somers tion trust fund waiver
Popular passages
Page 29 - ... (A) in the case of home health services (i) such services are or were required because the individual is or was confined to his home (except when receiving items and services referred to in section 1861 (m)( 7) ) and needed skilled nursing care on an intermittent basis, or physical or speech therapy...
Page 173 - ... on a daily basis skilled nursing care (provided directly by or requiring the supervision of skilled nursing personnel) or other skilled rehabilitation services, which as a practical matter can only be provided in a skilled nursing facility on an inpatient basis...
Page 28 - ... (1) part-time or intermittent nursing care provided by or under the supervision of a registered professional nurse...
Page 112 - Long-term home care improves the quality of life because it is more humane. It reinforces and supplements the care provided by family members and friends and maintains the recipient's dignity and independence, qualities that are all too often lost in even the best institutions.
Page 29 - IV-A of the Act for failure to provide early and periodic screening, diagnosis, and treatment of children. (4) Provide for the inclusion of home health services which, as a minimum, shall include nursing services, home health aide services, and medical supplies, equipment and appliances, as specified in paragraph (b) (7) of this section. Under this requirement, home health services must be provided to all categorically needy individuals 21 years of age or over; to all categorically needy individuals...
Page 29 - Physical therapy, occupational therapy, or speech pathology and audiology services, provided by a home health agency or by a facility licensed by the State to provide medical rehabilitation services. (See § 441.15 of this subchapter.) (c) A recipient's place of residence, for home health services, does not include a hospital, skilled nursing faciliHealth Car...
Page 82 - In no other realm of economic life today are payments guaranteed for costs that are neither controlled by competition nor regulated by public authority, and in which no incentive for economy can be discerned.
Page 86 - The splitting of the atom has changed everything, save our mode of thinking and thus we drift toward unparalleled catastrophe.
Page 34 - Zion cooperate to provide a range of health and social services to the frail elderly in the designated catchment area. The project has received waivers to provide certain health-related and social services which are not otherwise provided under Medicare.
Page 34 - ... over. All eligible clients receive a comprehensive medical-social assessment administered by a physician and social worker. The participating counties are responsible for the development of client care plans based on the assessment, case management and contracting for services with local providers. The total number of project participants is 971 with 761 randomly assigned to the experimental group and 210 assigned to the control group. All sites reached full caseload by June 1982. The project...