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 2
... prospective payment system for medicare . That system is estimated to save about $ 12 billion over the next 3 years . In fact , it is based on a system very similar to the diagnostic related group system which we have been using success ...
... prospective payment system for medicare . That system is estimated to save about $ 12 billion over the next 3 years . In fact , it is based on a system very similar to the diagnostic related group system which we have been using success ...
Page 6
... payment system was how to assure predictability for e Government and also ... prospective ayment system . If you look at this chart , ( see chart A , p ... prospective payment stem , as well as looking at alternatives to high cost ...
... payment system was how to assure predictability for e Government and also ... prospective ayment system . If you look at this chart , ( see chart A , p ... prospective payment stem , as well as looking at alternatives to high cost ...
Page 13
... prospective payment proposal came from what we learned from New experience . 5 , New Jersey began setting payment rates for Blue Cross and Medicaid . owing year , the Department of Health signed a contract with Medicare to ent with ...
... prospective payment proposal came from what we learned from New experience . 5 , New Jersey began setting payment rates for Blue Cross and Medicaid . owing year , the Department of Health signed a contract with Medicare to ent with ...
Page 14
... prospective payment , when coupled with the enactment of the Na- al Commission on Social Security's recommendations , dramatically improves the rt term financial situation of the Hospital Insurance ( HI ) Trust Fund . Neverthe- , it ...
... prospective payment , when coupled with the enactment of the Na- al Commission on Social Security's recommendations , dramatically improves the rt term financial situation of the Hospital Insurance ( HI ) Trust Fund . Neverthe- , it ...
Page 17
... prospective payment legislation proposed by the administration does not mandate a system which would necessarily generate this level of vings . Instead , the level of the prospective payment rates is left to the discretion of the ...
... prospective payment legislation proposed by the administration does not mandate a system which would necessarily generate this level of vings . Instead , the level of the prospective payment rates is left to the discretion of the ...
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Common terms and phrases
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...