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 6
... reimbursement reform , such as the prospective payment stem , as well as looking at alternatives to high cost hospital care . If one looks at the 25 - year projection period from 1982 through 007 on the next chart ( see chart B , p . 8 ) ...
... reimbursement reform , such as the prospective payment stem , as well as looking at alternatives to high cost hospital care . If one looks at the 25 - year projection period from 1982 through 007 on the next chart ( see chart B , p . 8 ) ...
Page 12
... reimbursement and coverage changes and pro- vide for catastrophic coverage . An perso guar for n more abilit An and most trust and t [ TH I an of the als . As Admi law . I the si went Jerse In The f exper legisl prosp to con istrat ...
... reimbursement and coverage changes and pro- vide for catastrophic coverage . An perso guar for n more abilit An and most trust and t [ TH I an of the als . As Admi law . I the si went Jerse In The f exper legisl prosp to con istrat ...
Page 13
... reimbursement of all payors . The Health Care Financing Admin- n granted New Jersey authority to waive Medicare's cost reimbursement les and establish prospective rates . Jersey's payment rates are based on diagnosis related groups ...
... reimbursement of all payors . The Health Care Financing Admin- n granted New Jersey authority to waive Medicare's cost reimbursement les and establish prospective rates . Jersey's payment rates are based on diagnosis related groups ...
Page 14
... reimbursement for one year , increases the medicare Part B premium , and indexing the Part B deductible to the Medi- e economic index . I will now discuss each of these proposals in some detail . RE A n propo consci pense need Un spell ...
... reimbursement for one year , increases the medicare Part B premium , and indexing the Part B deductible to the Medi- e economic index . I will now discuss each of these proposals in some detail . RE A n propo consci pense need Un spell ...
Page 15
... REIMBURSEMENT FOR 1 YEAR edicare physician expenditures , the second largest component of Medicare ading , have been increasing at highly inflationary rates . In 1982 , they increased percent and are expected to rise 19 percent in 1983 ...
... REIMBURSEMENT FOR 1 YEAR edicare physician expenditures , the second largest component of Medicare ading , have been increasing at highly inflationary rates . In 1982 , they increased percent and are expected to rise 19 percent in 1983 ...
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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...