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 1
... coverage to 30 million Ameri- cans . It is projected to spend about $ 60 billion in the coming year . In fact , medicare in 1983 will spend more in any given month than it did in the entire first year of its operation , 1966 . But we ...
... coverage to 30 million Ameri- cans . It is projected to spend about $ 60 billion in the coming year . In fact , medicare in 1983 will spend more in any given month than it did in the entire first year of its operation , 1966 . But we ...
Page 2
... coverage . One of the sections of the 1983 Social Security Amendments which I supported was title VI , the prospective payment system for medicare . That system is estimated to save about $ 12 billion over the next 3 years . In fact ...
... coverage . One of the sections of the 1983 Social Security Amendments which I supported was title VI , the prospective payment system for medicare . That system is estimated to save about $ 12 billion over the next 3 years . In fact ...
Page 9
... coverage for the elderly . And in doing that , we are proposing to eliminate the existing limits on the cov- ered hospital days . Currently we cover 90 days in each spell of ill- ness . The first 60 days are free and then from day 61 to ...
... coverage for the elderly . And in doing that , we are proposing to eliminate the existing limits on the cov- ered hospital days . Currently we cover 90 days in each spell of ill- ness . The first 60 days are free and then from day 61 to ...
Page 10
... coverage . Each plan would have to guarantee that as a minimum they would pay the same benefits as are currently provided under medi- care's parts A and B , and the individual would have an annual op- portunity to either change plans or ...
... coverage . Each plan would have to guarantee that as a minimum they would pay the same benefits as are currently provided under medi- care's parts A and B , and the individual would have an annual op- portunity to either change plans or ...
Page 12
... covered by the premium by approximately 2.5 per- centage points each year until it reached 35 percent . And we would then hold at that particular level . We also ... coverage . And it is important also to continue to stimulate competition 12.
... covered by the premium by approximately 2.5 per- centage points each year until it reached 35 percent . And we would then hold at that particular level . We also ... coverage . And it is important also to continue to stimulate competition 12.
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Common terms and phrases
AARP accept assignment acute Administration Association average benefits bills budget chronic clients coinsurance Congress copayments cost containment County coverage DAVIS deductible demonstration Department of Health disabled discharge doctors DRG hospitals DRG system durable medical equipment elderly evaluation expenditures Federal fees fiscal HCFA Health and Human health care costs Health Care Financing health insurance health services home care home health agencies hospital costs Hospital Insurance Human Services implementation incentives income increase inflation JACK RAFFERTY Jersey KEISERMAN legislation length of stay 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 out-of-pocket costs payers percent physicians premium preventive problems proposal prospective payment system prospective reimbursement reduce reform revenues RINALDO savings senior citizens skilled nursing SMITH Social Security Somers
Popular passages
Page 28 - ... (1) part-time or intermittent nursing care provided by or under the supervision of a registered professional nurse...
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 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 82 - If, however, payment of costs, whatever they turn out to be, is virtually guaranteed (and Medicare, under present regulations, is practically openended in that respect), where are the financial incentives for cost control, difficult enough in any case, to come from? If this form of payment applied only to Medicare's 30 percent...
Page 29 - Federal funding became available for the costs of case management, homemaker, home health aide, personal care, adult day health, habilitation, respite care, and other services requested by the State and approved by the Secretary (46 FR 48532). Combining this "services...
Page 33 - Modification of the Texas System of Care for the Elderly: Alternatives to the Institutional Aged...