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 9
... charged the coinsurance on more than 60 hospital days a year . The deductible could not be charged more than twice in 1 year's time . And if I may use an example , under the current law , if an indi- vidual was severely ill , and was ...
... charged the coinsurance on more than 60 hospital days a year . The deductible could not be charged more than twice in 1 year's time . And if I may use an example , under the current law , if an indi- vidual was severely ill , and was ...
Page 23
... charged of FOI requestors . Regions II and III have granted waivers . Costs for retrieval of the requested data from ... charge as payment in full and agrees not to charge the beneficiary any additional amounts 23.
... charged of FOI requestors . Regions II and III have granted waivers . Costs for retrieval of the requested data from ... charge as payment in full and agrees not to charge the beneficiary any additional amounts 23.
Page 24
... charge the beneficiary any additional amounts above the statu- tory 20 percent coninsurance . The problem is that ... charges . In order to better inform beneficiaries , a number of organizations have attempted to assemble directories ...
... charge the beneficiary any additional amounts above the statu- tory 20 percent coninsurance . The problem is that ... charges . In order to better inform beneficiaries , a number of organizations have attempted to assemble directories ...
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 ...
Page 29
... charges of the home health agency for the services . HOME HEALTH CARE UNDER MEDICAID Mandatory Services . - The Medicaid State agency must ensure that home health services are provided to all individuals entitled to skilled nursing ...
... charges of the home health agency for the services . HOME HEALTH CARE UNDER MEDICAID Mandatory Services . - The Medicaid State agency must ensure that home health services are provided to all individuals entitled to skilled nursing ...
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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 Council 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 reasonable charge reduce reform revenues RINALDO savings senior citizens skilled nursing SMITH Social Security Somers
Popular passages
Page 204 - The most critical issues, however, relate to the Medicare program. Both the Hospital Insurance Trust Fund and the Supplementary Medical Insurance Trust Fund show alarming financial results.
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 - ... (C) in the case of post-hospital extended care services, such services are or were required to be given because the individual needs or needed 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...