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
... cuts in medi- care will spell greater suffering for millions of Americans . I also do not think we can simply increase the payroll tax to close the funding gap . Financing this enormous amount by the pay- roll tax alone would require an ...
... cuts in medi- care will spell greater suffering for millions of Americans . I also do not think we can simply increase the payroll tax to close the funding gap . Financing this enormous amount by the pay- roll tax alone would require an ...
Page 21
... cuts or reduction in benefits or by a combination of reduction in benefits and other revenues ? And , if so , what revenues ? Dr. DAVIS . I think it is premature to make a final determination about what the change in behavior would ...
... cuts or reduction in benefits or by a combination of reduction in benefits and other revenues ? And , if so , what revenues ? Dr. DAVIS . I think it is premature to make a final determination about what the change in behavior would ...
Page 26
... cut down on the number of days in the hospital . We think that is significant . Clearly , we will continue to look at ways where we can make coverage decisions that would enhance our ability to pay for the beneficiary's care wherever it ...
... cut down on the number of days in the hospital . We think that is significant . Clearly , we will continue to look at ways where we can make coverage decisions that would enhance our ability to pay for the beneficiary's care wherever it ...
Page 65
... cuts of over $ 1.8 billion in medi- care for fiscal year 1984. Almost all of these cuts will mean in- creased costs to medicare patients . Under the guise of catastrophic coverage , the administration proposes requiring medicare ...
... cuts of over $ 1.8 billion in medi- care for fiscal year 1984. Almost all of these cuts will mean in- creased costs to medicare patients . Under the guise of catastrophic coverage , the administration proposes requiring medicare ...
Page 66
... cuts proposed in fiscal year 1984 will not change this focus , and will only exascerbate the problems older women face in gaining access to affordable health care . Mr. RINALDO . Thank you very much . Mr. Keiserman , you brought up the ...
... cuts proposed in fiscal year 1984 will not change this focus , and will only exascerbate the problems older women face in gaining access to affordable health care . Mr. RINALDO . Thank you very much . Mr. Keiserman , you brought up the ...
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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...