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 5
... incentive to manage the care better . We believe that the payment of hospitals through a prospectively determined rate is a better method . Clearly , we have learned much from our 7 or 8 years of work here in New Jersey with the New ...
... incentive to manage the care better . We believe that the payment of hospitals through a prospectively determined rate is a better method . Clearly , we have learned much from our 7 or 8 years of work here in New Jersey with the New ...
Page 6
... incentive to hospital management for flexibility , for innovation , and for more efficient use of hospital resources . And also , most importantly , we are going to continue to assure the beneficiary will have access to appropriate care ...
... incentive to hospital management for flexibility , for innovation , and for more efficient use of hospital resources . And also , most importantly , we are going to continue to assure the beneficiary will have access to appropriate care ...
Page 9
... incentives for all sectors of the market . And we believe that the hospitals , the physicians , the con- sumer , the ... incentive could be to have the beneficiary work with the physician . And perhaps ask the doctor if it is possible to ...
... incentives for all sectors of the market . And we believe that the hospitals , the physicians , the con- sumer , the ... incentive could be to have the beneficiary work with the physician . And perhaps ask the doctor if it is possible to ...
Page 10
... incentive up front to those who perhaps are less ill and could leave the hospital a day sooner . The second proposal we have is to expand our authority to deal with a voluntary voucher system for our medicare patients to give our ...
... incentive up front to those who perhaps are less ill and could leave the hospital a day sooner . The second proposal we have is to expand our authority to deal with a voluntary voucher system for our medicare patients to give our ...
Page 13
... incentive to control both routine and ancillary costs and a standard by which to measure themselves . As a result , many hospitals have actively under- taken formal programs to identify and eliminate unnecessary costs in specific de ...
... incentive to control both routine and ancillary costs and a standard by which to measure themselves . As a result , many hospitals have actively under- taken formal programs to identify and eliminate unnecessary costs in specific de ...
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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...