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 22
... reasonable fee for service . And I am putting together a small study group now of physicians to help advise us . As you well know in the new legislation that Congress just passed , there is a request that the Health Care Financing ...
... reasonable fee for service . And I am putting together a small study group now of physicians to help advise us . As you well know in the new legislation that Congress just passed , there is a request that the Health Care Financing ...
Page 23
... assignment . As you know , when a physician agrees to take Medicare assign- ment , he or she agrees to accept the Medicare reasonable charge as payment in full and agrees not to charge the beneficiary any additional amounts 23.
... assignment . As you know , when a physician agrees to take Medicare assign- ment , he or she agrees to accept the Medicare reasonable charge as payment in full and agrees not to charge the beneficiary any additional amounts 23.
Page 37
... reasonable . Some of their fees are unconscionable . Doctors should voluntarily accept the medicare assignments and if they are unwilling , then a law should be passed to order them to accept the assignments . In this regard , the ...
... reasonable . Some of their fees are unconscionable . Doctors should voluntarily accept the medicare assignments and if they are unwilling , then a law should be passed to order them to accept the assignments . In this regard , the ...
Page 65
... reasonable charges . And , finally , many health needs are not covered by medicare , and most significantly by women . These are things like at home prescriptions , hearing aids , dental and eye care , and long - term custodial care ...
... reasonable charges . And , finally , many health needs are not covered by medicare , and most significantly by women . These are things like at home prescriptions , hearing aids , dental and eye care , and long - term custodial care ...
Page 71
... reasonable cost , is the Federal Government . It cannot be done on a local basis . And by just raising rates constantly to meet cost increases without looking toward making this whole program more efficient , and rendering better health ...
... reasonable cost , is the Federal Government . It cannot be done on a local basis . And by just raising rates constantly to meet cost increases without looking toward making this whole program more efficient , and rendering better health ...
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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...