A Call for Action: Supplement to the Final ReportU.S. Government Printing Office, 1990 - 241 pages |
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Page 11
... limited in their capacity to finance long - term care . Eligibility for Medicare is limited to people who are unable to leave their homes ( homebound ) and who require skilled or professional service . Most people who need long - term ...
... limited in their capacity to finance long - term care . Eligibility for Medicare is limited to people who are unable to leave their homes ( homebound ) and who require skilled or professional service . Most people who need long - term ...
Page 15
... limited home care benefits to relieve the burdens on family caregivers . Benefits would be expanded over the next four years , until full coverage is reached . Nursing home coverage would begin in year two . Payment rates would be ...
... limited home care benefits to relieve the burdens on family caregivers . Benefits would be expanded over the next four years , until full coverage is reached . Nursing home coverage would begin in year two . Payment rates would be ...
Page 32
... limited the numbers of Medicaid patients they will serve , largely because Medicaid's reimbursement rates are so low . For physician services , Medicaid rates are consist- ently well below those paid by Medicare or by pri- vate insurers ...
... limited the numbers of Medicaid patients they will serve , largely because Medicaid's reimbursement rates are so low . For physician services , Medicaid rates are consist- ently well below those paid by Medicare or by pri- vate insurers ...
Page 33
... limited , and reimbursement levels often lower . For example , the Illinois general assistance program paid hospitals a flat $ 500 per ad- mission in 1983 , at a time when the state's Medicaid program was paying an average of $ 274 per ...
... limited , and reimbursement levels often lower . For example , the Illinois general assistance program paid hospitals a flat $ 500 per ad- mission in 1983 , at a time when the state's Medicaid program was paying an average of $ 274 per ...
Page 36
... limited in scope . 50 Federal programs established in the 1960s and 1970s have faced steadily declining resources throughout the 1980s . State and local programs simi- larly face resource constraints . The main federal efforts are grant ...
... limited in scope . 50 Federal programs established in the 1960s and 1970s have faced steadily declining resources throughout the 1980s . State and local programs simi- larly face resource constraints . The main federal efforts are grant ...
Common terms and phrases
20 percent access to health adequate Alzheimer's disease Americans ance areas assets average beneficiaries billion caregivers Commission believes Commission recommends Commission's recommendations Congress cost containment cost sharing covered Current Population Survey deductible delivery EARL DOTTER elderly eligible ensure estimates expenditures federal government financing firms groups health benefits health care costs health care coverage health care spending health care system health services hospital income increase individuals induced demand Jay Rockefeller job-based Lewin/ICF liability limited long-term care insurance low-income malpractice mandate Medicaid Medicaid program Medicare Medigap ment national health nursing home stays option patients payment payroll Pepper Commission persons physicians population poverty premiums private insurance problem proposal protection public plan public program purchase rates reform revenues risk severely disabled sickness funds small businesses small employers SOURCE Statutory subsidies tion U.S. Congress uninsured universal health care Washington West German workers
Popular passages
Page 43 - First, the private interest that will be affected by the official action; second, the risk of an erroneous deprivation of such interest through the procedures used, and the probable value, if any, of additional or substitute procedural safeguards; and finally, the Government's interest, including the function involved and the fiscal and administrative burdens that the additional or substitute procedural requirement would entail.
Page 151 - An attention to health then, should take place of every other object. The time necessary to secure this by active exercises, should be devoted to it, in preference to every other pursuit. I know the difficulty with which a studious man tears himself from his studies, at any given moment of the day. But his happiness, and that of his family, depend on it. The most uninformed mind with a healthy body, is happier than the wisest valetudinarian.
Page 39 - It is a structured, comprehensive program that provides a variety of health, social, and related support services in a protective setting during any part of a day but less than 24-hour care.
Page 8 - Feb. 1990). GAO addressed the following four elements viewed essential to a comprehensive national strategy: (1) national practice guidelines and standards of care; (2) enhanced data to support quality assurance activities; (3) improved approaches to quality assessment and assurance at the local level; and (4) a national focus for developing, implementing, and monitoring a national system.
Page 298 - OTA estimated that for every low birthweight birth averted by earlier or more frequent prenatal care, the US health care system saves between $14,000 and $30,000 in newborn hospitalization, rehospitalization in the first year, and long-term health care costs associated with low birthweight (see table 1-2).
Page 85 - ... savings achieved elsewhere in the federal budget, the Commission is committed to raising whatever additional revenues are necessary. B. In considering what revenue options to adopt, the Commission recommends that the choice be guided by the following three criteria: 1. The final tax package ought to be progressive, requiring a higher contribution from those most able to bear increased tax burdens. That is, families with higher incomes would be asked to contribute a greater share of their incomes...
Page 77 - ... move aggressively to contain costs and mitigate human suffering by funding a research and development program aimed at preventing, delaying and dealing with long-term illnesses and disabilities. This effort should include research on outcome measures and national practice guidelines in long-term care. That effort should move toward a funding level of $1 billion annually and should do the following: * Explore how to reduce "the risk for certain physical and mental disorders (eg, Alzheimer's disease,...
Page 101 - Perhaps even the medical profession, disenchanted with the private corporations and the competitive market will some day be leading the campaign for a publicly financed alternative." • The bureaucracy is ready. Conclusions It remains to be seen how much of a dent the United States Bipartisan Commission on Comprehensive Health Care will make in solving this massive problem. Perhaps, more correctly...
Page 68 - All but the poorest should contribute to the costs of their care. Building a Long-Term Care System Based on these principles, the Commission recommends developing an integrated public program that would meet the diverse needs of severely disabled people and support private insurance for those seeking broader protection. The blueprint has nine parts. 1. The Commission recommends social insurance for home and community-based care and for the first three months of nursing home care, for all Americans,...
Page 38 - ... should hold hearings on the malpractice issue. The Prospective Payment Assessment Commission and the Physician Payment Review Commission will be directed to review costs under the new program. The cost containment commission described below will convene experts, providers, lawyers and consumers to study and conduct demonstration projects related to medical malpractice reform in order to make recommendations to Congress on actions to be taken on the federal level . Cost Containment Initiatives...