Selected Issues in Medicare Program Policy: Hearing Before the Subcommittee on Health of the Committee on Ways and Means, House of Representatives, Ninety-fourth Congress, First Session ... June 12, 1975U.S. Government Printing Office, 1975 - 500 pages |
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Results 1-5 of 100
Page 1
... changes in the program must be an evaluation of the likely effects on the availability , quality and cost of services furnished to beneficiaries . The Subcommittee wants to be sure that the interest of the beneficiaries is not lost ...
... changes in the program must be an evaluation of the likely effects on the availability , quality and cost of services furnished to beneficiaries . The Subcommittee wants to be sure that the interest of the beneficiaries is not lost ...
Page 2
... changes in the composition of the medicare population , the increasing number of special care beds and other changes in medicare cost alloca- tion methods . In the case of cost limits on routine service costs , the Department has stated ...
... changes in the composition of the medicare population , the increasing number of special care beds and other changes in medicare cost alloca- tion methods . In the case of cost limits on routine service costs , the Department has stated ...
Page 9
... changes to regulations related to Sections 223 and 224 of P.L. 92-603 , and implementation problems related to the new utilization review regulations . My statement will provide a broad overview of each of these issues and will be ...
... changes to regulations related to Sections 223 and 224 of P.L. 92-603 , and implementation problems related to the new utilization review regulations . My statement will provide a broad overview of each of these issues and will be ...
Page 11
... changes in Medicare cost apportionment requirements somehow eliminate the need for the nursing salary cost differential . To the contrary , the 1972 changes in cost appor- tionment - which require separate calculation of routine care ...
... changes in Medicare cost apportionment requirements somehow eliminate the need for the nursing salary cost differential . To the contrary , the 1972 changes in cost appor- tionment - which require separate calculation of routine care ...
Page 20
... changes in the payment mechanism to prevent similar future confrontations between the Medicare program and health providers . LIMITS ON HOSPITAL INPATIENT GENERAL ROUTINE SERVICE COSTS REDUCTION FROM 90TH TO 80TH PERCENTILE On May 30 ...
... changes in the payment mechanism to prevent similar future confrontations between the Medicare program and health providers . LIMITS ON HOSPITAL INPATIENT GENERAL ROUTINE SERVICE COSTS REDUCTION FROM 90TH TO 80TH PERCENTILE On May 30 ...
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Other editions - View all
Common terms and phrases
80th percentile admission amendments American Hospital Association April 17 areas basis beds Chairman Chicago Clearinghouse Community Hospital concurrent review Congress criteria D.C. DEAR DAN ROSTENKOWSKI decision Department of Health determination economic index effective elderly elimination factors Federal Register fiscal health care hearing Hospital Association Illinois implementation increase inpatient general routine inpatient routine nursing institutions June June 12 legislation length of stay limits on hospital Medicaid medical necessity medical staff Medicare and Medicaid Medicare beneficiaries Medicare law Medicare patients Medicare program Medicare reimbursement ment non-Medicare patients November 29 nursing differential nursing salary cost Osteopathic Hospital patient day payment physicians prevailing charge problems proposed regulations PSRO reduce result ROSTENKOWSKI routine nursing salary routine service costs rural hospitals salary cost differential schedule of limits Secretary WEINBERGER Section 223 SMSA Social Security Act Social Security Administration special care units statement studies tion Title XVIII utilization review regulations Washington
Popular passages
Page 161 - legal interest" test goes to the merits. The question of standing is different. It concerns, apart from the "case" or "controversy" test, the question whether the interest sought to be protected by the complainant is arguably within the zone of interests to be protected or regulated by the statute or constitutional guarantee in question.
Page 186 - Nothing in this title shall be construed to authorize any Federal officer or employee to exercise any supervision or control over the practice of medicine or the manner in which medical services are provided...
Page 431 - ... did not know and could not reasonably have been expected to know that the act ordered was unlawful.
Page 426 - evidence" to mean "substantial evidence," Washington, V. & M. Coach Co. v. Labor Board, 301 US 142, and we said that "[substantial evidence is more than a mere scintilla. It means such relevant evidence as a reasonable mind might accept as adequate to support a conclusion.
Page 150 - ... provide such safeguards as may be necessary to assure that eligibility for care and services under the plan will be determined, and such care and services will be provided, in a manner consistent with simplicity of administration and the best interests of the recipients...
Page 153 - ... at the end of each contract year so as to assure that such organization is paid for the reasonable cost actually incurred (excluding therefrom any part of incurred cost found to be unnecessary in the efficient delivery of health services...
Page 163 - ... ripe" for judicial resolution. Without undertaking to survey the intricacies of the ripeness doctrine it is fair to say that its basic rationale is to prevent the courts, through avoidance of premature adjudication, from entangling themselves in abstract disagreements over administrative policies, and also to protect the agencies from judicial interference until an administrative decision has been formalized and its effects felt in a concrete way by the challenging parties.
Page 188 - ... could, consistent with the provision of appropriate medical care, be effectively provided on an outpatient basis or more economically in an inpatient health care facility of a different type.
Page 64 - Womer. chairman of the Council of Teaching Hospitals of the Association of American Medical Colleges, and director of Yale-New Haven Hospital.
Page 423 - ... (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...