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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Page 6
... depressed and as a result are unable to help themselves ; have hearing or sight problems ; suffer from more secondary medical conditions which have to be treated along with the reason for the current hospitalization ; and receive more 6.
... depressed and as a result are unable to help themselves ; have hearing or sight problems ; suffer from more secondary medical conditions which have to be treated along with the reason for the current hospitalization ; and receive more 6.
Page 7
... problems which have been associated with the implementation of the new utilization review regulations . Our purpose today is to indicate to you the extreme administrative difficulties we have experienced in the implementation of these ...
... problems which have been associated with the implementation of the new utilization review regulations . Our purpose today is to indicate to you the extreme administrative difficulties we have experienced in the implementation of these ...
Page 8
... problems . Regrettably , the development of utilization review regulations and the methods for their implementation have been chaotic . Theregula- tions have been characterized by unrealistic time demands that HEW has imposed on itself ...
... problems . Regrettably , the development of utilization review regulations and the methods for their implementation have been chaotic . Theregula- tions have been characterized by unrealistic time demands that HEW has imposed on itself ...
Page 9
... problems related to the new utilization review regulations . My statement will provide a broad overview of each of these issues and will be supplemented by individual statements from each of the five other organizations . Preliminary ...
... problems related to the new utilization review regulations . My statement will provide a broad overview of each of these issues and will be supplemented by individual statements from each of the five other organizations . Preliminary ...
Page 10
... problems ; suffer from more secondary medical conditions which have to be treated along with the reason for the ... problems of the aged continue to require more personal care than do the health problems of younger patients . The second ...
... problems ; suffer from more secondary medical conditions which have to be treated along with the reason for the ... problems of the aged continue to require more personal care than do the health problems of younger patients . The second ...
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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...