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 13
In 1975 , New Jersey began setting payment rates for Blue Cross and Medicaid . The following year , the Department of Health signed a contract with Medicare to experiment with approaches to measuring patient case tax .
In 1975 , New Jersey began setting payment rates for Blue Cross and Medicaid . The following year , the Department of Health signed a contract with Medicare to experiment with approaches to measuring patient case tax .
Page 28
( a ) The following provides a summary of home health care coverage and demonstration activity under the Medicare and Medicaid programs . HOME HEALTH CARE UNDER MEDICARE Covered Services . - Medicare covers the following services : Part ...
( a ) The following provides a summary of home health care coverage and demonstration activity under the Medicare and Medicaid programs . HOME HEALTH CARE UNDER MEDICARE Covered Services . - Medicare covers the following services : Part ...
Page 29
The Medicaid State agency must ensure that home health services are provided to all individuals entitled to skilled nursing facility services under the State plan . Home health services must include , at a minimum : Nursing services ...
The Medicaid State agency must ensure that home health services are provided to all individuals entitled to skilled nursing facility services under the State plan . Home health services must include , at a minimum : Nursing services ...
Page 30
These projects alter the basic channeling model by adding three program elements under HCFA waivers : expanded Medicare and Medicaid service coverage , authorization to approve reimbursement for services , and limitations on per capita ...
These projects alter the basic channeling model by adding three program elements under HCFA waivers : expanded Medicare and Medicaid service coverage , authorization to approve reimbursement for services , and limitations on per capita ...
Page 31
Status : the project received waivers to permit provision of certain community long - term care services not normally provided under Medicaid in New York . Since the project became operational in 1977 , more than 18,000 people with ...
Status : the project received waivers to permit provision of certain community long - term care services not normally provided under Medicaid in New York . Since the project became operational in 1977 , more than 18,000 people with ...
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accept acute additional Administration agencies alternative American amount annual assignment Association average basis believe beneficiaries benefits bills budget changes charges citizens clients Committee containment continue costs Council coverage covered deductible demonstration Department develop discharge doctors effect elderly evaluation Federal financing health care hearing home health hospital important incentives income increase individual institutional Jersey LIBRARY OF CONGRESS limited long-term look major Medicaid Medicare million nursing home operating organizations patients payment percent period persons physicians premium preventive problems proposal prospective payment question reasonable record reduce reimbursement result RINALDO rise savings senior share SMITH Social Security statement stay term Thank trust fund
Popular passages
Page 202 - 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 26 - ... (1) part-time or intermittent nursing care provided by or under the supervision of a registered professional nurse...
Page 27 - ... (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 171 - ... 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 80 - ... already so apparent that it seems inevitable that it will have to be revised, qualified, or regulated by law before the program is very old. If repayment of costs, whatever they turn out to be, is virtually guaranteed— and Medicare, under present regulations, is openended in that respect— where are the financial incentives for cost control, difficult enough in any case, to come from?
Page 27 - 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 27 - 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 80 - 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 84 - The splitting of the atom has changed everything, save our mode of thinking and thus we drift toward unparalleled catastrophe.
Page 27 - 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...