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 |
From inside the book
Page 9
... patients , we would save $ 1 billion a year . I think many of us are familiar with occasions when that one day could have been saved , although perhaps not in all cases . We are proposing that the cost sharing in the early days in the ...
... patients , we would save $ 1 billion a year . I think many of us are familiar with occasions when that one day could have been saved , although perhaps not in all cases . We are proposing that the cost sharing in the early days in the ...
Page 10
... patients and gives the incentive up front to those who perhaps are less ill and could leave the hospital a day sooner . The second proposal we have is to expand our authority to deal with a voluntary voucher system for our medicare patients ...
... patients and gives the incentive up front to those who perhaps are less ill and could leave the hospital a day sooner . The second proposal we have is to expand our authority to deal with a voluntary voucher system for our medicare patients ...
Page 12
... patients , the providers , and the third - party payers . We are trying to effectively change behavior of all three groups and to enhance the cost awareness of all of them . We want to improve the structural financing of the medicare ...
... patients , the providers , and the third - party payers . We are trying to effectively change behavior of all three groups and to enhance the cost awareness of all of them . We want to improve the structural financing of the medicare ...
Page 13
... patient case tax . In 1978 , the New Jersey legislative enacted a bill which established the framework for adopting a ... patients . Preliminary results from our study of New Jersey indicate that the state's pro- gram has had a positive ...
... patient case tax . In 1978 , the New Jersey legislative enacted a bill which established the framework for adopting a ... patients . Preliminary results from our study of New Jersey indicate that the state's pro- gram has had a positive ...
Page 15
... patients . Less severely ill patients , and their physicians , are given little incentive to keep their hospital stays as short as possible because patient cost - sharing , other than paying the deductible , does not begin until the ...
... patients . Less severely ill patients , and their physicians , are given little incentive to keep their hospital stays as short as possible because patient cost - sharing , other than paying the deductible , does not begin until the ...
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AARP accept assignment acute Administration Association average benefits bills budget chronic clients coinsurance CONGRESS THE LIBRARY copayments cost containment County 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 health agencies hospital costs Hospital Insurance Human Services implementation incentives income increase inflation Jersey KEISERMAN legislation LIBRARY OF CONGRESS 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 reduce reform revenues RINALDO savings senior citizens skilled nursing SMITH Social Security Somers spell of illness
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...