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 44
... ACUTE - CARE HOSPITALS The experience in New Jersey has demonstrated that a program that was initially optional rapidly gained Statewide acceptance and is now in force in all acute - care hospitals in the State . It may be found that ...
... ACUTE - CARE HOSPITALS The experience in New Jersey has demonstrated that a program that was initially optional rapidly gained Statewide acceptance and is now in force in all acute - care hospitals in the State . It may be found that ...
Page 45
... acute - care and certain other facilities , means should be in- cluded in regulations on Medicare to prevent abuse of the system where long - term hospital confinement is not absolutely necessary . Perhaps the fairest way is by con ...
... acute - care and certain other facilities , means should be in- cluded in regulations on Medicare to prevent abuse of the system where long - term hospital confinement is not absolutely necessary . Perhaps the fairest way is by con ...
Page 47
... acute care general hospitals and all classes of payers , is based on the use of Diagnosis Related Groups ( DRGs ) . In essence , a DRG is a homogeneous grouping of patients who , in the opinion of physicians , require roughly equivalent ...
... acute care general hospitals and all classes of payers , is based on the use of Diagnosis Related Groups ( DRGs ) . In essence , a DRG is a homogeneous grouping of patients who , in the opinion of physicians , require roughly equivalent ...
Page 61
... acute care general hospitals and classes of payers . With this in mind , the evaluation effort focused on two related questions . First , from a political standpoint , how did this rather sweeping policy innovation come about ? And ...
... acute care general hospitals and classes of payers . With this in mind , the evaluation effort focused on two related questions . First , from a political standpoint , how did this rather sweeping policy innovation come about ? And ...
Page 65
... care for older women . The health care system , including medicare , is based on an acute medical model with cure rather than care as its central focus . To the extent that older women need care for their prevalent 65.
... care for older women . The health care system , including medicare , is based on an acute medical model with cure rather than care as its central focus . To the extent that older women need care for their prevalent 65.
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Common terms and phrases
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...