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
Results 6-10 of 18
Page 67
... agencies , said members are complaining that too many patients are being sent home before they are ready and one result has been an in- crease in relapses and readmissions to the hospitals . The agency has asked its members to provide ...
... agencies , said members are complaining that too many patients are being sent home before they are ready and one result has been an in- crease in relapses and readmissions to the hospitals . The agency has asked its members to provide ...
Page 100
... agencies which need to have computer capabilities . The volume of data received necessitates computer capability at the intermediary and payer level . They must have the ability to collect , verify and correct data sub- missions . They ...
... agencies which need to have computer capabilities . The volume of data received necessitates computer capability at the intermediary and payer level . They must have the ability to collect , verify and correct data sub- missions . They ...
Page 102
... agencies . Hospitals must learn to use DRGs to manage clinically , operationally and financially in the most efficient manner . The importance and dire necessity of thorough education of a hospital's medical staff cannot be over ...
... agencies . Hospitals must learn to use DRGs to manage clinically , operationally and financially in the most efficient manner . The importance and dire necessity of thorough education of a hospital's medical staff cannot be over ...
Page 103
... agencies and individuals concerned about DRGs and Medicare . The level of knowledge ranged from some familiarity to total ignorance of even simple data requirements . B. MONITORING The second issue is the importance of monitoring ...
... agencies and individuals concerned about DRGs and Medicare . The level of knowledge ranged from some familiarity to total ignorance of even simple data requirements . B. MONITORING The second issue is the importance of monitoring ...
Page 112
... agencies li- censed by New Jersey and certified to be medicare providers . They do have a long list of services which they give to patients in their home under the medicare program . They are also the only home health providers used by ...
... agencies li- censed by New Jersey and certified to be medicare providers . They do have a long list of services which they give to patients in their home under the medicare program . They are also the only home health providers used by ...
Other editions - View all
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...