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 15
... care statute to permit payments on a risk basis to HMOs and other competitive medical plans . This year we propose to expand this provision . The optional voucher provision would build on current law by allowing Medicare beneficiaries ...
... care statute to permit payments on a risk basis to HMOs and other competitive medical plans . This year we propose to expand this provision . The optional voucher provision would build on current law by allowing Medicare beneficiaries ...
Page 16
... health care costs . As a result , the initial beneficiary liability for medical services has decreased in real terms over time , shifting most of these costs to taxpayers in general . In addition to these major Medicare proposals , our ...
... health care costs . As a result , the initial beneficiary liability for medical services has decreased in real terms over time , shifting most of these costs to taxpayers in general . In addition to these major Medicare proposals , our ...
Page 20
... health care financing , all countries are facing dilemmas about how to bring down their health care costs . For example , France last year in an effort to try to balance their budget , instituted a copayment system because there was a ...
... health care financing , all countries are facing dilemmas about how to bring down their health care costs . For example , France last year in an effort to try to balance their budget , instituted a copayment system because there was a ...
Page 22
... care of the social security problem for another 100 years . It only lasted 5 ... health competition such as the administration has suggested ? Dr. Davis ... Health Care Financing Adminis- tration study physician reimbursement with an eye ...
... care of the social security problem for another 100 years . It only lasted 5 ... health competition such as the administration has suggested ? Dr. Davis ... Health Care Financing Adminis- tration study physician reimbursement with an eye ...
Page 24
... health care system . By enabling Medicare beneficiaries to make an informed choice among physicians in the community ... Health , Committee on Ways and Means . CLAUDE PEPPER , Chairman , Subcommittee on Health and Long - Term Care ...
... health care system . By enabling Medicare beneficiaries to make an informed choice among physicians in the community ... Health , Committee on Ways and Means . CLAUDE PEPPER , Chairman , Subcommittee on Health and Long - Term Care ...
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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...