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 42
... results . The report I refer to that is a summary is by May and Wasser- man and is entitled , " Some Preliminary Results From the New Jersey DRG Evaluation , " and it was issued in December 1982 . This New Jersey study convinces us that ...
... results . The report I refer to that is a summary is by May and Wasser- man and is entitled , " Some Preliminary Results From the New Jersey DRG Evaluation , " and it was issued in December 1982 . This New Jersey study convinces us that ...
Page 43
... results in New Jersey and our own judgment , we call attention to the following necessary features for an acceptable ... result would be a shift of cost overruns to non - Medicare pa- tients and their payers and would thus be unfair to ...
... results in New Jersey and our own judgment , we call attention to the following necessary features for an acceptable ... result would be a shift of cost overruns to non - Medicare pa- tients and their payers and would thus be unfair to ...
Page 44
... results.2 This New Jersey study convinces us that with the proper safeguards and all - payer nation - wide prospective reimbursement system to hospitals will help control rising hospital costs and perhaps even reduce these expenses to ...
... results.2 This New Jersey study convinces us that with the proper safeguards and all - payer nation - wide prospective reimbursement system to hospitals will help control rising hospital costs and perhaps even reduce these expenses to ...
Page 46
... devastating threat of malpractice claims . 3 Janet B. Arterton , Esq . , a partner in the firm of Garrison , Kahn , Crane , and Silbert , located in New Haven , Conn . SOME PRELIMINARY RESULTS FROM THE NEW JERSEY DRG EVALUATION ( 46.
... devastating threat of malpractice claims . 3 Janet B. Arterton , Esq . , a partner in the firm of Garrison , Kahn , Crane , and Silbert , located in New Haven , Conn . SOME PRELIMINARY RESULTS FROM THE NEW JERSEY DRG EVALUATION ( 46.
Page 47
... RESULTS FROM THE NEW JERSEY DRG EVALUATION ( By J. Joel May and Jeffrey Wasserman ) ABSTRACT After providing a brief description of how the DRG reim- bursement program operates in New Jersey , the authors present an overview of the ...
... RESULTS FROM THE NEW JERSEY DRG EVALUATION ( By J. Joel May and Jeffrey Wasserman ) ABSTRACT After providing a brief description of how the DRG reim- bursement program operates in New Jersey , the authors present an overview of the ...
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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...