Medicare: Current Issues and Background
Medicare is an American health insurance programme for the aged and certain disabled persons. Over its nearly 35-year history, it has provided important protections for millions of Americans. However, the programme is facing a number of problems. One concern is that Medicare's financing mechanisms will cease to function in the long run. Many are also concerned that the programmes structure, which in large measure reflects both the health care delivery system as well as political considerations in effect at the time of enactment, has failed to keep pace with the changes in the health care system as a whole. This book examines the major problems that have been plaguing Medicare for years, as well as the possible solutions to them.
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MEDICARES DURABLE MEDICAL EQUIPMENT AND PROSTHETICS AND ORTHOTICS BENEFIT
MEDICARES END STAGE RENAL DISEASE PROGRAM
MEDICARES SKILLED NURSING FACILITY BENEFIT
MEDICARE SECONDARY PAYER PROGRAM
MEDICARE REIMBURSEMENT POLICIES
MEDICARE+CHOICE USING COMPETITIVE BIDDING TO DETERMINE PAYMENTS
annual average BBRA benchmark BIPA capita coinsurance competitive bidding composite rate Congress contract coordinated care plans cost-sharing counties coverage CPAC demonstration dialysis facilities dialysis services dialyzing at home durable medical equipment eligible End Stage Renal enrollees enrollment ESRD patients federal fee schedule fee-for-service plan HCFA health insurance health maintenance organizations health plans HMOs home dialysis home hemodialysis hospital hospital-based facilities immunosuppressive drugs increase independent facilities inpatient limit M+C payments M+C plans M+C program Madeleine Smith managed care Medicaid Medicare beneficiaries Medicare managed Medicare payments Medicare program Medicare's Medicare+Choice payment Medicare+Choice plans Medicare+Choice program Medigap OBRA option outpatient participation payment amounts payment area payment rates percent period prevalence PFFS plan physicians PIP-DCG premium support prescription drug proposed Provider/Service providers Recent Update reduced Reimbursement Policy reimbursement rate risk adjustment Stage Renal Disease Sterling traditional Medicare transplant Update Policy