Medicare: Current Issues and Background

Front Cover
Nova Publishers, 2003 - Business & Economics - 263 pages
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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Contents

MEDICARE STRUCTURAL REFORM BACKGROUND AND OPTIONS
2
MEDICARES DURABLE MEDICAL EQUIPMENT AND PROSTHETICS AND ORTHOTICS BENEFIT
37
MEDICARES END STAGE RENAL DISEASE PROGRAM
45
MEDICARES SKILLED NURSING FACILITY BENEFIT
113
MEDICARE SECONDARY PAYER PROGRAM
119
MEDICARE REIMBURSEMENT POLICIES
127
MEDICARE+CHOICE USING COMPETITIVE BIDDING TO DETERMINE PAYMENTS
159
MEDICARE+CHOICE PRIVATE FEEFORSERVICE PLANS
179
MEDICARE+CHOICE PLANS LEAVING THE PROGRAM
197
MEDICARE+CHOICE PAYMENTS
207
MEDICARE+CHOICE
221
INDEX
259
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