Medicare Private Contracting: Paternalism Or Autonomy?
American Enterprise Institute for Public Policy Research, May 1, 1998 - Medical - 73 pages
John S. Hoff describes the provisions of Medicare that effectively prohibit Medicare beneficiaries from going outside Medicare and paying their physicians for care when they choose to do so. This issue has assumed new importance and public awareness with the enactment of section 4507 of the Balanced Budget Act of 1997. Mr. Hoff discusses technical issues of Medicare law and policy in the broader context of the personal autonomy of Medicare beneficiaries and the physicians who care for them. He describes the administrative policies that led to section 4507, analyzes the terms and operation of section 4507, and discusses the importance of the issue for Medicare beneficiaries and physicians, taxpayers, and all Americans concerned about their personal freedom.
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Operation of Section 4507
Has HCFA Made Section 4507 Unnecessary?
Can the Prohibition Be Justified?
2 other sections not shown
42 U.S.C. section ABN process accept assignment AEI Press affidavit amendment American Enterprise Institute balance bill Balanced Budget Act Beneficiaries and Phy benefits Bill Archer bill the patient carriers Chairman and CEO cians ciaries claim to Medicare conditionally noncovered services Congress contract privately Contracts between Beneficiaries controls Copeland court covered by Medicare covered services Director discussed doctor Don Nickles eficiaries exception fall under section fee limitations file a claim fraud and abuse freedom HCFA's policy issue justification Kim Small managed-care plans Medi Medical Savings Accounts Medicare beneficiaries Medicare law Medicare patients Medicare's ment Nancy-Ann Min DeParle necessary obtain payment percent permitted private contracting physi policy against private policy makers prohibited private contracting prohibition against private protect RBRVS regulatory Resident Scholar Senate Finance Committee services that Medicare Shalala sicians sicians/Practitioners Statement of Nancy-Ann Stewart submit a claim tients tion United Seniors Association vate contracting