H.R. 2824--proposed Rural Health Care Pilot Program and Expanded Sharing of Federal Health Care Resources: Hearing Before the Subcommittee on Hospitals and Health Care of the Committee on Veterans' Affairs, House of Representatives, One Hundred Second Congress, First Session, October 2, 1991

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Page 99 - Based on a review of six hospitals, GAO estimated savings ranging from $18 million to $21 million in CHAMPUS funds. If Medicare-eligible beneficiaries were included, the savings to the Government would be substantially greater.
Page 97 - Coalition, representing approximately 3.75 million members of the seven uniformed services, officer, enlisted, active, reserve and retired, plus their families and survivors: Air Force Association, Air Force Sergeants Association, Association of Military Surgeons of the United States, Association of the United States Army, Chief Warrant Officer and Warrant Officer Association, United States Coast Guard, Commissioned Officers Association...
Page 30 - I would like to thank the Chairman and Members of the Committee for the opportunity to speak with you today regarding the current status of security at the Department of Energy.
Page 30 - US Department of Health and Human Services. I am pleased to be here today to discuss issues relating to the Medicare and Medicaid programs.
Page 30 - Thank you for the opportunity to appear before you. I would be happy to answer any questions you may have.
Page 38 - Bernardino, 1968-1969, and a member of the Twenty-Fifth District, American Legion Hospital Committee. I would like to thank you and the distinguished members of this committee for granting me the time today to speak to you on behalf of a VA Hospital in this locality. First I would like to thank Congressman Pettis for his fine testimony on May 13, 1969, before this Committee, in fact I might suggest that you review his testimony. I have been interested in a VA Hospital in the...
Page 100 - The premise underlying interagency reimbursement or "subvention" is that care in federal facilities, especially MTFs, is less costly than care at private medical facilities and therefore will result in savings for Medicare. A closer look at military medicine reveals that health care provided by DoD would be cheaper for Medicare than the same care provided in the private sector and billed to Medicare. In a Medicare/military treatment facility pilot project conducted at US Naval Hospital, San Diego,...
Page 100 - ... conserved when Medicareeligible retirees obtain care from civilian sources. Therefore, the more patients that military facilities "shift" to Medicare, the more bed spaces and other resources are freed up for CHAMPUS users. So, if all other things are equal, the military commander has an incentive to treat the CHAMPUS retiree and to refer the Medicare-eligible retiree for civilian care -- so Medicare can pay the bill. As the number of Medicare-eligible retirees increases over the next decade to...
Page 108 - ... exchange of use of specialized medical resources when such an agreement will obviate the need for a similar resource to be provided in a Veterans' Administration facility; or "(2) for the mutual use, or exchange of use, of specialized medical resources in a Veterans' Administration facility, which have been justified on the basis of veterans' care, but which are not utilized to their maximum effective capacity.
Page 100 - ... Currently, care for Medicare-eligible military retirees in MTFs is provided at no cost to HCFA; thus. Medicare now reaps a windfall for every Medicare-eligible beneficiary treated in an MTF. HCFA, until now, has been concerned that should subvention funding be allowed, it could increase Medicare outlays. Conversely, Medicare costs would, arguably, increase to a greater extent if Medicare-eligible retirees were turned away from military health care and forced to receive care in the private sector...

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