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Gao 04 960 Medicare Demonstration Ppos

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Gao 04 960 Medicare Demonstration Ppos

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Author : United States Government Accountability Office
language : en
Publisher: Createspace Independent Publishing Platform
Release Date : 2018-01-30

Gao 04 960 Medicare Demonstration Ppos written by United States Government Accountability Office and has been published by Createspace Independent Publishing Platform this book supported file pdf, txt, epub, kindle and other format this book has been release on 2018-01-30 with categories.

GAO-04-960 Medicare Demonstration PPOs: Financial and Other Advantages for Plans, Few Advantages for Beneficiaries

Medicare Demonstration Ppos

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Author : A. Bruce Steinwald
language : en
Publisher: DIANE Publishing
Release Date : 2004-12

Medicare Demonstration Ppos written by A. Bruce Steinwald and has been published by DIANE Publishing this book supported file pdf, txt, epub, kindle and other format this book has been release on 2004-12 with Medical categories.

Preferred provider org. (PPO) are more prevalent than other types of health plans, but, in 2003, only 6 PPOs contracted to serve Medicare beneficiaries (BE) in Medicare+Choice. The Centers for Medicare & Medicaid Services (CMS) initiated 2 demonstrations that include a total of 34 PPOs. This study: (1) describes how CMS used its statutory authority to conduct the 2 demo's., (2) assessed the extent to which demo. PPOs (DP) expanded access to Medicare health plans & attracted enrollees, (3) compared CMS's est. of out-of-pocket costs that BE incurred in DP with those of other types of coverage, incl. fee-for-service Medicare, M+C plans, & Medigap policies, & (4) determined the effects of DP on Medicare spending. Charts & tables.

Medicare Prospective Payment And The Shaping Of U S Health Care

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Author : Rick Mayes
language : en
Publisher: JHU Press
Release Date : 2006-12-20

Medicare Prospective Payment And The Shaping Of U S Health Care written by Rick Mayes and has been published by JHU Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2006-12-20 with Medical categories.

This is the definitive work on Medicare’s prospective payment system (PPS), which had its origins in the 1972 Social Security Amendments, was first applied to hospitals in 1983, and came to fruition with the Balanced Budget Act of 1997. Here, Rick Mayes and Robert A. Berenson, M.D., explain how Medicare’s innovative payment system triggered shifts in power away from the providers (hospitals and doctors) to the payers (government insurers and employers) and how providers have responded to encroachments on their professional and financial autonomy. They conclude with a discussion of the problems with the Medicare Modernization Act of 2003 and offer prescriptions for how policy makers can use Medicare payment policy to drive improvements in the U.S. health care system. Mayes and Berenson draw from interviews with more than sixty-five major policy makers—including former Treasury secretary Robert Rubin, U.S. Representatives Pete Stark and Henry Waxman, former White House chief of staff Leon Panetta, and former administrators of the Health Care Financing Administration Gail Wilensky, Bruce Vladeck, Nancy-Ann DeParle, and Tom Scully—to explore how this payment system worked and its significant effects on the U.S. medical landscape in the past twenty years. They argue that, although managed care was an important agent of change in the 1990s, the private sector has not been the major health care innovator in the United States; rather, Medicare’s transition to PPS both initiated and repeatedly intensified the economic restructuring of the U.S. health care system.

Medicare

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Author : Marilyn Moon
language : en
Publisher: The Urban Insitute
Release Date : 2006

Medicare written by Marilyn Moon and has been published by The Urban Insitute this book supported file pdf, txt, epub, kindle and other format this book has been release on 2006 with Consumer satisfaction categories.

For some, Medicare is a model of what national health insurance could be in the United States. Despite its low administrative costs and significant contributions to the well-being of America's oldest and most disabled citizens, some critics assail the program as being out of sync with the needs of many senior citizens, while others often refer to it as "unsustainable" because of its high costs. Physicians and hospital administrators endlessly criticize and debate Medicare but rely upon it for a substantial share of their revenues. In Medicare: A Policy Primer, Marilyn Moon explains what Medicare is, how it works, and where it's headed. She examines the problems facing the program and which reform options hold the most promise. She also examines the history of Medicare and how the program works in the broader context of health care, the federal government, and the economy. It is a clear introduction to one of the most critical debates in health policy and an important volume for anyone interested in the future of Medicare.

Handbook Of Aging And The Social Sciences

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Author : Robert H. Binstock
language : en
Publisher: Elsevier
Release Date : 2011-05-05

Handbook Of Aging And The Social Sciences written by Robert H. Binstock and has been published by Elsevier this book supported file pdf, txt, epub, kindle and other format this book has been release on 2011-05-05 with Medical categories.

The Handbook of Aging and the Social Sciences, Sixth Edition provides a comprehensive summary and evaluation of recent research on the social aspects of aging. The 25 chapters are divided into four sections discussing Aging and Time, Aging and Social Structure, Social Factors and Social Institutions, and Aging and Society. Within this context, aging is examined from the perspectives of many disciplines and professions including anthropology, bioethics, demography, economics, epidemiology, law, political science, psychology, and sociology.The Sixth Edition of the Handbook is virtually 100% new material. Seventeen chapters are on subjects not carried in the previous edition. Seven topics were carried over from the previous edition but written by new authors with fresh perspectives and brought up to date. Some of the exciting new topics include social relationships in late life, technological change and aging, religion and aging, lifestyle and aging, perceived quality of life, economic security in retirement, and aging and the law. There is also a greater emphasis on international perspectives, particularly in chapters on aging and politics, diversity and aging, and immigration.The Handbook will be of use to researchers and professional practitioners working with the aged. It is also suitable for use as a course text for graduate and advanced undergraduate courses on aging and the social sciences.