The Medicare Challenge

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Medicare

Author : Robert D. Reischauer
Publisher : Brookings Institution Press
ISBN 13 : 9780815791676
Total Pages : 348 pages
Book Rating : 4.7/5 (916 download)

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Book Synopsis Medicare by : Robert D. Reischauer

Download or read book Medicare written by Robert D. Reischauer and published by Brookings Institution Press. This book was released on 1997-12-01 with total page 348 pages. Available in PDF, EPUB and Kindle. Book excerpt: In this cross-cutting analysis, some of the nation's most prominent social insurance experts go beyond recent budget debates to examine the fundamental and technical choices Medicare poses for the American people in the next century. The book begins with a consideration of the underlying social contract between Medicare's beneficiaries and workers. Pointing out that Medicare historically has had particular significance for civil rights and women's economic security in addition to providing health security, the authors debate the appropriate social contract for the future. The book also lays out the challenges in financing Medicare as health care costs rise and the population ages. Several authors explore how the growth in managed care is likely to affect Medicare beneficiaries with particular emphasis on beneficiaries with chronic illness, and they address some of the policy changes needed to make managed care better. In addition, they also look at how managed-care tools could be applied to the fee-for-service sector. The book concludes with an examination of how public opinion, politics, and leadership affect the prospects for significant Medicare restructuring in the near and long term. Copublished with the National Academy of Social Insurance

How to Win Medicare Appeals

Author : David D. Mullens
Publisher :
ISBN 13 : 9781641055987
Total Pages : 280 pages
Book Rating : 4.0/5 (559 download)

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Book Synopsis How to Win Medicare Appeals by : David D. Mullens

Download or read book How to Win Medicare Appeals written by David D. Mullens and published by . This book was released on 2020 with total page 280 pages. Available in PDF, EPUB and Kindle. Book excerpt: "This book is about how to successfully fight for the payment of medically reasonable and necessary services when Medicare erroneously denies payment, or when Medicare erroneously demands a repayment of overpayment"--

The Medicare Challenge

Author : United States. Congress. Senate. Special Committee on Aging
Publisher :
ISBN 13 :
Total Pages : 80 pages
Book Rating : 4.0/5 (11 download)

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Book Synopsis The Medicare Challenge by : United States. Congress. Senate. Special Committee on Aging

Download or read book The Medicare Challenge written by United States. Congress. Senate. Special Committee on Aging and published by . This book was released on 2003 with total page 80 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Medicare

Author : Leslie G. Aronovitz
Publisher :
ISBN 13 :
Total Pages : 16 pages
Book Rating : 4.F/5 ( download)

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Book Synopsis Medicare by : Leslie G. Aronovitz

Download or read book Medicare written by Leslie G. Aronovitz and published by . This book was released on 1997 with total page 16 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Medicare Management

Author :
Publisher :
ISBN 13 :
Total Pages : 40 pages
Book Rating : 4.F/5 ( download)

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Book Synopsis Medicare Management by :

Download or read book Medicare Management written by and published by . This book was released on 2001 with total page 40 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Modernizing Medicare

Author : Robert Emmet Moffit
Publisher : JHU Press
ISBN 13 : 1421446030
Total Pages : 228 pages
Book Rating : 4.4/5 (214 download)

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Book Synopsis Modernizing Medicare by : Robert Emmet Moffit

Download or read book Modernizing Medicare written by Robert Emmet Moffit and published by JHU Press. This book was released on 2023-04-04 with total page 228 pages. Available in PDF, EPUB and Kindle. Book excerpt: Top policy experts offer Medicare reform solutions for the millions of seniors whose health care depends on America's fastest growing federal entitlement. In Modernizing Medicare, editors Robert Emmet Moffit and Marie Fishpaw bring together a rare combination of leading scholars and policy practitioners to outline a vision for Medicare reform and provide solutions for the millions of seniors whose health care depends on it. Contributors include a former Medicare trustee, a former Medicare administrator, and a former director of the Congressional Budget Office. Detailing Medicare's biggest problems, this team of top policy experts offer solutions based on personal freedom of choice, transparency of price and performance, and market competition among health plans and providers that will secure patients more affordable, more accountable, and higher quality medical care. They also address Medicare's reform needs and analyze the promising performance of the Medicare Advantage program. The authors outline Medicare's major financial problems and the best solutions for Medicare patients and taxpayers alike. While Medicare's accelerating spending is generating higher deficits and debt, standard cost-control strategies—such as payment reductions and price controls—jeopardize patients' access to high-quality care. Contributors: Joseph R. Antos, PhD; Doug Badger; Charles P. Blahous, PhD; Walton F. Francis; John C. Goodman, PhD; Edmund F. Haislmaier; Douglas Holtz-Eakin, PhD; Brian J. Miller, MD, MBA, MPH; Robert Emmet Moffit, PhD; Mark V. Pauly, PhD; Christopher M. Pope, PhD; Gail R. Wilensky, PhD.

Improving the Medicare Market

Author : Institute of Medicine
Publisher : National Academies Press
ISBN 13 : 0309175364
Total Pages : 384 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Improving the Medicare Market by : Institute of Medicine

Download or read book Improving the Medicare Market written by Institute of Medicine and published by National Academies Press. This book was released on 1996-11-01 with total page 384 pages. Available in PDF, EPUB and Kindle. Book excerpt: Medicare beneficiaries are rapidly moving into managed care, as attempts to restrain the growth of this costly entitlement program progress. However, advocates for patients question whether the necessary information and structures are in place to enable Medicare consumers to select wisely among private-sector managed care options. Improving the Medicare Market examines how to give Medicare beneficiaries the same choice of health plan options enjoyed in the private sectorâ€"yet protect them as consumers and patients. This book recommends approaches to ensuring accountability and informed purchasing for Medicare beneficiaries in an environment of broader choice and managed careâ€"how the government should evaluate and approve plans, what role the traditional Medicare program should play, how to help to elderly understand their options, and many other practical matters. The committee discusses the information requirements of Medicare beneficiaries and explores in detail how best to respond to their special needs. And it examines the procedures that should be developed to provide the necessary protections for the elderly in a managed care system.

Strengthening Medicare for Seniors

Author : United States. Congress. House. Committee on Energy and Commerce. Subcommittee on Health
Publisher :
ISBN 13 :
Total Pages : 96 pages
Book Rating : 4.:/5 (319 download)

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Book Synopsis Strengthening Medicare for Seniors by : United States. Congress. House. Committee on Energy and Commerce. Subcommittee on Health

Download or read book Strengthening Medicare for Seniors written by United States. Congress. House. Committee on Energy and Commerce. Subcommittee on Health and published by . This book was released on 2013 with total page 96 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Medicare program designed to inform beneficiaries and promote choice faces challenges.

Author :
Publisher : DIANE Publishing
ISBN 13 : 1428948767
Total Pages : 40 pages
Book Rating : 4.4/5 (289 download)

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Book Synopsis Medicare program designed to inform beneficiaries and promote choice faces challenges. by :

Download or read book Medicare program designed to inform beneficiaries and promote choice faces challenges. written by and published by DIANE Publishing. This book was released on 2001 with total page 40 pages. Available in PDF, EPUB and Kindle. Book excerpt:

A Challenge Constantly Renewed

Author : Jonathan Allen Weems
Publisher :
ISBN 13 :
Total Pages : 400 pages
Book Rating : 4.:/5 (276 download)

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Book Synopsis A Challenge Constantly Renewed by : Jonathan Allen Weems

Download or read book A Challenge Constantly Renewed written by Jonathan Allen Weems and published by . This book was released on 2008 with total page 400 pages. Available in PDF, EPUB and Kindle. Book excerpt:

The Role of Telehealth in an Evolving Health Care Environment

Author : Institute of Medicine
Publisher : National Academies Press
ISBN 13 : 0309262011
Total Pages : 159 pages
Book Rating : 4.3/5 (92 download)

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Book Synopsis The Role of Telehealth in an Evolving Health Care Environment by : Institute of Medicine

Download or read book The Role of Telehealth in an Evolving Health Care Environment written by Institute of Medicine and published by National Academies Press. This book was released on 2012-12-20 with total page 159 pages. Available in PDF, EPUB and Kindle. Book excerpt: In 1996, the Institute of Medicine (IOM) released its report Telemedicine: A Guide to Assessing Telecommunications for Health Care. In that report, the IOM Committee on Evaluating Clinical Applications of Telemedicine found telemedicine is similar in most respects to other technologies for which better evidence of effectiveness is also being demanded. Telemedicine, however, has some special characteristics-shared with information technologies generally-that warrant particular notice from evaluators and decision makers. Since that time, attention to telehealth has continued to grow in both the public and private sectors. Peer-reviewed journals and professional societies are devoted to telehealth, the federal government provides grant funding to promote the use of telehealth, and the private technology industry continues to develop new applications for telehealth. However, barriers remain to the use of telehealth modalities, including issues related to reimbursement, licensure, workforce, and costs. Also, some areas of telehealth have developed a stronger evidence base than others. The Health Resources and Service Administration (HRSA) sponsored the IOM in holding a workshop in Washington, DC, on August 8-9 2012, to examine how the use of telehealth technology can fit into the U.S. health care system. HRSA asked the IOM to focus on the potential for telehealth to serve geographically isolated individuals and extend the reach of scarce resources while also emphasizing the quality and value in the delivery of health care services. This workshop summary discusses the evolution of telehealth since 1996, including the increasing role of the private sector, policies that have promoted or delayed the use of telehealth, and consumer acceptance of telehealth. The Role of Telehealth in an Evolving Health Care Environment: Workshop Summary discusses the current evidence base for telehealth, including available data and gaps in data; discuss how technological developments, including mobile telehealth, electronic intensive care units, remote monitoring, social networking, and wearable devices, in conjunction with the push for electronic health records, is changing the delivery of health care in rural and urban environments. This report also summarizes actions that the U.S. Department of Health and Human Services (HHS) can undertake to further the use of telehealth to improve health care outcomes while controlling costs in the current health care environment.

The Challenge of Meeting the Diverse Needs of Medicare's Beneficiaries

Author : Diane Rowland
Publisher :
ISBN 13 :
Total Pages : 36 pages
Book Rating : 4.:/5 ( download)

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Book Synopsis The Challenge of Meeting the Diverse Needs of Medicare's Beneficiaries by : Diane Rowland

Download or read book The Challenge of Meeting the Diverse Needs of Medicare's Beneficiaries written by Diane Rowland and published by . This book was released on 1999 with total page 36 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Understanding Medicare Managed Care

Author : Louis F. Rossiter
Publisher :
ISBN 13 :
Total Pages : 408 pages
Book Rating : 4.4/5 (91 download)

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Book Synopsis Understanding Medicare Managed Care by : Louis F. Rossiter

Download or read book Understanding Medicare Managed Care written by Louis F. Rossiter and published by . This book was released on 2001 with total page 408 pages. Available in PDF, EPUB and Kindle. Book excerpt: A reference for health-care executives and physicians as well as managers, administrators, and staff of Medicare managed-care plans, providing a structure for plotting a long-term plan to compete in this market. In addition to describing the economics of the current system, including trends and key players, the book covers strategic planning and marketing, including issues such as pricing and the capitation dollar, benefit design, and techniques of quality and cost control. Finally, the work speculates about future changes in the system and the health-care marketplace and their implications for health plan participation. The author is deputy secretary for Health and Human Resources, Commonwealth of Virginia, and previously was a member of the health economics faculty of Virginia Commonwealth U. Annotation copyrighted by Book News, Inc., Portland, OR

Medicare Prospective Payment and the Shaping of U.S. Health Care

Author : Rick Mayes
Publisher : JHU Press
ISBN 13 : 0801888875
Total Pages : 274 pages
Book Rating : 4.8/5 (18 download)

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Book Synopsis Medicare Prospective Payment and the Shaping of U.S. Health Care by : Rick Mayes

Download or read book Medicare Prospective Payment and the Shaping of U.S. Health Care written by Rick Mayes and published by JHU Press. This book was released on 2006-12-20 with total page 274 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.

Insights in the Economics of Aging

Author : David A. Wise
Publisher : University of Chicago Press
ISBN 13 : 022642670X
Total Pages : 399 pages
Book Rating : 4.2/5 (264 download)

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Book Synopsis Insights in the Economics of Aging by : David A. Wise

Download or read book Insights in the Economics of Aging written by David A. Wise and published by University of Chicago Press. This book was released on 2017-03-20 with total page 399 pages. Available in PDF, EPUB and Kindle. Book excerpt: The fraction of the population over age sixty-five in many developed countries is projected to rise, in some cases sharply, in coming decades. This has drawn growing interest to research on the health and economic circumstances of individuals as they age. Many individuals are retiring from paid work, yet they are living longer than ever. Their well-being is shaped by their past decisions such as their saving behavior, as well as by current and future economic conditions, health status, medical innovations, and a rapidly evolving landscape of policy incentives and supports. The contributions to Insights in the Economics of Aging uncover how financial, physical, and emotional well-being are integrally related. The authors consider the interactions between financial circumstances in later life, such as household savings and home ownership, physical circumstances such as health and disability, and emotional well-being, including happiness and mental health.

The Medicare Challenge

Author : United States. Congress
Publisher : Createspace Independent Publishing Platform
ISBN 13 : 9781985578241
Total Pages : 70 pages
Book Rating : 4.5/5 (782 download)

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Book Synopsis The Medicare Challenge by : United States. Congress

Download or read book The Medicare Challenge written by United States. Congress and published by Createspace Independent Publishing Platform. This book was released on 2018-02-15 with total page 70 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Medicare challenge : it's not just about prescription drugs : hearing before the Special Committee on Aging, United States Senate, One Hundred Eighth Congress, first session, Washington, DC, March 20, 2003.

Care Without Coverage

Author : Institute of Medicine
Publisher : National Academies Press
ISBN 13 : 0309083435
Total Pages : 213 pages
Book Rating : 4.3/5 (9 download)

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Book Synopsis Care Without Coverage by : Institute of Medicine

Download or read book Care Without Coverage written by Institute of Medicine and published by National Academies Press. This book was released on 2002-06-20 with total page 213 pages. Available in PDF, EPUB and Kindle. Book excerpt: Many Americans believe that people who lack health insurance somehow get the care they really need. Care Without Coverage examines the real consequences for adults who lack health insurance. The study presents findings in the areas of prevention and screening, cancer, chronic illness, hospital-based care, and general health status. The committee looked at the consequences of being uninsured for people suffering from cancer, diabetes, HIV infection and AIDS, heart and kidney disease, mental illness, traumatic injuries, and heart attacks. It focused on the roughly 30 million-one in seven-working-age Americans without health insurance. This group does not include the population over 65 that is covered by Medicare or the nearly 10 million children who are uninsured in this country. The main findings of the report are that working-age Americans without health insurance are more likely to receive too little medical care and receive it too late; be sicker and die sooner; and receive poorer care when they are in the hospital, even for acute situations like a motor vehicle crash.