Download or read book Medicare Beneficiaries with Dual Sources of Coverage written by Craig Copeland and published by . This book was released on 2001 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Medicare, the federal health insurance program for the elderly and the disabled, is facing an impending financial crisis, as the expected outlays from the Hospital Insurance Trust Fund are estimated to surpass the projected revenues beginning in 2007. However, the benefits offered to Medicare beneficiaries are typically less generous than benefits the nonelderly (under age 65) receive in their health plans. For example, Medicare does not cover outpatient prescription drugs and has relatively high deductibles for hospitalizations. Consequently, many Medicare beneficiaries also have a supplemental source of health care coverage. The sources of this supplemental coverage are a former employer or a spouse's former employer, a "Medigap" policy purchased by individuals through a private insurance company, or a public program such as Medicaid, the federal-state government program for the poor. This Notes article examines the trend in the number and percentage of noninstitutionalized elderly Medicare beneficiaries with these additional sources of coverage from 1994 to 1998. The PDF for the above title, published in the February 2000 issue of EBRI Notes, also contains the fulltext of another February 2000 EBRI Notes article abstracted on SSRN: "Retirement Annuity and Employment-Based Pension Income."
Download or read book Medicaid Coverage of Medicare Beneficiaries dual Eligibles at a Glance written by and published by . This book was released on 2009 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book The Medicare Handbook written by and published by . This book was released on 1989 with total page 48 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Medicare Secondary Payer Program written by Leslie G. Aronovitz and published by . This book was released on 1993 with total page 12 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Examining Sources of Coverage Among Medicare Beneficiaries written by Juliette Cubanski and published by . This book was released on 2008 with total page 26 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Recommendations to the Congress written by United States. Congress. Pepper Commission and published by . This book was released on 1990 with total page 30 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Implementation of the Medicare Modernization Act written by United States. Congress. Senate. Special Committee on Aging and published by . This book was released on 2005 with total page 102 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Dual eligible Beneficiaries of Medicare and Medicaid written by Jules Mauthner and published by Nova Science Publishers. This book was released on 2013 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Medicare is a federal program that provides health insurance coverage to people who have disabilities, are diagnosed with certain medical conditions, or are age 65 or older. Medicaid, which is funded jointly by the federal government and the states, provides health care coverage to low-income people who meet specific requirements for income and assets and other eligibility criteria. People who are eligible to receive benefits from both programs at the same time are known as dual-eligible beneficiaries'. This book examines the characteristics and costs of dual-eligible beneficiaries, focusing on 2009, the most recent year for which comprehensive data were available when the Congressional Budget Office (CBO) began this analysis.
Download or read book Transition from Medicare Only to Medicare Medicaid Enrollment Black and White written by U.s. Department of Health and Human Services and published by CreateSpace. This book was released on 2015-02-17 with total page 32 pages. Available in PDF, EPUB and Kindle. Book excerpt: Medicare-Medicaid enrollees (MMEs) are individuals age 65 and older and those under 65 with qualifying disabilities who are enrolled in both Medicare and Medicaid coverage. MMEs are among the most vulnerable people served by Medicare and Medicaid. More than half of MMEs have incomes below the federal poverty level (FPL), compared to about 8 percent of Medicare enrollees who are not dually eligible (CMS 2011). They are also more likely than other Medicare enrollees to be female, and belong to minority racial or ethnic groups (CMS 2013).A Medicare beneficiary's transition from Medicare-only coverage to MME status frequently results from the combination of high need for medical care not covered by Medicare and very low income and resources. Of particular policy concern are transitions that occur after an individual has become dependent upon institutional care and impoverished when those outcomes could have been prevented by early access to community-based services and supports or other innovations in care for people with chronic conditions. Limited information is available, however, about the rates at which these transitions occur nationally and across states and how they vary by age and service utilization. For example, the need for long-term services and supports (LTSS) not covered by Medicare has previously been identified as an important factor in the transition of Medicare-only beneficiaries to MME status, but we are not aware of recent research that estimates the percentage of new MMEs whose transition to MME status is associated with LTSS use, nationally or across states. Such information is needed by policymakers who are interested in designing programs to reduce unnecessary impoverishment and reliance on Medicaid by Medicare beneficiaries.These possible causes for transition from Medicare-only to MME raise important policy questions for policymakers:• To what extent are Medicare-only beneficiaries transitioning to MME to gain coverage for long-term care (LTC) services?• How many Medicare-only beneficiaries transition without needing LTSS, indicating that they needed Medicaid for other reasons--possibly the out of pocket cost of acute care?• Are there differences in transition rates across states? And, do these differences suggest that characteristics of state LTC programs influence the rate at which Medicare-only beneficiaries become eligible for Medicaid or remain in the community?
Download or read book The Medicare and Medicaid Data Book written by and published by . This book was released on 1988 with total page 148 pages. Available in PDF, EPUB and Kindle. Book excerpt: With 1990: Includes trends for medicare enrollees and Medicaid recipients, Medicare and Medicaid expenditures, and the use of and expenditures for hospital inpatient and physicians services in both programs. Also includes a listing of Medicare carriers and intermediaries, as well as Medicaid agencies and fiscal agents.
Download or read book Report to the Congress written by and published by . This book was released on 2001 with total page 200 pages. Available in PDF, EPUB and Kindle. Book excerpt:
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.
Download or read book Transition from Medicare Only Coverage to Medicare Medicaid Enrollment Color written by U.s. Department of Health and Human Services and published by Createspace Independent Pub. This book was released on 2015-02-17 with total page 32 pages. Available in PDF, EPUB and Kindle. Book excerpt: Medicare-Medicaid enrollees (MMEs) are individuals age 65 and older and those under 65 with qualifying disabilities who are enrolled in both Medicare and Medicaid coverage. MMEs are among the most vulnerable people served by Medicare and Medicaid. More than half of MMEs have incomes below the federal poverty level (FPL), compared to about 8 percent of Medicare enrollees who are not dually eligible (CMS 2011). They are also more likely than other Medicare enrollees to be female, and belong to minority racial or ethnic groups (CMS 2013).A Medicare beneficiary's transition from Medicare-only coverage to MME status frequently results from the combination of high need for medical care not covered by Medicare and very low income and resources. Of particular policy concern are transitions that occur after an individual has become dependent upon institutional care and impoverished when those outcomes could have been prevented by early access to community-based services and supports or other innovations in care for people with chronic conditions. Limited information is available, however, about the rates at which these transitions occur nationally and across states and how they vary by age and service utilization. For example, the need for long-term services and supports (LTSS) not covered by Medicare has previously been identified as an important factor in the transition of Medicare-only beneficiaries to MME status, but we are not aware of recent research that estimates the percentage of new MMEs whose transition to MME status is associated with LTSS use, nationally or across states. Such information is needed by policymakers who are interested in designing programs to reduce unnecessary impoverishment and reliance on Medicaid by Medicare beneficiaries.These possible causes for transition from Medicare-only to MME raise important policy questions for policymakers:• To what extent are Medicare-only beneficiaries transitioning to MME to gain coverage for long-term care (LTC) services?• How many Medicare-only beneficiaries transition without needing LTSS, indicating that they needed Medicaid for other reasons--possibly the out of pocket cost of acute care?• Are there differences in transition rates across states? And, do these differences suggest that characteristics of state LTC programs influence the rate at which Medicare-only beneficiaries become eligible for Medicaid or remain in the community?
Download or read book Resources for Medicare Beneficiaries written by Federal Citizen Information Center (U.S.) and published by . This book was released on 2007 with total page 5 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Federalism and Health Policy written by Alan Weil and published by The Urban Insitute. This book was released on 2003 with total page 448 pages. Available in PDF, EPUB and Kindle. Book excerpt: The balance between state and federal health care financing for low-income people has been a matter of considerable debate for the last 40 years. Some argue for a greater federal role, others for more devolution of responsibility to the states. Medicaid, the backbone of the system, has been plagued by an array of problems that have made it unpopular and difficult to use to extend health care coverage. In recent years, waivers have given the states the flexibility to change many features of their Medicaid programs; moreover, the states have considerable flexibility to in establishing State Children's Health Insurance Programs. This book examines the record on the changing health safety net. How well have states done in providing acute and long-term care services to low-income populations? How have they responded to financial incentives and federal regulatory requirements? How innovative have they been? Contributing authors include Donald J. Boyd, Randall R. Bovbjerg, Teresa A. Coughlin, Ian Hill, Michael Housman, Robert E. Hurley, Marilyn Moon, Mary Beth Pohl, Jane Tilly, and Stephen Zuckerman.
Download or read book Impact of Dual Eligibility of Healthcare Use by Medicare Beneficiaries written by Jaeun Shin and published by . This book was released on 2010 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: This research examines the impact of Medicaid-Medicare dual eligibility on the pattern of health care service utilization by ethnic minorities. The Medical Expenditure Panel Survey 1996-2000 reveals that, as a whole, dual eligibility was strongly associated with high rate of home health provider days. The utilization of total dental visits was adversely correlated with dual eligibility. The impact of dual eligibility on the health care utilization was differentiated across ethnicity groups. With additional Medicaid coverage, Afro-Americans Medicare beneficiaries significantly increased the utilization of office-based physician visits, outpatient physician visits, and dental visits. Dual eligible Asians substantially increase their home health provider days and dental visits. Due to the additional coverage from Medicaid, Hispanics dramatically increase the utilization of outpatient physician visits.
Download or read book Report to the Congress Medicare Payment Policy written by Medicare Payment Advisory Commission (U.S.) and published by . This book was released on 1998 with total page 184 pages. Available in PDF, EPUB and Kindle. Book excerpt:
