Download or read book Medicare Private Health Plans Vs Medicare Savings Programs written by and published by . This book was released on 2007 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: As Congress debates whether to cut the extra payments Medicare makes to private health plans, the insurance companies offering these plans have argued that the overpayments they receive help lower the out-of-pocket costs (premiums, copayments and deductibles) for low-income people with Medicare, especially African Americans and Latinos. But an analysis by the Medicare Rights Center of Medicare private fee-for-service plans reveals that often people with low incomes and minority communities pay more compared to their wealthier neighbors and get fewer benefits when they join these private plans. A far better health care deal for low-income people with Medicare is the Medicare Savings Programs, which subsidize premiums, copayments and other out-of-pocket expenses. In addition, no private health plan alone matches what the federal low income assistance program "Extra Help" offers: copayments of $5.35 of less for each prescription, no monthly premiums, no deductible and no gap in coverage. People enrolled in a Medicare Savings Program automatically get Extra Help. A better way to spend the $65 billion in overpayments the insurance companies will be getting over the next five years would be to expand enrollment in the Medicare Savings Programs (MSPs). Income and asset eligibility criteria for MSPs should be raised to match those of the Extra Help program. In this way lawmakers can target financial assistance to those who need it most.
Download or read book Medicare and You written by Nancy-Ann M. DeParle and published by DIANE Publishing. This book was released on 1999-05 with total page 52 pages. Available in PDF, EPUB and Kindle. Book excerpt: Contents: recent legislation included Medicare+Choice, which will result in changes to the Medicare program; you now have new preventive health benefits & new patient protections. In addition, starting in 1999, Medicare will offer new health plan choices. This handbook includes a description of the new preventive benefits available to you, the rights you have as a patient, & the new health plan options available to you. It will help you identify some of the important questions you will want to ask & includes a list of important resources for you to get more information.
Download or read book Medicare You written by and published by . This book was released on with total page 52 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Medicare coverage of diabetes supplies services written by and published by . This book was released on 2002 with total page 32 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Medicare Advantage written by Charles V. Baylis and published by Nova Science Publishers. This book was released on 2010 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Medicare Advantage (MA) is an alternative way for Medicare beneficiaries to receive covered benefits. Under MA, private health plans are paid a per-person amount to provide all Medicare-covered benefits (except hospice) to beneficiaries who enrol in their plan. As of January 2009, all Medicare beneficiaries had access to an MA plan and 23% of beneficiaries enrolled in one. In general, Medicare Advantage plans offer additional benefits or require smaller co-payments or deductibles than original Medicare. Sometimes beneficiaries pay for these additional benefits through a higher monthly premium, but sometimes they are financed through plan savings. This book highlights the many advantages of the alternative Medicare program. This book consists of public documents which have been located, gathered, combined, reformatted, and enhanced with a subject index, selectively edited and bound to provide easy access.
Download or read book Medicare Savings and Sense written by Jeannine Morris Sieforth and published by . This book was released on 1988 with total page 224 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Accountable Care Organizations and the Medicare Shared Savings Program written by David Newman and published by DIANE Publishing. This book was released on 2010 with total page 23 pages. Available in PDF, EPUB and Kindle. Book excerpt:
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.
Download or read book Medicare and Other Health Benefits written by and published by . This book was released on 1996 with total page 28 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Medicare written by Patrcia A. Davis and published by . This book was released on 2012-12-26 with total page 36 pages. Available in PDF, EPUB and Kindle. Book excerpt: Medicare is a federal insurance program that pays for covered health care services of most individuals aged 65 and over and certain disabled persons. In 2012, the program is expected to cover 50 million persons (41 million aged and 9 million disabled) at a total cost of $586 billion. Most individuals (or their spouses) who are 65 and older, and have worked in covered employment and paid Medicare payroll taxes for 40 quarters. receive premium-free Medicare Part A (Hospital Insurance). Those entitled to Medicare Part A (regardless of whether they are eligible for premium-free Part A), have the option of enrolling in Part B, which covers such things as physician and outpatient services and medical equipment. Beneficiaries have a seven-month initial enrollment period, but those who enroll in Part B after their initial enrollment period and/or reenroll after a termination of coverage may be subject to a "delayed enrollment penalty" which is equal to a 10% surcharge for each 12 months of delay in enrollment and/or reenrollment. Under certain conditions, select beneficiaries are exempt from the delayed enrollment penalty; these include working individuals (and their spouses) with group coverage, some military retirees, and some international volunteers. While Part A is financed primarily by payroll taxes paid by current workers, Part B is financed through a combination of beneficiary premiums and federal general revenues. The Balanced Budget Act of 1997 (P.L. 105-33) permanently set standard Part B premiums to cover 25% of projected per capita Part B program costs for the aged, with federal general revenues accounting for the remaining amount. In general, if projected Part B costs increase or decrease, the premium rises or falls proportionately. Most Part B participants must pay monthly premiums, which do not vary with a beneficiary's age, health status or place of residence. However, since 2007, higher-income enrollees pay higher premiums to cover a higher percentage of Part B costs. Premiums of those receiving benefits through Social Security are deducted from their monthly payments. Additionally, certain low-income beneficiaries may qualify for Medicare cost-sharing and/or premium assistance from Medicaid through a Medicare Savings Program. The Social Security Act includes a provision that holds most Social Security beneficiaries harmless for increases in the Medicare Part B premium; affected beneficiaries' Part B premiums are reduced to ensure that their Social Security checks do not decline from one year to the next. Each year, the Centers for Medicare & Medicaid Services (CMS) determines the Medicare Part B premiums for the following year. The standard monthly Part B premium for 2012 is $99.90. Higher-income beneficiaries, currently defined as those with incomes over $85,000 a year, or couples with incomes over $170,000 per year, pay $139.90, $199.80, $259.70, or $319.80 per month, depending on their income levels. Current issues related to the Part B premium that may come before Congress include the amount of the premium and the rate of increase in recent years (and the potential net impact on Social Security benefits), modifications to the late enrollment penalty, and possible increases in Medicare premiums as a means to reduce federal spending and deficits.
Download or read book Health Care Utilization as a Proxy in Disability Determination written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2018-04-02 with total page 161 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Social Security Administration (SSA) administers two programs that provide benefits based on disability: the Social Security Disability Insurance (SSDI) program and the Supplemental Security Income (SSI) program. This report analyzes health care utilizations as they relate to impairment severity and SSA's definition of disability. Health Care Utilization as a Proxy in Disability Determination identifies types of utilizations that might be good proxies for "listing-level" severity; that is, what represents an impairment, or combination of impairments, that are severe enough to prevent a person from doing any gainful activity, regardless of age, education, or work experience.
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:
Download or read book Get What s Yours for Medicare written by Philip Moeller and published by Simon and Schuster. This book was released on 2016-10-04 with total page 304 pages. Available in PDF, EPUB and Kindle. Book excerpt: A coauthor of the New York Times bestselling guide to Social Security Get What’s Yours authors an essential companion to explain Medicare, the nation’s other major benefit for older Americans. Learn how to maximize your health coverage and save money. Social Security provides the bulk of most retirees’ income and Medicare guarantees them affordable health insurance. But few people know what Medicare covers and what it doesn’t, what it costs, and when to sign up. Nor do they understand which parts of Medicare are provided by the government and how these work with private insurance plans—Medicare Advantage, drug insurance, and Medicare supplement insurance. Do you understand Medicare’s parts A, B, C, D? Which Part D drug plan is right and how do you decide? Which is better, Medigap or Medicare Advantage? What do you do if Medicare denies payment for a procedure that your doctor says you need? How do you navigate the appeals process for denied claims? If you’re still working or have a retiree health plan, how do those benefits work with Medicare? Do you know about the annual enrollment period for Medicare, or about lifetime penalties for late enrollment, or any number of other key Medicare rules? Health costs are the biggest unknown expense for older Americans, who are turning sixty-five at the rate of 10,000 a day. Understanding and navigating Medicare is the best way to save health care dollars and use them wisely. In Get What’s Yours for Medicare, retirement expert Philip Moeller explains how to understand all these important choices and make the right decisions for your health and wealth now—and for the future.
Download or read book The Affordable Care Act written by Tamara Thompson and published by Greenhaven Publishing LLC. This book was released on 2014-12-02 with total page 130 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Patient Protection and Affordable Care Act (ACA) was designed to increase health insurance quality and affordability, lower the uninsured rate by expanding insurance coverage, and reduce the costs of healthcare overall. Along with sweeping change came sweeping criticisms and issues. This book explores the pros and cons of the Affordable Care Act, and explains who benefits from the ACA. Readers will learn how the economy is affected by the ACA, and the impact of the ACA rollout.
Download or read book A Place at the Table written by Marilyn Moon and published by . This book was released on 2002 with total page 96 pages. Available in PDF, EPUB and Kindle. Book excerpt: Medicare is the federal health insurance program that offers coverage on equal terms to seniors and those with disabilities. The benefit package is uniform and premiums do not rise with age. As Marilyn Moon shows in this important work, however, the characteristics of older women make them extremely vulnerable to gaps in Medicare coverage and other features of the program. Because older women are more likely to suffer from multiple chronic illnesses than men, Medicare's failure to cover most outpatient prescription drugs affects them the most. Because women live longer on average than men and have lower incomes from pensions and other sources, they are less able to meet the out-of-pocket costs associated with Medicare or supplemental insurance. Moon evaluates Medicare reform proposals with an eye to whether they would alleviate or worsen the existing position of women in Medicare. She argues that making Medicare benefits more comprehensive and simplifying the program's rules would improve the health of older women and reduce their financial burdens.
Download or read book Health Care Financing Review written by and published by . This book was released on 2002 with total page 636 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Handbook of Health Economics written by Mark V. Pauly and published by Elsevier. This book was released on 2012-01-05 with total page 1149 pages. Available in PDF, EPUB and Kindle. Book excerpt: "As a relatively new subdiscipline of economics, health economics has made many contributions to areas of the main discipline, such as insurance economics. This volume provides a survey of the burgeoning literature on the subject of health economics." {source : site de l'éditeur].
