Download or read book Medicare Matters written by Christine K. Cassel and published by Univ of California Press. This book was released on 2007-02-27 with total page 284 pages. Available in PDF, EPUB and Kindle. Book excerpt: Savvy, comprehensive, and authoritative, this book, written by a physician with more than thirty years experience caring for elderly patients, assesses the current state and the future prospects of Medicare, perhaps the most influential health-insurance program of our time. Christine K. Cassel draws upon the latest developments in science and medicine in a sweeping analysis of Medicare s social, demographic, institutional, political, and policy contexts. Writing in accessible language, using case studies to illustrate how policies translate to everyday lives, and applying lessons from the practice of geriatric medicine, Cassel makes a powerful argument for reforming and modernizing Medicare. She offers a new vision of what healthy aging could be and delineates what is needed to realize this vision, including changes in the medical sector, in the policy arena, and in our cultural beliefs about aging. Cassel sheds light on a wide range of issues pertaining to Medicare, including debates about coverage and the looming deficit in the Medicare trust fund. Perhaps the most controversial issue she addresses is the challenge of rationing some kinds of care. Anchoring her discussion of Medicare in the idea that care for the elderly represents a social contract between government and its citizens, Cassel describes both the principles and potential of a progressive approach to geriatric medicine. She further argues that with this approach, we can also address the chronic problems of our larger health-care system and provide all Americans, no matter what their age, with high-quality and affordable medical care.
Download or read book Medicare Matters written by Christine Cassel and published by Univ of California Press. This book was released on 2005-10-17 with total page 269 pages. Available in PDF, EPUB and Kindle. Book excerpt: Savvy, comprehensive, and authoritative, this book, written by a physician with more than thirty years' experience caring for elderly patients, assesses the current state and the future prospects of Medicare, perhaps the most influential health care program of our time. Christine K. Cassel draws upon the latest developments in science and medicine in a sweeping analysis of Medicare's social, demographic, institutional, political, and policy contexts. Writing in accessible language, using case studies to illustrate how policies translate to everyday lives, and applying lessons from the practice of geriatric medicine, Cassel makes a powerful argument for reforming and modernizing Medicare. She offers a new vision of what healthy aging could be and delineates what is needed to reach this vision, including changes in the medical sector, in the policy arena, and in our cultural beliefs about aging. Cassel sheds light on a wide range of issues pertaining to Medicare, including debates about coverage and the looming deficit in the Medicare Trust Fund. Perhaps the most controversial issue she addresses is the challenge of rationing some kinds of care. Anchoring her discussion of Medicare in the idea that care for the elderly represents a social contract between government and its citizens, Cassel describes both the principles and potential of a progressive approach to geriatric medicine. She further argues that with this approach, we can also address the chronic problems of our larger health care system and provide all Americans, no matter what their age, with high-quality and affordable medical care.
Download or read book Coverage Matters written by Institute of Medicine and published by National Academies Press. This book was released on 2001-10-27 with total page 204 pages. Available in PDF, EPUB and Kindle. Book excerpt: Roughly 40 million Americans have no health insurance, private or public, and the number has grown steadily over the past 25 years. Who are these children, women, and men, and why do they lack coverage for essential health care services? How does the system of insurance coverage in the U.S. operate, and where does it fail? The first of six Institute of Medicine reports that will examine in detail the consequences of having a large uninsured population, Coverage Matters: Insurance and Health Care, explores the myths and realities of who is uninsured, identifies social, economic, and policy factors that contribute to the situation, and describes the likelihood faced by members of various population groups of being uninsured. It serves as a guide to a broad range of issues related to the lack of insurance coverage in America and provides background data of use to policy makers and health services researchers.
Download or read book Medicare written by S. N. Colamery and published by . This book was released on 1999 with total page 194 pages. Available in PDF, EPUB and Kindle. Book excerpt: Addresses a number of issues involving the US national health insurance scheme for the aged and certain disabled people. They include coverage policy, the benefit value comparison model, a prospective payment system for inpatient hospital payments, financing the Part A hospital insurance program, and out-of-pocket health spending. Annotation copyrighted by Book News, Inc., Portland, OR
Download or read book Medicare Funding and Management Problems Result in Unnecessary Expenditures written by Janet L. Shikles and published by . This book was released on 1993 with total page 16 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Changing the Structure of Medicare Benefits written by Marilyn Moon and published by . This book was released on 1983 with total page 108 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Medicare Reform written by Andrew J. Rettenmaier and published by University of Chicago Press. This book was released on 1999 with total page 258 pages. Available in PDF, EPUB and Kindle. Book excerpt: A group of respected analysts of health issues considers the economic forces impacting the surging health care market and examines the ultimate fairness of an intergenerational contract dictating that tomorrow's workers foot the bill for today's elderly."--BOOK JACKET. "Written for the general reader and offering innovative ideas for policy revision along with critical new data on health care economics, this comprehensive volume provides a timely and thoughtful deliberation on the precarious future of Medicare."--BOOK JACKET.
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 Your Medicare Matters Protect It written by and published by . This book was released on 2009 with total page 7 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Medicare Reform written by United States. Congress. Senate. Committee on Finance and published by . This book was released on 2001 with total page 112 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book What Are Medicare Appeals written by Jessica L Gustafson and published by . This book was released on 2022-02 with total page 92 pages. Available in PDF, EPUB and Kindle. Book excerpt: A complete overview of the Medicare FFS audit and Medicare appeals environment.
Download or read book Health Care Financing Administration Rulings on Medicare Medicaid Professional Standards Review and Related Matters written by United States. Health Care Financing Administration and published by . This book was released on 1978-11 with total page 196 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Commission to Study All Matters Relating to Medicare Assignment written by Rhode Island. General Assembly. Special Legislative Commission to Study All Matters Relating to Medicare Assignment and published by . This book was released on 1989 with total page 177 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book 10 Costly Medicare Mistakes You Can t Afford to Make written by Danielle Kunkle Roberts and published by Roselane Publishing. This book was released on 2020-09-24 with total page 310 pages. Available in PDF, EPUB and Kindle. Book excerpt: The critics are saying: "Don't make decisions about your Medicare coverage without reading this book!" #1 Best Selling Book in Less than 48-Hours After Reading This Book, You Will: ⚠ Know what Medicare pitfalls exist and how to expertly avoid them ⚠ Be ready to make the major Medicare decisions ⚠ Be knowledgeable on the costly penalties and how to steer clear Who This Book is For: ✓ New to Medicare - This book will help anyone approaching Medicare eligibility at age 65 who needs to learn the basics and is afraid of making a mistake that will result in penalties or inadequate healthcare coverage ✓ Retiring after 65 - Perhaps you have worked past age 65 and maintained employer coverage but now you are retiring and want to successfully transition from group health insurance cover to Medicare as your primary coverage. This book will show you the exact steps to take while also sidestepping unexpected (and often undeserved) late enrollment penalties. ✓ Beneficiaries Facing Indecision - Get this book if It's time for you to make a choice between a Medigap plan (Medicare supplement) and Medicare Advantage but you find yourself torn and aren't sure which route would be a better fit for you. ✓ Confused by Election Periods - Are all the various Medicare election periods making your head spin? This book carefully explains what changes and plan selections you can make during the various election periods and more importantly, what those election periods WON'T give you that you probably expect. ✓ Adult Children and Caregivers - If you find yourself in a situation where you need to help your parents make Medicare coverage decisions but have no idea how Medicare works, this book will be immensely helpful to you. Every year thousands of seniors make big mistakes during their Medicare enrollment that can result in expensive penalties and untold hours of hassle and headaches. While some of these mistakes are fixable, others can affect you for the rest of your life. In 10 Costly Medicare Mistakes, Medicare expert Danielle K. Roberts exposes the most common pitfalls that new to Medicare beneficiaries unwittingly make and shares how to expertly avoid them. As a Medicare expert and co-founder at Boomer Benefits, Danielle has spent the last 15 years helping thousands of Medicare beneficiaries learn how to navigate their entry into Medicare. Her goal has always been to make the entry into Medicare and enrollment process easier for ordinary Americans. This is no small task as most Americans spend their entire working lives having their healthcare plans chosen for them by their employers. Now suddenly they have to try to make sense of a huge national healthcare program that has 4 parts, 10 supplements, and thousands of plan options. To make matters worse, Medicare beneficiaries who get it wrong up front can find themselves paying penalties they don't deserve and being trapped in plans that don't fit their needs, lifestyle, or budget. In 10 Costly Medicare Mistakes, Danielle guides new beneficiaries through the key decisions they'll need to make at the beginning of their journey while also helping them expertly avoid the most common and costly mistakes that new beneficiaries often make.
Download or read book Medicare written by Patricia M. Turner and published by Nova Science Publishers. This book was released on 2011 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Medicare is a federal insurance program that pays for covered health care services of qualified beneficiaries. Since 1965, the Medicare program has undergone considerable changes. Most recently, the Patient Protection and Affordable Care Act and the Health Care and Education Reconciliation Act, signed into law in March 2010, made numerous changes to the Medicare program that modify provider reimbursements, provide incentives to increase the quality and efficiency of care and enhance certain Medicare benefits. This new book provides an overview of Medicare services and provisions.
Download or read book Medicare s Mysteries A Consumer s Guide written by Ron Iverson and published by . This book was released on 2020-06-30 with total page 122 pages. Available in PDF, EPUB and Kindle. Book excerpt: This publication is designed to provide accurate and authoritative information in regard to the subject matter covered. It is published with the understanding that the publisher and author are not engaged in rendering legal, accounting, or other professional services. If legal advice or other professional advice, including financial, is required, the services of a competent professional person should be sought. From a Declaration of Principles, jointly adopted by a Committee of the American Bar Association and a Committee of Publishers:
Download or read book Long Term Care Skilled Services written by Elizabeth Malzahn and published by HC Pro, Inc.. This book was released on 2011-04-06 with total page 149 pages. Available in PDF, EPUB and Kindle. Book excerpt: Long-Term Care Skilled Services: Applying Medicare's Rules to Clinical Practice Avoid common mistakes that compromise compliance and payment Take the mystery out of skilled services and know when to skill a resident based on government regulations, Medicare updates, the MDS 3.0, and proven strategies. Long-Term Care Skilled Services: Applying Medicare's Rules to Clinical Practice illustrates the role played by nurses, therapists, and MDS coordinators in the application and documentation of resident care. Don't miss out on the benefits and reimbursement you deserve, as author Elizabeth Malzahn delivers clear, easy-to-understand examples and explanations of the right way to manage the skilled services process. This book will help you: Increase your skilled census and improve your facility's reputation with the support of your entire staff Avoid under- and overpayments from Medicare with easy-to-understand explanations of complex rules and regulations Provide necessary skilled services to each resident through a complete understanding of eligibility requirements Accurately document skilled services using proven, time-saving solutions Properly assess skilled services under the MDS 3.0 Improve communication to increase resident and family satisfaction Reduce audit risk and prove medical necessity through accurate documentation Table of Contents Rules and Regulations Original law - Social Security and Medicare Act CMS publications Manuals Transmittals MLN matters National and local coverage determinations RAI User's Manual Hierarchy of oversight CMS-MAC/FI, OIG, GAO, etc. Technical Eligibility for Skilled Services in LTC Eligibility basics Verification of current benefits How enrollment in other programs impacts coverage under traditional Medicare Hospice HMO/managed care/Medicare Advantage Medicaid/Medi-Cal Hospital stay requirement 30-Day transfer rule for hospital or SNF Understanding benefit periods Care continuation related to hospitalization How does a denial of payment for new admissions impact Medicare SNF admissions? Meeting the Regulatory Guidelines For "Skilled" Services Skilled services defined Regulatory citations and references Clinical skilled services Therapy skilled services Physician certifications and recertification Presumption of coverage Understanding "practical matter" criteria for nursing home placement Impact of a leave of absence on eligibility MDS 3.0 - Assessments, Sections and Selection...Oh My! Brief history of MDS 3.0 Types of MDS assessments The assessment schedule Items to consider Importance of timing Review of each care-related section of the MDS 3.0 Proper Communication During the Part A Stay Medicare meeting Timinng Agenda What to discuss for each resident Ending skilled services Notification requirements Discharging Other notification requirements and communication Other Important Things to Know Medicare myths Consolidated billing Medical review Audience Administrators, CFO/CEOs, directors of nursing, MDS coordinators, directors of rehab, therapy directors, PT/OT/ST, DONs.
