Medicare Beneficiaries with Dual Sources of Coverage PDF Download
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Author: Craig Copeland
Publisher:
ISBN:
Category :
Languages : en
Pages : 0
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Book Description
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."
Author: Craig Copeland
Publisher:
ISBN:
Category :
Languages : en
Pages : 0
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Book Description
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."
Author:
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ISBN:
Category : Medicaid
Languages : en
Pages : 0
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Book Description
Author: Juliette Cubanski
Publisher:
ISBN:
Category :
Languages : en
Pages : 26
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Book Description
Author: Leslie G. Aronovitz
Publisher:
ISBN:
Category : Health insurance
Languages : en
Pages : 16
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Book Description
Author: Medicare Payment Advisory Commission (U.S.)
Publisher:
ISBN:
Category : Hospitals
Languages : en
Pages : 184
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Book Description
Author: United States. Congress. Senate. Special Committee on Aging
Publisher:
ISBN:
Category : Medical
Languages : en
Pages : 102
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Book Description
Author: United States. Congress. Pepper Commission
Publisher:
ISBN:
Category : Health insurance
Languages : en
Pages : 30
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Book Description
Author: Jules Mauthner
Publisher: Nova Science Publishers
ISBN: 9781628087314
Category : Managed care plans (Medical care)
Languages : en
Pages : 0
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Book Description
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.
Author: U.s. Department of Health and Human Services
Publisher: CreateSpace
ISBN: 9781508508007
Category : Medical
Languages : en
Pages : 32
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Book Description
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?
Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309083435
Category : Medical
Languages : en
Pages : 213
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Book Description
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.
