Medicare Demonstration PPOs

Medicare Demonstration PPOs PDF Author: A. Bruce Steinwald
Publisher: DIANE Publishing
ISBN: 9780756745141
Category : Medical
Languages : en
Pages : 76

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Book Description
Preferred provider org. (PPO) are more prevalent than other types of health plans, but, in 2003, only 6 PPOs contracted to serve Medicare beneficiaries (BE) in Medicare+Choice. The Centers for Medicare & Medicaid Services (CMS) initiated 2 demonstrations that include a total of 34 PPOs. This study: (1) describes how CMS used its statutory authority to conduct the 2 demo's., (2) assessed the extent to which demo. PPOs (DP) expanded access to Medicare health plans & attracted enrollees, (3) compared CMS's est. of out-of-pocket costs that BE incurred in DP with those of other types of coverage, incl. fee-for-service Medicare, M+C plans, & Medigap policies, & (4) determined the effects of DP on Medicare spending. Charts & tables.

Medicare Demonstration PPOs

Medicare Demonstration PPOs PDF Author: A. Bruce Steinwald
Publisher: DIANE Publishing
ISBN: 9780756745141
Category : Medical
Languages : en
Pages : 76

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Book Description
Preferred provider org. (PPO) are more prevalent than other types of health plans, but, in 2003, only 6 PPOs contracted to serve Medicare beneficiaries (BE) in Medicare+Choice. The Centers for Medicare & Medicaid Services (CMS) initiated 2 demonstrations that include a total of 34 PPOs. This study: (1) describes how CMS used its statutory authority to conduct the 2 demo's., (2) assessed the extent to which demo. PPOs (DP) expanded access to Medicare health plans & attracted enrollees, (3) compared CMS's est. of out-of-pocket costs that BE incurred in DP with those of other types of coverage, incl. fee-for-service Medicare, M+C plans, & Medigap policies, & (4) determined the effects of DP on Medicare spending. Charts & tables.

The Medicare Handbook

The Medicare Handbook PDF Author:
Publisher:
ISBN:
Category : Health insurance
Languages : en
Pages : 44

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Book Description


Medicare coverage of diabetes supplies & services

Medicare coverage of diabetes supplies & services PDF Author:
Publisher:
ISBN:
Category : Diabetes
Languages : en
Pages : 32

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Book Description


Improving the Medicare Market

Improving the Medicare Market PDF Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309175364
Category : Medical
Languages : en
Pages : 384

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Book Description
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.

Section 1557 of the Affordable Care Act

Section 1557 of the Affordable Care Act PDF Author: American Dental Association
Publisher: American Dental Association
ISBN: 1941807712
Category : Medical
Languages : en
Pages : 60

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Book Description
Section 1557 is the nondiscrimination provision of the Affordable Care Act (ACA). This brief guide explains Section 1557 in more detail and what your practice needs to do to meet the requirements of this federal law. Includes sample notices of nondiscrimination, as well as taglines translated for the top 15 languages by state.

Health Care Financing Review

Health Care Financing Review PDF Author:
Publisher:
ISBN:
Category : Medical care
Languages : en
Pages : 314

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Book Description


Status Report

Status Report PDF Author:
Publisher:
ISBN:
Category : Medical care, Cost of
Languages : en
Pages : 288

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Book Description


Report to the Congress, Medicare Payment Policy

Report to the Congress, Medicare Payment Policy PDF Author: Medicare Payment Advisory Commission (U.S.)
Publisher:
ISBN:
Category : Hospitals
Languages : en
Pages : 340

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Book Description


108-2 Committee Print: Committee on Ways and Means, 2004 Green Book, Etc., March 2004, *

108-2 Committee Print: Committee on Ways and Means, 2004 Green Book, Etc., March 2004, * PDF Author:
Publisher:
ISBN:
Category :
Languages : en
Pages : 1628

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Book Description


Background Material and Data on Major Programs Within the Jurisdiction of the Committee on Ways and Means

Background Material and Data on Major Programs Within the Jurisdiction of the Committee on Ways and Means PDF Author:
Publisher:
ISBN:
Category : Economic assistance, Domestic
Languages : en
Pages : 1652

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Book Description