Federal Oversight of Medicare HMOs

Federal Oversight of Medicare HMOs PDF Author: United States. Congress. Senate. Special Committee on Aging
Publisher:
ISBN:
Category : Business & Economics
Languages : en
Pages : 192

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Federal Oversight of Medicare HMOs

Federal Oversight of Medicare HMOs PDF Author: United States. Congress. Senate. Special Committee on Aging
Publisher:
ISBN:
Category : Business & Economics
Languages : en
Pages : 192

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Status of Open Recommendations

Status of Open Recommendations PDF Author: United States. General Accounting Office
Publisher:
ISBN:
Category : Administrative agencies
Languages : en
Pages : 288

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Medicare

Medicare PDF Author: United States. General Accounting Office
Publisher:
ISBN:
Category : Medicare
Languages : en
Pages : 52

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Medicare

Medicare PDF Author:
Publisher: DIANE Publishing
ISBN: 9780788132117
Category : Medical
Languages : en
Pages : 52

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Book Description
This booklet contains two documents that evaluate federal oversight in Medicare and provide recommendations for increasing access and improving care in Medicare and other federal health organizations.

Medicare Advantage

Medicare Advantage PDF Author: James C. Cosgrove
Publisher: DIANE Publishing
ISBN: 1437928080
Category : Health & Fitness
Languages : en
Pages : 48

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Book Description
Questions have been raised about complaints that some Medicare Advantage (MA) org. and their agents inappropriately marketed their health plans to Medicare beneficiaries. Inappropriate marketing may include activities such as providing inaccurate info. about covered benefits and conducting prohibited marketing practices. The Centers for Medicare and Medicaid Services (CMS) is responsible for oversight of MA org. and their plans. This report examined: (1) the extent to which CMS has taken compliance and enforcement actions; (2) how CMS has helped beneficiaries affected by inappropriate marketing and the problems beneficiaries have encountered; and (3) info. CMS has about the extent of inappropriate marketing. Charts and tables.

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 : 210

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Medicare

Medicare PDF Author: DIANE Publishing Company
Publisher: DIANE Publishing
ISBN: 9780788137785
Category : Medical
Languages : en
Pages : 62

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Book Description
Today, almost 4 million Medicare beneficiaries have opted for HMOs. Although HMOs must cover the benefits available under traditional fee-for-service Medicare, they differ from one another in the provision of additional benefits, required premiums, networks of providers, & ability to satisfy members. Beneficiaries need information to pick the plan right for them. This report reviews issues in marketing & enrollment for HMO serving Medicare beneficiaries & information that could be made available to assist beneficiaries in choosing an HMO.

Medicare Managed Care

Medicare Managed Care PDF Author: William Scanlon
Publisher:
ISBN:
Category : Health maintenance organizations
Languages : en
Pages : 16

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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.

Medicare HMO Risk-contractor Program

Medicare HMO Risk-contractor Program PDF Author: United States. Congress. House. Committee on Energy and Commerce. Subcommittee on Health and the Environment
Publisher:
ISBN:
Category : Medical
Languages : en
Pages : 196

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