Medicare Program; Waiver Designs in Connection With the Medicare Shared Savings Program and the Innovation CenterDonald M. BerwickDaniel R. Levinson
Medicaid programs split that responsibility between the national government and states through the federal medical assistance percentage (FMAP). The formula designates federal reimbursement for states based on the per capita income when compared to the national average, as aCongressional Budget Office repor...
criteria for defining special payment categories under the PPS for new medical devices. The Secretary must promulgate, through the use of a program memorandum, initial categories that would encompass each of the individual devices that the Secretary had designated as qualifying for the pass-throug...
Sequester cuts will hit medical care and research A 2% cut widens the already enormous gap between what Medicare pays and the actual cost of caring for patients. “Creating a larger gap between Medicare... JH Tanne - Bmj 被引量: 3发表: 2013年 Trickle-down effects of Medicare cuts. A 2%...
The results demonstrate that average per capita cost and claims increased significantly for both Medicare Part A (hospital insurance) and Part B (supplementary medical insurance) out-of-plan services during the waiver. Self-referred out-of-plan use normally prohibited by lock-in, accounted for 20...
1.03 BLUE CROSS has a contract with the Health Care Financing Administration (“HCFA”) of the United States Government to provide Medicare benefits to eligible persons through its BLUE CROSS SENIOR SECURE program. 1.04 PARTICIPATING MEDICAL GROUP and its PARTICIPATING MEDICAL GROUP Physicians desire to...
You will probably see an increase of medical clinics throughout the country with nurse practitioners running them. This will cause a rationing of health care services among physicians that are left, that many people will face long waits for necessary surgeries. ...
(CHIP) started to provide low-cost coverage for children in low-income families that do not qualify for Medicaid. The CHIP program is a combined partnership between state governments and the federal government, much like Medicaid coverage. CHIP pays for a wide number of medical services, ...
In Chapter 2, the individual characteristics associated with higher spending growth over the period 1996 to 2008 were identified based on analyses with pooled cross-sectional data from the Medical Expenditure Panel Survey. The key factors that were associated with the adjusted growth rates higher ...
should be made to centralize program operations by building on a common data chassis comprising eligibility and enrollment systems, claims administration, and drug and durable medical equipment purchasing.7 Accurate Patient Attribution In value-based care models, practitioners accept accountability for the ...