[PDF] The Impact Of Medicare eBook

Author : Institute of Medicine
Publisher : National Academies Press
Page : 213 pages
File Size : 22,32 MB
Release : 2002-06-20
Category : Medical
ISBN : 0309083435

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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.

Author : Rick Mayes
Publisher : JHU Press
Page : 274 pages
File Size : 28,21 MB
Release : 2006-12-20
Category : Medical
ISBN : 0801888875

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This is the definitive work on Medicare’s prospective payment system (PPS), which had its origins in the 1972 Social Security Amendments, was first applied to hospitals in 1983, and came to fruition with the Balanced Budget Act of 1997. Here, Rick Mayes and Robert A. Berenson, M.D., explain how Medicare’s innovative payment system triggered shifts in power away from the providers (hospitals and doctors) to the payers (government insurers and employers) and how providers have responded to encroachments on their professional and financial autonomy. They conclude with a discussion of the problems with the Medicare Modernization Act of 2003 and offer prescriptions for how policy makers can use Medicare payment policy to drive improvements in the U.S. health care system. Mayes and Berenson draw from interviews with more than sixty-five major policy makers—including former Treasury secretary Robert Rubin, U.S. Representatives Pete Stark and Henry Waxman, former White House chief of staff Leon Panetta, and former administrators of the Health Care Financing Administration Gail Wilensky, Bruce Vladeck, Nancy-Ann DeParle, and Tom Scully—to explore how this payment system worked and its significant effects on the U.S. medical landscape in the past twenty years. They argue that, although managed care was an important agent of change in the 1990s, the private sector has not been the major health care innovator in the United States; rather, Medicare’s transition to PPS both initiated and repeatedly intensified the economic restructuring of the U.S. health care system.

Author : Ken Lefkowitz
Publisher : Routledge
Page : 74 pages
File Size : 38,15 MB
Release : 2022-02-22
Category : Medical
ISBN : 1000581489

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Healthcare continues to be one of the defining political issues in the United States. Though many progressives argue for an overhaul of the current system based on ethical or humanitarian principles, this important book offers an economic rationale for providing healthcare for all. The purpose of Medicare For All: An Economic Rationale is to demonstrate how current runaway healthcare prices can be addressed by implementing the cost-effectiveness of Medicare For All. Written by a former Corporate Director and healthcare consultant, this book illustrates why the current free market model for healthcare is ultimately failing the country by not containing rising healthcare costs, which has a severe economic impact on all Americans, including those covered by employer medical plans. Major factors in that failure such as the lack of transparency, human decision factors, and high administrative costs in the current system are explored. The book demonstrates that implementing Medicare For All, providing comprehensive benefits with no copays, private insurance premiums, deductibles, or other cost-sharing, will not only improve the lives of most Americans, but will be far more cost-effective than the present system. This is an incisive, important contribution to a topic that continues to shape American political discourse and will be of interest to scholars and professionals engaged in this area as well as politicians and the public in general.

Author : Institute of Medicine
Publisher : National Academies Press
Page : 462 pages
File Size : 29,48 MB
Release : 1990-02-01
Category : Medical
ISBN : 0309042305

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Health care for the elderly American is among our nation's more pressing social issues. Our society wishes to ensure quality health care for all older people, but there is growing concern about our ability to maintain and improve quality in the face of efforts to contain health care costs. Medicare: A Strategy for Quality Assurance answers the U.S. Congress' call for the Institute of Medicine to design a strategic plan for assessing and assuring the quality of medical care for the elderly. This book presents a proposed strategic plan for improving quality assurance in the Medicare program, along with steps and timetables for implementing the plan by the year 2000 and the 10 recommendations for action by Congress. The book explores quality of careâ€"how it is defined, measured, and improvedâ€"and reviews different types of quality problems. Major issues that affect approaches to assessing and assuring quality are examined. Medicare: A Strategy for Quality Assurance will be immediately useful to a wide audience, including policymakers, health administrators, individual providers, specialists in issues of the older American, researchers, educators, and students.

Author : Jonathan Oberlander
Publisher : University of Chicago Press
Page : 275 pages
File Size : 26,63 MB
Release : 2003-06
Category : Business & Economics
ISBN : 0226615960

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In recent years, bitter partisan disputes have erupted over Medicare reform. Democrats and Republicans have fiercely contested issues such as prescription drug coverage and how to finance Medicare to absorb the baby boomers. As Jonathan Oberlander demonstrates in The Political Life of Medicare, these developments herald the reopening of a historic debate over Medicare's fundamental purpose and structure. Revealing how Medicare politics and policies have developed since Medicare's enactment in 1965 and what the program's future holds, Oberlander's timely and accessible analysis will interest anyone concerned with American politics and public policy, health care politics, aging, and the welfare state.