MARC record from Internet Archive

LEADER: 07062cam 2200925 a 4500
001 ocm27186142
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008 921216s1993 dcua b 001 0 eng
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050 00 $aHD7102.U4$bM666 1993
060 00 $a1995 C-006
060 10 $aWT 31$bM818m 1993
082 00 $a368.4/26/00973$220
084 $a44.14$2bcl
100 1 $aMoon, Marilyn.
245 10 $aMedicare now and in the future /$cMarilyn Moon.
260 $aWashington, D.C. :$bUrban Institute Press ;$aLanham, MD :$bDistributed by University Press of America,$c℗♭1993.
300 $axvi, 263 pages :$billustrations ;$c24 cm
336 $atext$btxt$2rdacontent
337 $aunmediated$bn$2rdamedia
338 $avolume$bnc$2rdacarrier
504 $aIncludes bibliographical references (pages 245-257) and index.
505 2 $a1. Placing Medicare in Context. Why Examine Medicare Now? Economic Status of Older Americans. Prospects for the Future. Burdens from Health Spending. The Economic Status of Disabled Persons. The Problem of Rising Healthcare Costs. Prices. Use of Services. Medicare as Part of Federal Budget. Rethinking Medicare Policy -- 2. Assuring Access. The Genesis. Evolution of the Legislation. Medicare and Its Goals. Expansion in 1972. Other Changes in Access. Who Gets What? Rising Burdens of Medicare Cost Sharing. Geographic Variation -- 3. Containing Costs: impacts on Providers. Sources of Growth in Medicare Spending. Changing Medicare's Relationship with Providers. Hospitals Take the First Hit. How PPS Works. The Immediate Response in Delivery of Care. Impacts on Hospitals.
505 8 $aImpact on Medicare Administration. Changes to Improve Hospital Payment. Physician Payment Reform. Details of the Medicare Fee Schedule. The Likely Impact. Other Provider Changes. Home Health Services. Skilled Nursing Facility Care -- 4. Containing Costs: impacts on Beneficiaries. Direct Changes in Beneficiary Cost Sharing. Sources of Higher Beneficiary Burdens. Offsetting Reductions in Beneficiary Burdens. Distribution of the Impact. PPS and Indirect Burdens on Beneficiaries. Effects of Shorter Hospital Stays. Shifting the Site of Service. Effects of Less Inpatient Care. Quality of Care. Medicare Physician Payment Reform and Quality. HMOs and Quality. Peer Review Organizations. Using Effectiveness Studies to Improve Quality. Program Satisfaction.
505 8 $a5. The Medicare Catastrophic Coverage Act. Recognizing the Need for Catastrophic Protection. Setting the Stage for the Legislation. Evolution of the Legislation. Defining the Benefits. Financing. The Medicare Catastrophic Coverage Act: Passage and Repeal. Overall Beneficiary Impact. Winners and Losers. The Beginning of the End. The Repeal. Lessons for Health Policy. Politics of the Supplemental Premium. Marginal Nature of the Benefits. Meaning of Catastrophic Coverage. Role of Private Coverage. Ignoring the Need for Simplicity. Changed View of the Elderly -- 6. Marginal Changes and the Future. Restructuring Cost Sharing. Cost-Containment Strategies. Hospitals. Physicians. HMOs and Other Managed-Care Approaches. Effectiveness Studies. Cuts Directed at Beneficiaries.
505 8 $aModest Benefit Expansions. Administrative Improvements and Simplifications. Hospice Care and the Last Year of Life. Preventive Services -- 7. Reducing the Cost of Medicare. Shifting Risks. Vouchers. Capitated Care Options. Reducing Coverage. Restructuring the Medicare Program. Substantial Increases in Medicare's Premium. Taxing the Value of Medicare Benefits. Limiting Eligibility. Increasing the Age of Eligibility. Age Rationing. Means-Testing Medicare -- 8. Expanding Medicare. Improving Acute Care. Moving an Expanded QMB Program to Medicare. Adding Stop-Loss Protection. Expanding Eligibility for Medicare. Adding Prescription Drug Benefit to Medicare. Adding Long-Term Care. Comprehensive Long-Term Care Coverage. An Income-Related Benefit.
505 8 $aLimited Expansion of Medicare Benefits for Long-Term Care. Changing the Composition of Medicare Services. An Optional Long-Term Care Benefit -- 9. How Should Medicare Change? Medicare and Broader Reform. Lessons from Medicare for Reform. Enhancing Cost Containment through Health Reform. Determining the Comprehensiveness of Healthcare Coverage. Recommendations for Getting "Here" to "There" First Steps. Revise Cost Sharing. Expand the QMB Program. Create an Income-Related Premium. Expand the Hospice Program. Streamline Billing and Administration. Next Steps. All-Payer Regulation. Improve Acute-Care Coverage. Expand Long-Term Care Coverage. Require Financial Contributions Based on Ability to Pay -- Appendix: The Mechanics of Medicare.
610 27 $aMedicare$2gnd
610 27 $aMedicare.$2swd
650 0 $aMedicare.
650 0 $aMedicare$xForecasting.
650 0 $aMedicare$xCost control.
650 0 $aForecasting.
650 0 $aMedicare$xtrends.
650 12 $aMedicare$xtrends.
650 22 $aForecasting.
650 6 $aMedicare.
650 6 $aMedicare$xPre vision.
650 6 $aMedicare$xCou t$xContro le.
650 17 $aZiektekostenverzekering.$2gtt
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650 17 $aBejaarden.$2gtt
650 7 $aForecasting.$2fast$0(OCoLC)fst00931721
650 7 $aMedicare.$2fast$0(OCoLC)fst01014815
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650 7 $aMedicare$xForecasting.$2fast$0(OCoLC)fst01014835
650 4 $aKrankenversicherung$xGesundheitskosten$xUSA.
653 $aMedicare
653 $aMedicare -- Forecasting
653 $aMedicare -- Cost control
653 $aForecasting
653 $aMedicare -- trends
776 08 $iOnline version:$aMoon, Marilyn.$tMedicare now and in the future.$dWashington, D.C. : Urban Institute Press ; Lanham, MD : Distributed by University Press of America, ℗♭1993$w(OCoLC)623289980
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