Medicare - Revision history

Admin at 08:17, 2 November 2018

2018-11-02T08:17:26Z

Admin at 08:17, 2 November 2018

2018-11-02T08:17:07Z

Admin at 18:28, 4 December 2017

2017-12-04T18:28:36Z

Admin at 18:27, 4 December 2017

2017-12-04T18:27:48Z

Admin at 18:26, 4 December 2017

2017-12-04T18:26:54Z

Morgannoel18 at 08:14, 28 October 2017

2017-10-28T08:14:56Z

Admin at 13:52, 28 September 2017

2017-09-28T13:52:20Z

Nicole: Created page with "Medicare, enacted in 1965, is a broad-based social insurance program administered by the federal government. State governments are largely out of the picture; however, there i..."

2017-01-31T17:01:45Z

Created page with "Medicare, enacted in 1965, is a broad-based social insurance program administered by the federal government. State governments are largely out of the picture; however, there i..."

New page

Medicare, enacted in 1965, is a broad-based social insurance program administered by the federal government. State governments are largely out of the picture; however, there is some overlap in the programs. States pay Medicare care premiums for some low-income Medicaid eligible seniors, so-called dual eligibles. The Medicare program provides insurance to people over 65 and eligible for Social Security (people with disabilities became eligible in 1972). Medicare Part A covers hospital costs and is mandatory. Medicare Part B covers physician services, is voluntary, and requires a premium. The program is administered by the Centers for Medicare and Medicaid Services (CMS, formerly the Health Care Financing Administration, or HCFA), which uses private intermediaries to implement Part A and private insurance carriers to implement Part B. Commercial insurers or Blue Cross Blue Shield plans are generally used to review claims and make payments. Part C of Medicare provides options for beneficiaries to select a health care plan or managed care organization to provide their health benefits. Part D, as part of legislation signed into law in December 2003, provides a prescription drug benefit that will be fully available in 2006.

The Medicare program does not provide long-term care services for its beneficiaries, although it does provide some home care services and skilled nursing home services associated with an illness of hospital stay. As mentioned above, certain low-income elders are eligible for both the Medicare and Medicaid program; they are called dual eligibles. For these people, Medicaid pays Medicare premiums and other beneficiary out-of-pocket costs (copayments, co-insurance, and deductibles). Complex coverage and payment differences between the two programs, along with a lack of program coordination, make for dynamic intergovernmental relations. States want to limit Medicaid expenses and have Medicare pick up as much of the cost as possible, while Medicare administrators at CMS try to prevent this in the effort to keep federal costs down.

{| class="wikitable"
|-
| '''BIBLIOGRAPHY:'''
Jennifer O’Sullivan and Richard Price, “Medicare, Congressional Research Service Brief,” ''Library of Congress'' (April 12, 1996): 2.
|}

==== Michael Doonan ====

SEE ALSO: [[Health Care Policy]]; [[Medicaid]]

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 Medicare, enacted in 1965, is a broad-based social insurance program administered by the federal government. State governments are largely out of the picture; however, there is some overlap in the programs. States pay Medicare care premiums for some low-income Medicaid eligible seniors, so-called dual eligibles. The Medicare program provides insurance to people over 65 and eligible for Social Security (people with disabilities became eligible in 1972). Medicare Part A covers hospital costs and is mandatory. Medicare Part B covers physician services, is voluntary, and requires a premium. The program is administered by the federal government through the Centers for Medicare and Medicaid Services (CMS), which uses private intermediaries to implement Part A and private insurance carriers to implement Part B. Part C of Medicare provides options for beneficiaries to select a health care plan or managed care organization to provide their health benefits. These Medicare HMO options known as Medicare Advantage are becoming more popular. In 2000 just under 7 percent of enrollees were in such plans compared to 19 percent in 2017. Part D, as part of legislation signed into law in December 2003, provided a prescription drug benefit that was fully available in 2006.
-The Medicare program is financed through three sources, a payroll tax people pay through work, funds Congress authorized, and beneficiary premiums and copayments. Payroll taxes go into the Medicare Trust Fund to pay for Part A hospital insurance. General revenue from the government and beneficiary payments finance Parts B and D. Funding is combined to finance Medicare Advantage plans.
+The Medicare program is financed through three sources, a payroll tax people pay through work, funds [[U.S. Congress|Congress]] authorized, and beneficiary premiums and copayments. Payroll taxes go into the Medicare Trust Fund to pay for Part A hospital insurance. General revenue from the government and beneficiary payments finance Parts B and D. Funding is combined to finance Medicare Advantage plans.
 The Medicare program does not provide long-term care services for its beneficiaries, although it does provide some home care services and skilled nursing home services associated with an illness of hospital stay. As mentioned above, certain low-income elders are eligible for both the Medicare and Medicaid program; they are called dual eligibles. For these people, Medicaid pays Medicare premiums and other beneficiary out-of-pocket costs (copayments, co-insurance, and deductibles). Complex coverage and payment differences between the two programs, along with a lack of program coordination, make for dynamic [[Intergovernmental Relations|intergovernmental relations.]] States want to limit Medicaid expenses and have Medicare pick up as much of the cost as possible, while Medicare administrators at CMS try to prevent this in the effort to keep federal costs down.

← Older revision		Revision as of 08:17, 2 November 2018
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	The Medicare program is financed through three sources, a payroll tax people pay through work, funds Congress authorized, and beneficiary premiums and copayments. Payroll taxes go into the Medicare Trust Fund to pay for Part A hospital insurance. General revenue from the government and beneficiary payments finance Parts B and D. Funding is combined to finance Medicare Advantage plans.		The Medicare program is financed through three sources, a payroll tax people pay through work, funds Congress authorized, and beneficiary premiums and copayments. Payroll taxes go into the Medicare Trust Fund to pay for Part A hospital insurance. General revenue from the government and beneficiary payments finance Parts B and D. Funding is combined to finance Medicare Advantage plans.

−	The Medicare program does not provide long-term care services for its beneficiaries, although it does provide some home care services and skilled nursing home services associated with an illness of hospital stay. As mentioned above, certain low-income elders are eligible for both the Medicare and Medicaid program; they are called dual eligibles. For these people, Medicaid pays Medicare premiums and other beneficiary out-of-pocket costs (copayments, co-insurance, and deductibles). Complex coverage and payment differences between the two programs, along with a lack of program coordination, make for dynamic intergovernmental relations. States want to limit Medicaid expenses and have Medicare pick up as much of the cost as possible, while Medicare administrators at CMS try to prevent this in the effort to keep federal costs down.	+	The Medicare program does not provide long-term care services for its beneficiaries, although it does provide some home care services and skilled nursing home services associated with an illness of hospital stay. As mentioned above, certain low-income elders are eligible for both the Medicare and Medicaid program; they are called dual eligibles. For these people, Medicaid pays Medicare premiums and other beneficiary out-of-pocket costs (copayments, co-insurance, and deductibles). Complex coverage and payment differences between the two programs, along with a lack of program coordination, make for dynamic [[Intergovernmental Relations\|intergovernmental relations.]] States want to limit Medicaid expenses and have Medicare pick up as much of the cost as possible, while Medicare administrators at CMS try to prevent this in the effort to keep federal costs down.

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 Last Updated: November 2017
-SEE ALSO: [[Health Care Policy]]; [[Medicaid]]; [[Patient Protection and Affordability Care Act]]
+SEE ALSO: [[Health Care Policy]]; [[Medicaid]]; [[Patient Protection and Affordable Care Act]]
 [[Category:Policy Areas]]

@@ Line 16: / Line 16: @@
 Last Updated: November 2017
-SEE ALSO: [[Health Care Policy]]; [[Medicaid]]
+SEE ALSO: [[Health Care Policy]]; [[Medicaid]]; [[Patient Protection and Affordability Care Act]]
 [[Category:Policy Areas]]

← Older revision		Revision as of 13:52, 28 September 2017
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	SEE ALSO: [[Health Care Policy]]; [[Medicaid]]		SEE ALSO: [[Health Care Policy]]; [[Medicaid]]
		+
		+	[[Category:Policy Areas]]

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-Medicare, enacted in 1965, is a broad-based social insurance program administered by the federal government. State governments are largely out of the picture; however, there is some overlap in the programs. States pay Medicare care premiums for some low-income Medicaid eligible seniors, so-called dual eligibles. The Medicare program provides insurance to people over 65 and eligible for Social Security (people with disabilities became eligible in 1972). Medicare Part A covers hospital costs and is mandatory. Medicare Part B covers physician services, is voluntary, and requires a premium. The program is administered by the Centers for Medicare and Medicaid Services (CMS, formerly the Health Care Financing Administration, or HCFA), which uses private intermediaries to implement Part A and private insurance carriers to implement Part B. Commercial insurers or Blue Cross Blue Shield plans are generally used to review claims and make payments. Part C of Medicare provides options for beneficiaries to select a health care plan or managed care organization to provide their health benefits. Part D, as part of legislation signed into law in December 2003, provides a prescription drug benefit that will be fully available in 2006.
+Medicare, enacted in 1965, is a broad-based social insurance program administered by the federal government. State governments are largely out of the picture; however, there is some overlap in the programs. States pay Medicare care premiums for some low-income Medicaid eligible seniors, so-called dual eligibles. The Medicare program provides insurance to people over 65 and eligible for Social Security (people with disabilities became eligible in 1972). Medicare Part A covers hospital costs and is mandatory. Medicare Part B covers physician services, is voluntary, and requires a premium. The program is administered by the federal government through the Centers for Medicare and Medicaid Services (CMS), which uses private intermediaries to implement Part A and private insurance carriers to implement Part B. Part C of Medicare provides options for beneficiaries to select a health care plan or managed care organization to provide their health benefits. These Medicare HMO options known as Medicare Advantage are becoming more popular. In 2000 just under 7 percent of enrollees were in such plans compared to 19 percent in 2017. Part D, as part of legislation signed into law in December 2003, provided a prescription drug benefit that was fully available in 2006.
 The Medicare program does not provide long-term care services for its beneficiaries, although it does provide some home care services and skilled nursing home services associated with an illness of hospital stay. As mentioned above, certain low-income elders are eligible for both the Medicare and Medicaid program; they are called dual eligibles. For these people, Medicaid pays Medicare premiums and other beneficiary out-of-pocket costs (copayments, co-insurance, and deductibles). Complex coverage and payment differences between the two programs, along with a lack of program coordination, make for dynamic intergovernmental relations. States want to limit Medicaid expenses and have Medicare pick up as much of the cost as possible, while Medicare administrators at CMS try to prevent this in the effort to keep federal costs down.
 {| class="wikitable"
 |-
 | '''BIBLIOGRAPHY:'''
-Jennifer O’Sullivan and Richard Price, “Medicare, Congressional Research Service Brief,” ''Library of Congress'' (April 12, 1996): 2.
+Patricia Davis et. al., “Medicare Primer, Congressional Research Service Brief,” Library of Congress (August 2, 2017). Center for Medicare and Medicaid Services, Medicare.gov. ''[https://www.medicare.gov/about-us/how-medicare-is-funded/medicare-funding.html How is Medicare Funded?]'' (November 2017) .
 |}
 ==== Michael Doonan ====
-Last Updated: 2006
+Last Updated: November 2017
 SEE ALSO: [[Health Care Policy]]; [[Medicaid]]
 [[Category:Policy Areas]]