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Author: Centers for Medicare & Medicaid Services
Publisher: DIANE Publishing
Keywords: medicare
Number of Pages: 116
Published: 2007-03-24
ISBN-10: 1422309118
ISBN-13: 9781422309117

The official government handbook provides information on Medicare plans, prescription drug coverage, and Medicare rights.

Author: Gregory D. Kutz
Publisher: DIANE Publishing
Keywords: medicare, tax, system, federal, abuse, thousands, providers
Number of Pages: 44
Published: 2009-01
ISBN-10: 1437906656
ISBN-13: 9781437906653

Under the Medicare program, the Centers for Medicare and Medicaid Services (CMS) and its contractors paid over $400 billion in Medicare benefits in calendar year 2006. This report determines if Medicare providers have unpaid federal taxes and, if so: (1) determines the magnitude of such debts; (2) identifies examples of Medicare providers that have engaged in abusive or potentially criminal activities; and (3) determines whether CMS prevents delinquent taxpayers from enrolling in Medicare or levies payments to pay taxes. Includes recommendations. Charts and tables.

Author: Kathleen M. King
Publisher: DIANE Publishing
Keywords: medicare, anesthesia, services, differences, private, physician, payments, payment
Number of Pages: 272
Published: 2008-10
ISBN-10: 1428987541
ISBN-13: 9781428987548

In 2005 Medicare paid over $1.4 billion for anesthesia services (AS). These services are provided by anesthesia practitioners (AP), such as anesthesiologists and certified registered nurse anesthetists. A study found that Medicare payments for AS are lower than private payments. This difference may create regional discrepancies in the supply of AP. This report examines: the extent to which Medicare payments for AS were lower than private payments across Medicare payment localities; whether the supply of AP across Medicare payment localities was related to the differences between Medicare and p

Author: Kathleen M. King
Publisher: DIANE Publishing
Keywords: implementation, contractors, performance, standards, progress, made, contracting, reform, agency, medicare
Number of Pages: 68
Published: 2010-08
ISBN-10: 1437932878
ISBN-13: 9781437932874

The Medicare Prescription Drug, Improvement, and Modernization Act of 2003 significantly reformed contracting for payment of Medicare's $310 billion per year in fee-for-service claims. The Centers for Medicare and Medicaid Services (CMS) is transitioning claims administration to 19 new entities known as Medicare Administrative Contractors (MAC) and plans to complete the process ahead of Oct. 1, 2011, the date required by law. This report examined: (1) how CMS has implemented Medicare contracting reform; (2) how CMS assessed the performance of the MACs and what the results of its assessments ha

Author: James Cosgrove
Publisher: DIANE Publishing
Keywords: medicare, pocket, costs, beneficiaries, testimony, congressional, lower, service, higher, advantage, spending, relative, fee, ensure
Number of Pages: 16
Published: 2008-06-01
ISBN-10: 1437901719
ISBN-13: 9781437901719

Although private health plans were originally envisioned in the 1980s as a potential source of Medicare savings, such plans have generally increased program spending. In 2006, Medicare paid $59 billion to Medicare Advantage (MA) plans -- an estimated $7.1 billion more than Medicare would have spent if MA beneficiaries had received care in Medicare fee-for-service (FFS). MA plans receive a per member per month payment to provide services covered under Medicare FFS. For this testimony, the author examined MA plansż: (1) projected allocation of rebates; (2) projected cost sharing; and (3) projec

Author: A. Bruce Steinwald
Publisher: DIANE Publishing
Keywords: advantages, plans, beneficiaries, financial, demonstration, ppos, medicare
Number of Pages: 68
Published: 2004-10-31
ISBN-10: 0756745144
ISBN-13: 9780756745141

Preferred provider org. (PPO) are more prevalent than other types of health plans, but, in 2003, only 6 PPOs contracted to serve Medicare beneficiaries (BE) in Medicare+Choice. The Centers for Medicare & Medicaid Services (CMS) initiated 2 demonstrations that include a total of 34 PPOs. This study: (1) describes how CMS used its statutory authority to conduct the 2 demo's., (2) assessed the extent to which demo. PPOs (DP) expanded access to Medicare health plans & attracted enrollees, (3) compared CMS's est. of out-of-pocket costs that BE incurred in DP with those of other types of coverage, i

Author: Nancy-Ann Minn DeParle
Publisher: DIANE Publishing
Keywords: medicare, plan, choices, health, original
Number of Pages: 52
Published: 1998-06-01
ISBN-10: 0788179780
ISBN-13: 9780788179785

Contents: recent legislation included Medicare+Choice, which will result in changes to the Medicare program; you now have new preventive health benefits & new patient protections. In addition, starting in 1999, Medicare will offer new health plan choices. This handbook includes a description of the new preventive benefits available to you, the rights you have as a patient, & the new health plan options available to you. It will help you identify some of the important questions you will want to ask & includes a list of important resources for you to get more information.
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