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Papers On Political Science & Government
Page 234 of 472

Medicare / Republicans vs. Democrats
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A 5 page paper on the ongoing debate between Republicans and Democrats over Medicare. Several health care plans and initiatives are mentioned. Report is useful mostly as a study in politics-- many of the events discussed are from 1995-96. Bibliography lists 5 sources.
Filename: Medicare.wps

Medicare and Managed Care Questions
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Three questions answered in 7 pages regarding the effects of managed care and Medicare’s transition from the retrospective cost based reimbursement system to the DRG/RUG/PPS systems currently in use today. Questions address cost, utilization, access and quality. Bibliography lists 7 sources.
Filename: KSmediMgdCarQues.rtf

Medicare Managed Care: History and Implications
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A 5 page paper discussing the history of Medicare managed care, economic implications and outlook for the future. The paper focuses on the history of the Medicare managed care, which saw its greatest growth throughout the decade of the 1990s. Medicare managed care has as much difficulty as other types of HMOs, however, and many are ceasing operations. This leaves seniors in a pool of uncertainty as increasing numbers of physicians turn away Medicare patients. Bibliography lists 3 sources.
Filename: KSmediHist.rtf

Medicare Part D
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A 6 page overview of this new addition to the Medicare Program. Designed to provide prescription drug coverage, the program has been a lifesaver for many. For others, however, there are complicating factors that mean more out-of-pocket expense in obtaining their drugs than what they incurred previously to their enrollment in Medicare D. Bibliography lists 4 sources.
Filename: PPmedcrD.rtf

Medicare Policy Change Proposal Memorandum
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A 2 page memo to Thomas Scully, Administrator, Centers for Medicare and Medicaid Services proposing a 6 – 9 month moratorium on health care provider reporting compliance. The purpose of this waiver will be to allow providers to design and implement operational changes designed to streamline their communications with CMS while enabling them to adopt the TQM (total quality management) principle of continuous improvement. The ultimate result is intended to be a more effective reporting and accountability system that the private sector – rather than taxpayer dollars – designs for CMS and for all of health care providers associated with Medicare. Bibliography lists 6 sources.
Filename: KSmediPolChgMemo.rtf

Medicare Policy Memo
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A 3 page memo discussing two leading problems of Medicare. The two primary problems facing Medicare is (1) the requirement that all individuals aged 65 and older participate even when they have no specific need; and (2) annual automatic increases in allowable charges for service to Medicare. Bibliography lists 3 sources.
Filename: KSmedPolProbM.rtf

Medicare PPS And The Balanced Budget Act Of 1997
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This 45 page paper explores the Balanced Budget Act of 1997, the prospective payment system instituted, and the effect on Medicare beneficiaries. Specifically, the writer offers a proposal for a study focusing on the increased costs for seniors as a result of the BBA and the PPS. An extensive literature review explains the changes in Medicare benefits as a result of the BBA, including the Medicare+Choice option now given to seniors. The PPS has had a dramatic impact on nursing homes and skilled nursing facilities. The caps placed on rehab services and the changes in federal Medicaid benefits have all combined to result in a greater proportion of out-of-pocket expenses for the Medicare beneficiary. Bibliography lists 22 sources.
Filename: PGmedcar.rtf

Medicare PPS Legislative Environment
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A 5 page paper discussing some of the legislative issues regarding the prospective payment system (PPS) Medicare reform system. Few legislators disagree that "something" must be done with Medicare. One attempt at reform has been implementation of PPS designed to replace the fee-for-service approach to payment under Medicare coverage. PPS addresses cost containment, though it is lacking in prescription assistance. It also raises questions regarding patients' rights to continued coverage. Bibliography lists 7 sources.
Filename: KSmedicarePPS.rtf

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