Schema-Root.org logo

 

  cross-referenced news and research resources about

 Medicare

In the United States, Medicare is a national social insurance program, administered by the U.S. federal government since 1965, that guarantees access to health insurance for Americans aged 65 and older and younger people with disabilities as well as people with end stage renal disease (Medicare.gov, 2012) and persons with Lou Gehrig’s disease. As a social insurance program, Medicare spreads the financial risk associated with illness across society to protect everyone, and thus has a somewhat different social role from for-profit private insurers, which manage their risk portfolio by adjusting their pricing according to perceived risk.


Medicare offers all enrollees a defined benefit. hospital care is covered under Part A and outpatient medical services are covered under Part B. To cover the Part A and Part B benefits, Medicare offers a choice between an open-network single payer health care plan (traditional Medicare) and a network plan (Medicare Advantage, or Medicare Part C), where the federal government pays for private health coverage. A majority of Medicare enrollees have traditional Medicare (76 percent) over a Medicare Advantage plan (24 percent) (Medicare.gov, 2012). Medicare Part D covers outpatient prescription drugs exclusively through private plans or through Medicare Advantage plans that offer prescription drugs and in some cases are owned by pharmacies, including CVS which now owns SilverScript.


In 2010, Medicare provided health insurance to 48 million Americans—40 million people age 65 and older and eight million younger people with disabilities. Medicare serves a large population of elderly and disabled individuals. On average, Medicare covers about half (48 percent) of health care costs for enrollees. Medicare enrollees must cover the rest of the cost. These out-of-pocket costs vary depending on the amount of health care a Medicare enrollee needs. They might include uncovered services—such as long-term, dental, hearing, and vision care—and supplemental insurance.

Schema-Root.org logo
images:  google   yahoo YouTube
spacer

updated Fri. January 20, 2017

-
Confused with all the options Medicare has to offer? Should I stay on my group insurance or move on to Medicare? How do I choose the right drug plan?
Tom Price, President-elect Donald Trump's nominee to serve as Secretary of the Department of Health and Human Services, asking Price to clarify his position on the Medicare eligibility age ahead of his nomination hearing before the Senate finance ...
The District Of Columbia had the highest amount of Medicare waste per beneficiary in fiscal year 2015, according to a recently released analysis by the Council for Medicare Integrity, a nonprofit government watchdog. For the analysis, CMI looked at the ...
On President Donald Trump's inauguration day, Medicare announced Carilion Clinic was selected as one of 45 health systems across the country to participate in its latest program that rewards doctors and hospitals for helping elderly people manage ...
Patient access to anesthesia care for seven common surgical procedures is not increased when states "opt-out" of the Medicare rule that requires anesthesia to be administered with physician supervision, reports a study published in the Online First ...
An open letter to folks who are at or approaching the age Medicare benefits kick in: Serious concerns have been raised over congressional attempts/proposals to "privatize" Medicare and turn it into a voucher system. The results of such actions are ...
House Speaker Paul Ryan (R-Wis.) seems to be constitutionally unable to avoid making misstatements about the Affordable Care Act or Medicare, two programs he has the knives out for. He doesn't put it that way, of course - he hides his demolition plans ...
Low Income Subsidy (LIS) or "Extra Help" is a discount plan that can lower your prescription co-pays; cover all or part of your Medicare Part D monthly premiums; ...
After grandstanding to their base with repeated votes repealing the Affordable Care Act, Republicans are scrambling for a replacement while already working to eliminate popular key features, threatening Medicare and defunding Medicaid and Planned ...
Milroy, who is retired, said Sunday was his 65th birthday, meaning he is now eligible for Medicare benefits. Patricia Ramsey, 71, a retired University of Massachusetts Amherst professor, said she and her husband rely on their Social Security and ...
CONSHOHOCKEN, Pa. -- TMG Health, the leading national provider of Business Process Outsourcing solutions for Health Plans in the Medicare Advantage, ...
The University of Pennsylvania Health System agreed to pay $845000 to settle allegations that it improperly billed Medicare for unnecessary stent procedures at ...
The gentleman's reaction made me think of a Medicare beneficiary I encountered a while back. He'd decided not to enroll in Medicare Part B, which helps pay for doctor fees, outpatient treatment, and preventive-care services, when he was first eligible.
Shortly after her promotion from a low-level billing position at a family-owned ambulance company, Dale Meehan began to notice irregularities in the way the company billed Medicare claims. Leominster-based MedStar Ambulance Inc. allegedly billed ...
Trump wants to meddle with Medicare or Social Security." However, Priebus was not pressed on how Trump's promise to repeal Obamacare could affect Medicare recipients. It should offer comfort to the "Never Trumpers" that even President Obama praised ...
California Gov. Jerry Brown's latest fiscal budget proposes ending a program that coordinates care for people enrolled in both Medicaid and Medicare next year. The program failed to show it saved money but because Gov. Brown believes it improved care, ...
Medicare has warned three Pennsylvania health plans that sell coverage for seniors to fix their physician network directories by Feb. 6 or face fines or enrollment ...
Why not include in any repeal legislation a provision that entitles anyone losing Obamacare coverage immediately to enroll either in Medicare, or in the same federal employee insurance plan that likely will once again cover lawmakers and their staffs ...
In "Trump Medicare promise causes heartburn for GOP," Scott Wong aptly described the tone deafness of congressional Republicans who threaten Medicare, ...
Dr. Michael Bahrami's victory was significant because there had been a string of other convictions in the scheme.
Despite stepped up efforts to crack down on Medicare fraud and wasteful spending, the federal government lost at least $43 billion in fiscal 2015 to health care providers who filed improper or bogus claims to the program, according to a new study.
Repealing and replacing the Affordable Care Act (ACA) is a top priority of the Trump Administration and the Republican leadership, and is a prominent issue on the agenda of the 115th Congress. The ACA includes many provisions affecting the Medicare ...
Affirmant Health Partners in Kalamazoo has been approved as one of six new Medicare accountable care organizations in Michigan and will join 15 other ACOs ...
Editor's Note: journalist Philip Moeller, who writes widely on aging and retirement, is here to provide the answers you need. Phil is the author of the new book, "Get What's Yours for Medicare," and co-author of "Get What's Yours: The Revised secrets ...
Trump promised to preserve the programs. Now Tom Price won't give a straight answer. Patrick CaldwellJan. 18, 2017 2:30 PM. Share on facebook · Share on ...
An Omaha-based medical network that has served some 55000 people covered by traditional insurance under so called "value-based" agreements that ...
HHS recently finalized several Medicare appeals backlog solutions, such as developing precedents and allowing attorney adjudicators to manage some ...
The Democrats' emerging fight to preserve Obamacare and not gut the nation's other major health care programs (Medicaid for the poor and middle-class; Medicare for the elderly) is striking an emotional and deeply felt note that was not seen in the 2016 ...
(Reuters Health) - Some medical specialists in the U.S. charge uninsured and out-of-network patients several times more for healthcare services than what they accept from the government insurance plan known as Medicare, says a new study.
Jon "Bowzer" Bauman, breaks out his signature move after entertaining the crowd at The Gendron Franco Center in Lewiston on Tuesday.
Continuous glucose monitors just moved one step closer to getting Medicare coverage.
The punishments come in the third year of Medicare penalties for hospitals with patients most frequently suffering from potentially avoidable complications, including various types of infections, blood clots, bed sores and falls.
Tea Party demonstrators often carried signs that said "Keep government out of my Medicare!" They didn't know much about health care.
Q: When I was 65 years old I chose not to enroll in Medicare Part B. Can I enroll in Part B at another time?
The Financial Accounting Standards Board's impending revenue recognition standard and Medicare's new value-based reimbursement program are forcing ...
Since the election, Paul Ryan has accommodated and deferred to Donald Trump on all sorts of issues they don't see eye-to-eye on.
"If Mr. Trump is serious about taking on PhaRMA, if Mr. Trump is serious about having Medicare ... negotiate prescription drug prices with the pharmaceutical industry, we are going to have very shortly very significant legislation to do just that ...
SUNBURY - People who are new to Medicare are invited to attend a "Get Ready for Medicare: The Basics for People Who Are Joining," a free community workshop on Feb. 15 from 10 a.m.
Calls from senior advocates to add dental coverage to the Medicare program are answered under a House bill proposed on Thursday.
HICAP (health insurance Counseling and Advocacy Program) is looking for volunteer Medicare Counselors who are smart, compassionate and patient.
Medicare Part B covers your doctor's visits, flu shots, and much more.
As Republicans continue with their plan to scrap the Affordable Care Act, Bernie Sanders and other leading Democrats will be holding at least 40 rallies nationwide on Sunday to save "Obamacare," Medicare, Medicaid, and Social Security. In December ...
To Donald Trump and Paul Ryan, I have been paying Medicare taxes since I was 15. Now 67, I pay monthly premiums for Medicare, Medigap, and prescription coverage. It is insulting when you call Medicare an "entitlement" - a code word for charity - when ...
Letter writer Jim Cannon's argument against single-payer health care creates a false impression.
Six years ago, federal health officials were confident they could save taxpayers hundreds of millions of dollars annually by auditing private Medicare Advantage ...
Today's Republicans want to avoid political accountability by destroying Social Security and Medicare without leaving clear fingerprints.
Now, in a little-noticed Civil Service memo that came out in December, the governor has signaled his intention to continue full reimbursement to state retirees for their monthly Medicare premiums, which can run from $109 to $134 and are rising. "The ...
For-profit insurers are fighting the idea of Medicare-for-all, privately seeing it as having these unfair advantages, and publicly attacking it as socialism.


spacer

 


 


 


 


 


schema-root.org

    usa
     government
      programs
        medicare

U.S. government programs:
        conservation reserve
        food stamps
        medicaid
        medicare

cross-references for
medicare: