Can managed care deflect the Congressional budget ax?

Article Abstract:

Republicans in Congress seem determined to cut Medicare funding to help balance the budget and reduce the deficit. Health Care Financing Administration officials suggest an option for Medicare recipients to join preferred provider organizations similar to a demonstration program now operating in 15 states. Other options include offering seniors vouchers for a specific amount of money for medical care. The American Hospital Assn and Group Health Assn of America are lobbying to expand the choices available.

Political activity, Cover Story, Economic policy, American Hospital Association, Group Health Association of America

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Is there a cure for Medicare's outpatient payment pains?

Article Abstract:

The US Health Care Financing Administration (HCFA) is expected to release its report on establishing prospective payments for outpatient services for Medicare recipients. A simplified payment system will reduce the administrative complexities involved with Medicare outpatient services, and it is hoped that a unified system will reduce distortions in the delivery of medical services. Politics and health care reform debates have slowed HCFA action on this issue.

Analysis, Insurance claims adjustment, Ambulatory medical care, Ambulatory care, Prospective payment systems (Medical care)

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A case against cookie-cutter care

Article Abstract:

Poor and elderly people under Medicare and Medicaid HMOs do not do as well as younger patients, according to a study conducted by Journal of the American Medical Association. The study concluded that the health of the elderly and poor decline. Among the factors that could be involved include shorter stays in the hospitals, less care by specialty physicians and shorter doctor visits.

Medicaid, Health aspects, Aged, Elderly, Poor

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