Democrats' bill offers Medicare managed care safeguards

Article Abstract:

Democrats in the House of Representatives propose a bill called Medicare Beneficiary Protection Amendments of 1995 to enforce quality standards for managed care. The bill includes the American Medical Assn's standards for utilization review and physicians' contractual agreements. Also, HMOs must provide emergency care, and consultation with out-of-network physicians would be covered. Other provisions of the proposed bill are described.

HEALTH SERVICES, Health Maintenance Organizations, HMO Medical Centers, Health Programs, Standards, Social policy, Public health, Managed care plans (Medical care), Democratic Party (United States)

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30 years of Medicare; old debates resurface as program faces overhaul

Article Abstract:

Congress is debating how to overhaul the Medicare system on the eve of the health care system's 30th anniversary. Financial problems facing Medicare are forcing a search for alternatives to reduce costs while maintaining services. Medicare has gone from costing $2.6 billion in 1967 to $162 billion in 1995. Republicans and Democrats are sharply divided over proposals for managing the health program and its costs.

Health Care Services, Economic aspects, Medical care, Political aspects, Socialized medicine

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