The Balanced Budget Act of 1997: implications for the practice of geriatric medicine

Article Abstract:

The Balanced Budget Act of 1997 (BBA) will reduce Medicare payments but will create new reimbursable services that could benefit elderly patients. BBA will slow the rate of growth in Medicare spending and reduce payments to hospitals, physicians, skilled nursing facilities and managed care organizations. However, it will provide money for primary care physicians, physicians' assistants, nurse practitioners and telemedicine projects that can provide services to people in rural areas.

Services, Aged patients, Elderly patients

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Medical education and managed care: keeping pace

Article Abstract:

Medical schools must change to ensure their survival in the managed care era. Typically, the federal government provides funds for resident training to all hospitals that care for Medicare patients. However, managed care organizations are not required to fund medical education. Medical schools may need to implement cost-efficiency measures to release internal funds. The curricula also need to be changed to train medical students for managed care settings.

Curricula, Study and teaching, Medical colleges, Medical schools

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How the balanced budget refinement act of 1999 will affect geriatric medicine

Article Abstract:

The Balanced Budget Refinement Act of 1999 (BBRA) and the ways in which it will affect geriatric medicine are discussed. The package is to cost about $1.2 bil in fiscal 2000 and $16 bil over the following 5 years. Cuts in Medicare payments are to be reduced. Topics include physician payments, graduate medical education, skilled nursing facilities and therapy services, home health/hospice, managed care and future legislation.

Canada, Laws, regulations and rules, Health care industry, Risk management, Training, Physical therapy, Nursing homes, Medicare, Hospitals, Teaching, Teaching hospitals, Medicine, Rural, Rural health services, Federal aid to health facilities, Home care services, Hospice care, Rural medicine, Government aid to health facilities

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