This document presents Congressman Claude Pepper's report on the Medicare Home Care Benefit. Section I traces the history of home health care in the United States. Section II offers statistics and general background information about older Americans and Medicare. The beginning of the Medicare home care benefit and its present operation are…

The General Accounting Office reviewed the effects of major legislative changes on Medicare and Medicaid program costs and the out-of-pocket costs to the programs' beneficiaries. Of 30 laws that affected Medicare and Medicaid enacted by Congress during the period 1980 through 1986, 5 were estimated to have the greatest effects on the costs of the…

Notes that, lacking objective, comprehensive information about health care coverage options, Medicare beneficiaries rarely understand consequences of alternative purchasing decisions. Describes Illness Episode Approach, method providing information on Medicare, Medigap policies, and Health Maintenance Organizations. Method described presents…

Discusses how psychologists have established themselves as integral health care providers in rehabilitation. Discusses how psychologists and the psychological associations have failed to recognize the importance of public policy for the practice of psychology. Explores the role of Medicare, and the effects of the inclusion of psychologists in…

At the request of Senator William Roth, Jr., the General Accounting Office (GAO) reviewed Medicare and Medicaid fraud investigations that agency inspectors general referred to the Department of Justice for prosecution to identify characteristics of alleged fraud against the government and to determine actions taken against those caught defrauding…

There is disagreement about who is to be the primary payer when dual coverage exists under Medicare and a employer-sponsored group health plan for federal, state, and local government employees after the Omnibus Budget Reconciliation Act of 1986. Medicare administrators of the Health Care Financing Administration interpret the Act as applying to…

This paper begins by noting that at the time that Medicare was enacted in 1965, the plans for funding Medicare through a mix of public and private financing mechanisms seemed quite adequate. It goes on to explain how, 20 years later, the situation is changing enough to create a need to examine whether there is a fairer or more efficient way to…

Discusses problems and needs of the Black elderly in terms of social security, medicare and social services, and nursing homes. Also discusses the need for qualified Black personnel in programs designed for the Black elderly, and offers suggestions for legislation and funding. (CMG)

Describes targeting policies of four Social Health Maintenance Organization sites which deliver integrated, prepaid, acute, and chronic care to Medicare beneficiaries. Analyzes complexities of operationalizing targeting systems in four different settings. Notes that selection criteria for targeting expanded benefits and their implementation affect…

Reviews the lessons learned by professional psychology when it adopted the strategy of statutory regulation, freedom of choice, control of its own training and its national organization, and future strategies for Medicare and eventually for the enactment of universal health care. Claims these lessons are important to the professions following…

The first section of this Technical Committee Report provides a brief summary of the major health problems of the elderly. Problems are categorized under the general headings of health maintenance, chronic illness, mental illness, multiple impairments, demographic characteristics, manpower (geriatric medicine, nursing, and other health…

This report concerns the Health Care Financing Administration's (HCFA) contracting with Utilization and Quality Control Peer Review Organizations (PROs) as a means of monitoring the medical necessity and quality of in-hospital care provided to Medicare beneficiaries. Findings from a HCFA survey of PROs in California, Florida, and Georgia are used…

The booklet furnishes general information to the women of Maryland about the Equal Rights Amendment of the Maryland Constitution. One hundred and three questions and answers concerning women's rights are organized into four topics: (1) employment, including employment rights, labor laws, workmen's compensation, unemployment insurance, pregnancy…

This document, one in a series developed to provide technical assistance to 22 Long-Term Care Gerontology Centers, is designed to be a financial resource guide. Current major funding sources are detailed, followed by an examination of the issues and problems associated with current financing systems. Programmatic issues associated with Medicare…

In light of reduced or eliminated federal funding, this report discusses mental health services provisions. The history of mental health service funding is presented. Funding responsibility is traced from communities, to states, to private health insurance, to federal assistance, to community provision with state and federal funds, and finally to…