The Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA) created the Medicare Advantage (MA) program, which promotes the entry of private Preferred Provider Organization (PPO) plans into regions that have not previously had Medicare managed care plans. The assumption that a competitive environment will develop is based on…

In this speech to the annual meeting of the American College Health Association, health care services, including Medicare and the role of federal government, are discussed. (JD)

Review of a federal court ruling that the University of Mississippi could receive Medicare reimbursement for costs of clinical education but not for classroom nursing instruction identifies gaps in the nursing literature and a need for clearer delineation of program types and allowable costs. (SK)

The study analyzes physician and hospital utilization patterns of the elderly using 1969 data from the Health Interview Survey conducted by the National Center for Health Statistics to determine why Medicare payments to high income elderly persons are much higher than to low income elderly persons. (Author/BP)

This is a report of a Congressional hearing held in Jefferson City, Missouri on the crisis in health care for the elderly in Missouri. Representative Ike Skelton's opening statement notes that the purpose of the series of hearings being held around the country, of which this is one, is to examine the effect of changes in the Medicare program on…

In response to a request by Senator John Melcher of the United States Senate Special Committee on Aging, the General Accounting Office (GAO) reviewed legislative proposals designed to protect Medicare enrollees from the financial hardships that often accompany catastrophic illness. The GAO originally examined six legislative proposals introduced…

The purpose of this book is to provide useful information about the components of quality health care and to suggest ways for the consumer to find and avail himself of the best care possible. The following subjects are covered, including brief histories of sociological background and suggestions on how to judge competency: (1) physicians,…

A survey of medical students at the University of California-Irvine, California College of Medicine regarding their views on the Medicare and Medicaid programs and the problem of fraud and abuse in these programs is reported. Explanations for fraud and abuse focused on physicians' attitudes and motivations. (Author/MLW)

Purpose: This research examines the impact of rural-urban residence on formal home-care utilization among older people and determines whether and how Medicaid coverage influences the association between, rural-urban location and risk of formal home-care use. Design and Methods: We combined data from the 1998 consolidated file of the Medical…

Context: Rural elderly patients are faced with numerous challenges in accessing care. Additional strains to access may be occurring given recent market pressures, which would have significant impact on this vulnerable population. Purpose: This study focused on the practice patterns and future plans of rural Florida physicians who routinely see…

This dissertation examines the effects of safety culture, including operational climate and practices, as well as the adoption and use of information systems for delivering high quality healthcare and improved patient experience. Chapter 2 studies the influence of both general and outcome-specific hospital climate and quality practices on process…

Medicare's Incentive Payment (MIP) program provides a 10% bonus payment to providers who treat Medicare patients in rural and urban areas where there is a shortage of generalist physicians. Purpose: To examine the experience of Alaska, Idaho, North Carolina, South Carolina, and Washington with the MIP program. We determined the program's…

Teachers will benefit from the Social Security amendments of 1972, Public Law 92-603, including Medicare coverage, increased cash benefits, and liberalization of the amount a retiree may earn while collecting social security benefits. (DS)

Describes modules on Social Security and Medicare for gerontology policy courses. Discusses collaborative exercises in which students explore Internet resources on Social Security and health care finance, identity major concerns about reforms, and enact scenarios about retirees with varying degrees of income and health care security. (Contains 33…

A study modeled the financial impact of the Medicare fee schedule on an anesthesiology department in two different scenarios, one using actual-time units through the five-year transition period and the other using average-time units. One year's actual payments and frequencies for services billed provided baseline data. (Author/MSE)