PHP 0310 Lecture Notes - Lecture 10: Resource Intensity, Medigap, Prospective Payment System
15 Feb 2017
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1930s: idea of health insurance for elderly removed from ssa (1935), ama opposition. 1940s: truman endorses bill for national health insurance, ama opposition. 1960s: kennedy"s proposal for healthcare for elderly passes the house but fails the senate. Cms: center for medicare and medicaid services (previously hcfa) Budget: 2016 hhs budget was trillion, medicare is 53%, medicaid is 32, medicare is 15% of the total federal budget (huge) Authorizing (legislation authorizes spending) vs. appropriating (congressional appropriation committees decide spending levels) Mandatory (entitlements: spending authorized by legislation that is not subject to the appropriation process, doesn"t change unless you change the law) vs. discretionary (the rest) Us citizens/lprs who are in one of the following categories: age 65+ Must have paid medicare payroll tax for 10+ years (spouse also eligible) If <10 years, premium required for part a coverage: under age 65. Disabled (receiving disability benefits ssdi) for 2+ years. Diagnosis of end-stage renal disease (dialysis or transplant)
