Medicare

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Related to Medicare Part B: Medicare Part D

Medicare,

national health insurance program in the United States for persons aged 65 and over and the disabled. It was established in 1965 with passage of the Social Security Amendments and is now run by the Centers for Medicare and Medicaid Services. Coverage for certain people with disabilities began in 1973. Medicare provides for a basic program of hospital insurance, under which enrollees are protected against major costs of hospital and related care; and a supplementary medical insurance program, through which persons are aided in paying doctor bills and other health-care bills. It is funded by a tax on the earnings of employees that is matched by the employer and by premiums paid by enrollees. In 2012 some 51 million Americans were enrolled in Medicare. Legislation passed in 2003 provides for a drug benefit program (beginning in 2006), higher premiums for enrollees earning more than $80,000, and subsidies over 10 years to encourage private insurers to compete with Medicare.

Medicare

U.S. program of health insurance for the aged. [Am. Hist.: EB, VI: 747]
References in periodicals archive ?
About 70% of Medicare Part B enrollees benefit from a "hold harmless" provision that keeps the monthly premiums of low-income and moderate-income enrollees from rising faster than inflation.
CMS must charge higher-income Medicare Part B enrollees premiums that are higher than the standard premium.
APRNs may only be nine percent of all Medicare Part B providers, but they treat more than three times that percentage of all fee-for-service patients.
"It's almost certain that lawmakers will override this reduction and that Medicare Part B expenditures will therefore be higher, conceivably as much as 12% higher than is reported in these reports for 2013," said Robert D.
Enrollment in Medicare Part B is voluntary, but only 5 percent of the Medicare-eligible population declines coverage.
EXHIBIT 2 Comparison of Individual Medicare Payments (2009 and 2010) 2009 Individual 2009 2010 Individual 2010 Difference, Tax Return Premium Tax Return Premium Column A-B per per Month, Month, per per Person Month A B $85,000 or below $96.40 $85,000 or below $96.40 0 $85,001-$107,000 $134.90 $85,001-$107,000 $154.70 $19.80 $107,001-$160,000 $192.70 $107,001-$160,000 $221.00 $28.30 $160,001-$213,000 $250.50 $160,001-$214,000 $287.30 $36.80 Above $213,000 $308.30 Above $214,000 $353.60 $45.30 Exhibit 3 shows that the increase in Medicare Part B premiums for a joint return with MAGI less than $170,000 has increased by 8.9% from 2006 to 2010.
For calendar years 1999 and 2000, the OIG identified $108.3 million in improper Medicare Part B payments for services already paid for in PPS Medicare Part A payments made to SNFs.
A separate problem postponed until after the November 2 election is that the Medicare Part B premium is expected to go up from $66.60 to an estimated $78.10 next year, because the new law increases the payment for doctors, hospitals, and HMOs, before the government starts paying for the Medicare Part D benefit in 2006.
Summary: Amends the Social Security Act to eliminate the lifetime limits on inpatient mental health services; parity in treatment for outpatient mental health services; coverage of intensive residential services under Medicare part A (Hospital Insurance) and of intensive outpatient services under Medicare part B (Supplementary Medical Insurance); exclusion of clinical social worker services from coverage under the Medicare skilled nursing facility prospective payment system; and coverage of marriage and family therapist services and mental health counselor services under Medicare.
Arkansas Blue Cross administers the Medicare Part A and Part B program in Arkansas; Louisiana Medicare Part B; Oklahoma/New Mexico Medicare Part B; and Missouri Medicare Part B.
The other form of tying originated in Representative Wilbur Mills's decision, as chairman of the House Ways and Means Committee, to tie the three then-competing health care bills together in one package, creating the three-part system (dubbed the "three-layer cake") that we know today as Medicare Part A, Medicare Part B, and Medicaid.
10) calls for the addition of a new Part D (Outpatient Prescription Drug Benefit Program) of the Medicare program to provide coverage for certain outpatient prescription drugs and biological products for individuals entitled to benefits under Medicare Part A (Hospital Insurance) or enrolled under Medicare Part B (Supplementary Medical Insurance).

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