Author: United States. Congress. House. Committee on Commerce. Subcommittee on Health and the EnvironmentPublisher:
ISBN:
Category : History
Languages : en
Pages : 44
Book Description
The Uniformed Services Medicare Subvention Demonstration Project Act
Author: United States. Congress. House. Committee on Commerce. Subcommittee on Health and the EnvironmentPublisher:
ISBN:
Category : History
Languages : en
Pages : 44
Book Description
Uniformed Services Medicare Subvention Demonstration Project Act
Author: United States. Congress. House. Committee on National SecurityPublisher:
ISBN:
Category : Medicare
Languages : en
Pages :
Book Description
Uniformed Services Medicare Subvention Demonstration Project Act
Author: United States. Congress. House. Committee on National SecurityPublisher:
ISBN:
Category : Health facilities
Languages : en
Pages : 16
Book Description
The Uniformed Services Medicare Subvention Demonstration Project Act
Author: United States. Congress. House. Committee on Commerce. Subcommittee on Health and the EnvironmentPublisher:
ISBN:
Category : History
Languages : en
Pages : 38
Book Description
Medicare Subvention
Author: United States. Congress. House. Committee on Ways and Means. Subcommittee on HealthPublisher:
ISBN:
Category : History
Languages : en
Pages : 112
Book Description
MEDICARE SUBVENTION DEMONSTRATION: Pilot Satisfies Enrollees, Raises Cost and Management Issues for DOD Health Care
Author: Publisher:
ISBN:
Category :
Languages : en
Pages : 45
Book Description
In recent years, the Congress has sought to improve health care benefits for Medicare-eligible military retirees. In the past, these retirees 1 were not eligible for the Department of Defense's (DOD) TRICARE health care program and were able to get care from military treatment facilities (MTF) only when space was available. By law, DOD was not responsible for providing a full range of services to these Medicare-eligible retirees and could not receive payments from Medicare for those services that it provided them. The DOD Medicare subvention demonstration, 2 established by the Balanced Budget Act of 1997 (BBA), 3 was designed to test an alternate way of providing health care coverage to retirees through DOD.
MEDICARE SUBVENTION DEMONSTRATION: DOD's Pilot HMO Appealed to Seniors, Underscored Management Complexities
Author: Publisher:
ISBN:
Category :
Languages : en
Pages : 0
Book Description
Historically, the Department of Defense (DOD) health system and Medicare were entirely separate. DOD's TRICARE health plans covered military retirees to age 65. 1 However, once eligible for Medicare, retirees were no longer eligible for TRICARE and could not enroll in DOD s managed care plan, TRICARE Prime. As nonenrollees, Medicare-eligibles had access to care at military treatment facilities (MTF) only to the extent that space not utilized by TRICARE s enrolled population was available. By law, DOD could not receive payments from Medicare and was not responsible for providing the full range of benefits to Medicare-eligibles. Recently, the situation has changed. In 1997, Congress authorized the DOD Medicare subvention demonstration for a 3-year period. 2 Under this demonstration, DOD formed Medicare managed care organizations that enrolled and served Medicare-eligible military retirees at six sites. The DOD Medicare plan, which was called TRICARE Senior Prime, combined TRICARE with Medicare benefits and requirements. The demonstration also authorized DOD to receive payment from Medicare if certain conditions were met. Senior Prime gave enrollees the same priority for military care as younger retirees enrolled in TRICARE Prime, with minimal out-of-pocket costs. With TRICARE Prime as its foundation, Senior Prime illustrated issues that arose in bringing older retirees into DOD managed care. A major change in health care arrangements for Medicare-eligible retirees from the uniformed services will take place October 1, 2001. Under provisions of the Floyd D. Spence National Defense Authorization Act for Fiscal Year 2001, 3 these retirees will become eligible for TRICARE and will be able to use their Medicare benefit within TRICARE. The new program is commonly termed TRICARE For Life. Experience under Senior Prime illustrated some issues that TRICARE might face.
Evaluation of the Medicare-DoD Subvention Demonstration: Final Report
Author: Publisher:
ISBN:
Category :
Languages : en
Pages : 170
Book Description
The Centers for Medicare and Medicaid Services (CMS, formerly the Health Care Financing Administration) and the Department of Defense (DoD) have been testing the feasibility of making Medicare-covered health care services available to Medicare-eligible DoD beneficiaries through the TRICARE program (the managed care program of the Military Health Service) and military treatment facilities (MTFs). The vehicle used was the Medicare-DoD Subvention Demonstration, which was established by the Balanced Budget Act of 1997 (BBA). The goal of the demonstration was to implement cost-effective alternatives for care for this dually eligible population while ensuring budget neutrality, that is, neither CMS's nor DoD's total costs increase. The Secretaries of the Department of Health and Human Services and of the Department of Defense executed a Memorandum of Agreement that specified how the subvention demonstration was to be designed and operated. The Memorandum provided for an independent evaluation of the demonstration, which RAND conducted. This report describes the final results of the RAND evaluation.
Medicare Subvention
Author: United States. Congress. House. Committee on Ways and Means. Subcommittee on HealthPublisher:
ISBN:
Category : History
Languages : en
Pages : 100
Book Description
Hearings on National Defense Authorization Act for Fiscal Year 1997--(H.R. 3230) and Oversight of Previously Authorized Programs Before the Committee on National Security, House of Representatives, One Hundred Fourth Congress, Second Session
Author: United States. Congress. House. Committee on National Security. Military Personnel SubcommitteePublisher:
ISBN:
Category : History
Languages : en
Pages : 1444
Book Description