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Medicare - Economics
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Definition of 'Medicare'

Federal program, created by Public Law 89-97, Title XVIII-Health Insurance for the Aged, a 1965 amendment to the Social Security Act, that provides health insurance benefits to persons over the age of 65 and others eligible for Social Security benefits. It consists of two separate but coordinated programs: hospital insurance (MEDICARE PART A) and supplementary medical insurance (MEDICARE PART B). (Hospital Administration Terminology, AHA, 2d ed and A Discursive Dictionary of Health Care, US House of Representatives, 1976)

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Sunday, November 22, 2009

Medicare program; limitation on recoupment of provider and supplier overpayments. Final rule.

14 Sep 2009 This final rule implements a provision of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA) which prohibits recouping Medicare overpayments from a provider or supplier that seeks a reconsideration from a Qualified ... Read more...


Medical necessity: is current documentation practice and payment denial limiting access to inpatient rehabilitation?

30 Aug 2009 Medical necessity is a legal, not medical, term. Depending on the stakeholder's point of view, it may seem less about human need and dispensing medical care and more about a web of rules, rulings, regulations, and manuals, especially for Medicare ... Read more...


Health care utilization and cost burden of herpes zoster in a community population.

30 Aug 2009 OBJECTIVE: To conduct a population-based study to assess health care utilization (HCU) and costs associated with herpes zoster (HZ) and its complications, including postherpetic neuralgia (PHN) and nonpain complications, in adults aged 22 years and ... Read more...

 

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Technical information about 'Medicare'

Definition: Federal program, created by Public Law 89-97, Title XVIII-Health Insurance for the Aged, a 1965 amendment to the Social Security Act, that provides health insurance benefits to persons over the age of 65 and others eligible for Social Security benefits. It consists of two separate but coordinated programs: hospital insurance (MEDICARE PART A) and supplementary medical insurance (MEDICARE PART B). (Hospital Administration Terminology, AHA, 2d ed and A Discursive Dictionary of Health Care, US House of Representatives, 1976)

Descriptor UI: D006278

Alternative terms: Medicare; Health Insurance for Aged, Disabled, Title 18; Health Insurance for Aged and Disabled, Title 18; Health Insurance for Aged, Title 18; Insurance, Health, for Aged and Disabled;

Related Mesh Headings: Insurance, Medigap;

Allowable Qualifiers: classification; economics; history; legislation & jurisprudence; organization & administration; standards; trends; utilization; statistics & numerical data; ethics;

Tree Number: N03.219.521.346.506.564.663; N03.219.521.576.343.840;

Online Note: use MEDICARE to search HEALTH INSURANCE FOR AGED AND DISABLED, TITLE 18 1979-90; HEALTH INSURANCE FOR AGED, TITLE l8 1966-78 (as Prov 1966)

History Note: 91; was HEALTH INSURANCE FOR AGED AND DISABLED, TITLE 18 1979-90, was HEALTH INSURANCE FOR AGED, TITLE 18 1966-78 (PROV 1966); MEDICARE was see HEALTH INSURANCE FOR AGED AND DISABLED, TITLE 18 1979-90, & HEALTH INSURANCE FOR AGED, TITLE 18 1975-78 1966-78 (Prov 1966)

Technical Notes: U.S. only: for Canada & Australia index under NATIONAL HEALTH PROGRAMS + country; specify geog; Public Law 89-97

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