ANT 373 Lecture Notes - Lecture 8: Medicare Advantage, Health Maintenance Organization, Prescription Drug
Document Summary
Fed health insurance program for people 65+ or younger people with als, kidney failure, 2 non-consecutive years of social security disability benefits. Looks to today"s workers to pay for today"s retirees. All eligible patients receive necessary care paid for by government. Patient is responsible for deductible copay = to cost of first day of hospitalization (roughly in 2010) Medicare covers all costs for up to 60 days in hospital per stay. After 60 days, patient is responsible for a day. After 91 days, patient pays per each. Lifetime reserve day , up to 60 in lifetime. Beyond 151 days, patient pays all costs. Pays for doctors" bills and other med care costs incurred on an outpatient basis. Beneficiaries pay for 25% of total cost of program, 75% comes from tax revenue. During 90s, rapid expansion of hmos throughout us. Hmos increased, so did # of hmos participating in capitation agreements for medicare.
