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Unformatted text preview: shift of some state-run programs into the Medicaid program What is poor? Little income Little assets Spend-down assets SCHIP state run Crowding out switch who were are being insured with govt Medicare Federal program Primarily for the elderly (over 65) Part A hospital compulsory Part B Supplemental INS Part c Medicare Advantage Part D prescription drug coverage Medicare and hospital reimbursement 1983 Switch from Retrospective payment to prospective payment DRG diagnosis related group Medicare and physicians 1989 Resource based relative value scale system Limits on balance billing assignment of benefits Balanced Budget Act 1997 Set up managed care plan option Medicare Modernization act 2003...
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- Fall '09