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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
- Medicare Modernization Act, related group Medicare, care Prenatal Care, women Hospital care