Opponents cite the following disadvantages people

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Opponents cite the following disadvantages: People cannot choose their own service providers Additional payments are required for using providers out of network Coverage is limited when one travels outside the service area Many of the services need pre-approval Some HMOs avoid enrolling elders with serious illnesses Critics fear that managed care is a means of backdoor rationing Today Medicare Advantage pays for the care of approximately one fifth of Medicare beneficiaries through private insurance plans. GERN 5600 Week 5 Overview Introduction Class, this week's assignments are a little lighter since you will need to have time for the mid- term exam. (Good Luck!) So, to the topics! This week's lectures provide an overview of the role that the Medicare and Medicaid programs play in providing health care for older Americans. There is also a short section on housing for the elderly and an article on Medicare.
Clearly, keeping these programs viable is important to persons of all ages in our country. I'm eager to hear your views in response to this week's question in the Discussion section. Have a great week. Dr. Harris Objectives By the end of the week, students should: Study assigned text materials and current articles to understand competing viewpoints and participate in the weekly discussion. Student will also ace the midterm this week Readings In addition to the lectures please read: Aging: Concepts and Controversies : o Economics of Health Care (Medicare & Medicaid) and Housing for the Elderly pp. 140-148 Article: o Medicare_spending_has_fallen_doc o Medicare_Cuts.doc GERN 5600 Week 5 Reimbursement Systems Lecture Reimbursement Systems Health care expenditures for the elderly are rising rapidly. Older adults comprise 13% of the population and consume more than 36% of the total government expenditures for health care. The proportion of the gross national product for health care today is twice what it was in 1965 when Medicare was first enacted. (currently 16%) Health care is the second largest item in the federal budget consuming twenty cents of every dollar spent. (Moody & Sasser, 2012) Medicare Medicare is the major federal government program that provides funds for health care for Americans over 65 and eligible disabled people of all ages .(35 million older Americans, 5 million disabled). Medicare was created in 1965 as an addition to the Social Security Act. At that time more than half of the people over 65 did not have health insurance. Medicare is financed through a Social Security payroll tax of 2.9% levied on all wages up to a specified limit) Individuals qualify for Medicare at age 65 if they or their spouses paid Social Security taxes for at least 40 calendar quarters (10 years) or if they qualify for Railroad Retirement benefits.

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