Medicare (United States)
The Medicare Program issetamendmentsSocial Security, first passed on July 30, 1965, that provides health insurance forelderly.Nowadays, generally, Medicareavailablepeople age 65 or older, younger peopledisabilitiespeopleEnd Stage Renal Disease (permanent kidney failure requiring dialysis or transplant). Medicare has two parts, Part A (Hospital Insurance)Part B (Medicare Insurance, helps cover doctors' services, outpatient hospital care,some other medical services that Part A does not cover).
In 2003, Medicare provides health care coverage40 million Americans. Enrollmentexpectedreach 77 million by 2031, whenBaby Boom generationfully enrolled.
Itadministered byCentersMedicareMedicaid Services (CMS) (formerlyHealth Care Financing Administration) inUnited States DepartmentHealthHuman Services.
Medicare usesResource-Based Relative Value Scale (RBRVS)determine how much money each doctor should earn, although itcriticizednot paying doctors enough because oflow conversion factor. Because ofnatureRBRVS, itpossiblepay all doctors more or less depending on how much moneyperson paying (CMSthis case)willingpay.
Somewhat limited prescription drug coverage was added2003take effect2006.
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Legislation
- 1960 PL 86-778 Social Security Amendments (Kerr-Mill aid)
- 1965 PL 89-97 Medicare
- 1988 PL 100-360 Medicare Catastrophic Coverage Act
- 2003 HR 1, Medicare Prescription Drug, Improvement,Modernization Act
