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Facts - Books - News    U.S. Facts Of Law:


Medicare

Medicare is a health insurance program administered by the federal government for the elderly.  It was created in 1965 as part of the Social Security Act and is financed by a separate tax on wages.

Medicare is available to citizens over the age of 64 and those with some disabilities.  It presently covers tens of millions of Americans and has become a major federal government budget item with out-of-control growth.  Both Part A and Part B are funded from the U.S. Government's general fund but Part B also receives some payments that are deducted from covered retirees social security checks.

There are two parts to Medicare.  Part A covers hospital visits and Part B covers doctor's visits and related services.  Both parts contain deductibles and requires co-pays from the insured.  Some insurance companies offer private insurance policies to fill in the gaps omitted by Medicare.

Medicare pays physicians for their services based upon the Resource-Based Relative Value Scale.  Doctors often complain that Medicare payments do not reflect the market rate for services and some may not be willing to discount their services.

Fraudulent services continue to plague the Medicare system.  Some doctors and hospitals have defrauded the system by claiming payment for services not performed.  It is estimated that fraudulent claims are costing Medicare (and us taxpayers) tens of billions of dollars.

 

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Mutual Of Omaha Plans To Sell Medicare Advantage Health Plans In Omaha Worl...
Reuters Mutual of Omaha plans to sell Medicare Advantage health plans in Omaha World Herald Mutual of Omaha will begin selling its first Medicare Advantage health plans in 2019 in cooperation with Lumeris Inc., a St. Louis company that will arrange health provider networks and. Nursing home study raises questions on Medicare managed care Reuters all 2 news articles raquo

Home Care Agencies Often Wrongly Deny Medicare Help To The Washington Post
Washington Post Home Care Agencies Often Wrongly Deny Medicare Help To The Washington Post Colin Campbell needs help dressing, bathing and moving between his bed and his wheelchair. He has a feeding tube because his partially paralyzed tongue makes swallowing almost impossible, he said. Campbell, 58, spends 4,000 a month on home health Home Care Agencies Often Wrongly Deny Medicare Help To The Chronically IllGilmer Mirror all 4 news articles raquo

Some Medicare Patients Eligible And Eager For Home Health Care NPR
NPR Some Medicare Patients Eligible And Eager For Home Health Care NPR Home health firms sometimes turn away Medicare beneficiaries who have chronic health problems by incorrectly claiming Medicare won39t pay for their services, say advocates for patients. America Needs A Healthcare System Built For Care, Not Profit HuffPost all 4 news articles raquo

Three Ways To Cut And Improve Medicare Stat STAT
STAT Three ways to cut and improve Medicare Stat STAT Streamlining Medicare by getting rid of Part C and Part D and allowing it to negotiate drug prices will improve care and save money. and more raquo

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Facts of Law about medicare

Facts of Law - Medicare