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Part 1. Getting started with Medicare. The nuts and bolts of Medicare: what it is and how it works ; Spelling out what Medicare covers (a lot, but not everything) ; Understanding what you pay toward your costs in Medicare ; Reducing your out-of-pocket expenses in Medicare -- Part 2. The hows and whens of Medicare. Qualifying for Medicare ; Enrolling in Medicare at the right time for you ; Discovering how to sign up for Medicare ; Understanding how Medicare fits in with other health insurance -- Part 3. Making smart choices among Medicare's many options. Making sense of Medicare's many options ; Choosing wisely if you go with traditional Medicare ; Making smart choices if you opt for Medicare Advantage ; Getting help in making Medicare choices -- Part 4. Navigating Medicare from the inside. Starting out as a new Medicare beneficiary ; Getting the inside scoop on using certain Medicare benefits ; Changing your Medicare and Medigap coverage ; Knowing your rights -- Part 5. The part of tens. Ten proposed changes to Medicare you should know about ; Ten ways to stay healthier beyond age 65 -- Part 6. Appendixes

Intro -- Contents -- Preface -- Chapter 1 -- Medicare: Insolvency Projections* -- Abstract -- Introduction -- Medicare Hospital Insurance Financing -- What Is the HI Trust Fund? -- History of HI Solvency Projections -- Current Insolvency Projections -- What Would Happen if the Fund Became Insolvent? -- Medicare Financing Issues -- Appendix A. Operation of the Hospital Insurance Trust Fund -- Appendix B. Historical Payroll Tax Rates -- Chapter 2 -- Medicare Financial Status: In Brief( -- Overview of the Medicare Program -- Four Parts of Medicare -- Beneficiary Costs -- Provider and Plan Payments -- Medicare Trust Funds and Sources of Revenue -- Hospital Insurance Trust Fund -- Sources of HI Revenue -- HI Trust Fund Mechanics -- Supplementary Medical Insurance Trust Fund -- Sources of SMI Revenue -- SMI Trust Fund Mechanics -- Medicare Spending in 2017 -- 2017 HI Operations -- 2017 SMI Operations -- Estimated Date of HI Trust Fund Insolvency -- Projected Medicare Spending Growth -- Growth in Medicare Expenditures Relative to GDP -- Unfunded and General Revenue Obligations -- Comparison to Prior-Year Estimates -- Alternative Projections -- Chapter 3 -- Medicare and Budget Sequestration* -- Abstract -- Introduction -- Budget Sequestration -- Budget Enforcement Rules -- Budget Control Act -- Statutory PAYGO -- Medicare Overview -- Beneficiary Costs -- Provider and Plan Payments -- Health Care Fraud and Abuse Control Program -- Administrative Spending -- Medicare Sequestration Rules -- Medicare Sequester Execution -- Timing -- Reductions in Benefit Spending -- Parts A and B -- Part C -- Part D -- HCFAC -- Administrative Expenses -- Medicare and the BCA Mandatory Sequester -- Appendix A. Budget Terminology Definitions -- Chapter 4 -- Medicare: CMS Should Take Actions to Continue Prior Authorization Efforts to Reduce Spending*

Intro -- MEDICARE ELEMENTS AND ECONOMICS -- MEDICARE ELEMENTS AND ECONOMICS -- Contents -- Preface -- Chapter 1 Medicare Primer* -- Summary -- Introduction -- Medicare History -- Eligibility and Enrollment -- Benefits and Payments -- Part A -- Inpatient Hospital Services -- Skilled Nursing Facility (SNF) Services -- Home Health Services -- Hospice Care -- Part A Services for End-Stage Renal Disease (ESRD) -- Part B -- Physicians and Non-physician Practitioner Services -- Therapy Services -- Preventive Services -- Clinical Lab and other Diagnostic Tests -- Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) -- Part B Drugs and Biologics31 -- Hospital Outpatient Department Services -- Ambulatory Surgical Center Services -- Ambulance -- Rural Health Clinics and Federally Qualified Health Centers -- Part B Services for End-Stage Renal Disease -- Part C, Medicare Advantage -- Part D -- Administration -- Financing -- Part A Financing -- Part B Financing -- Part C Financing -- Part D Financing -- Additional Insurance Coverage -- Medicare Issues -- End Notes -- Chapter 2 Addressing Medicare Hospital Readmissions -- Summary -- Introduction -- Factors that Influence Hospital Readmissions -- Medicare's Readmission Measures -- Medicare's Existing Payment Incentives and Conditions of Participation (COP) for Discharge Planning -- Current Medicare Care Transition Initiatives -- Community-Based Care Transitions Program (CCTP) for High-Risk Medicare Beneficiaries -- Forthcoming Medicare Payment Initiatives to Address Readmissions -- The Hospital Readmissions Reduction Program (HRRP) -- National Pilot Program of Payment Bundling -- Bundled Payment for Care Improvement Initiative -- Conclusion -- Appendix A. Hospital Actions That May Mitigate against Readmissions -- Improving Hospital Discharge Procedures

One of the most important moves an American can make to secure the future is to apply for a Medicare card. Yet, few subjects have engendered, or continue to engender, as much controversy as this 45-year-old program. What do we need to know about Medicare now? What do we need to understand about where it is headed?

Intro -- Contents -- Preface -- Chapter 1 -- Examining Barriers to Expanding Innovative, Value-Based Care in Medicare* -- Opening Statement of Hon. Michael C. Burgess, a Representative in Congress from the State of Texas -- Prepared Statement of Hon. Michael C. Burgess -- Statement of Dr. Nishant Anand -- Opportunities to Embrace Value -- Developing High-Performing Networks -- Shared Technology Enablement Services -- Common Operation Workflows -- Clinical Pathways across the Continuum of Care -- Regulatory Barriers that Impede Value -- Stark Law Modernization -- Align Payment Model Incentives -- Operational Challenges -- Interoperability -- Enabling Provider Technology to Physicians in Independent Practice -- Care Navigation -- Conclusion -- Statement of Mary Grealy -- Statement of Dr. Timothy Peck -- Testimony of Timothy C. Peck, MD Co-founder and CEO, Call9 -- Addendum: Presentation on the RUSH Act -- The Problem -- The Solution -- Tech-Enabled Bedside Care Delivery -- Tech-Enabled Emergency Bedside Care Delivery -- Reduction Rate -- Value-Based Care -- Statement of Dr. Michael Weinstein -- Testimony of Dr. Michael Weinstein President, Digestive Health Physicians Association Before the Energy & -- Commerce Subcommittee on Health "Examining Barriers to Expanding Innovative, Value-Based Care in Medicare" -- Statement of Morgan Reed -- "Examining Barriers to Expanding Innovative, Value-Based Care in Medicare" -- Executive Summary -- Telehealth -- Value for Patients -- Value for Caregivers -- Value for Taxpayers -- Anti-Kickback Statute and Stark Law -- Value for Patients -- Value for Caregivers -- The Value for Taxpayers -- Clarification in Value-Based Models -- Merit-Based Incentive Payment System (MIPS) -- Alternative Payment Models -- Value for Patients -- Value for Caregivers -- Value for Taxpayers.

By GEORGE HALVORSON The Program has also Helped Millions of Low-Income Retirees with Better Retirement Benefits and Needed Support Services Medicare Advantage (MA) has saved Medicare. Half of those in Medicare areContinue reading...

Intro -- MEDICARE -- MEDICARE -- CONTENTS -- PREFACE -- Chapter 1 MEDICARE PRIMER -- SUMMARY -- INTRODUCTION -- MEDICARE HISTORY -- ELIGIBILITY AND ENROLLMENT -- BENEFITS AND PAYMENTS -- Part A -- Inpatient Hospital Services -- Skilled Nursing Facility (SNF) Services -- Home Health Services -- Hospice Care -- Part A Services for End-Stage Renal Disease (ESRD) -- Part B -- Physicians and Non-physician Practitioner Services -- Therapy Services -- Preventive Services -- Clinical Lab and other Diagnostic Tests -- Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) -- Part B Drugs and Biologics -- Hospital Outpatient Department Services -- Ambulatory Surgical Center Services -- Ambulance -- Rural Health Clinics and Federally Qualified Health Centers -- Part B Services for End-Stage Renal Disease -- Part C, Medicare Advantage -- Part D -- ADMINISTRATION -- FINANCING -- Part A Financing -- Part B Financing -- Part C Financing -- Part D Financing -- ADDITIONAL INSURANCE COVERAGE -- MEDICARE ISSUES -- ACKNOWLEDGMENTS -- End Notes -- Chapter 2 MEDICARE: CHANGES MADE BY THE RECONCILIATION ACT OF 2010 TO THE PATIENT PROTECTION AND AFFORDABLE CARE ACT (P.L.111-148) -- SUMMARY -- INTRODUCTION -- CONGRESSIONAL BUDGET OFFICE (CBO) AND JOINT COMMITTEEON TAXATION (JCT) SCORES -- KEY CHANGES MADE TO PPACA BY THE RECONCILIATION BILL -- Changes Affecting Medicare Fee-For-Service Providers -- Medicare Disproportionate Share Hospital (DSH) Payments -- Revisions to Certain Market Basket Reductions -- Physician Ownership-Referral -- Payment for Qualifying Hospitals -- Payment for Imaging Services -- Physician Fee Schedule: Geographic Cost Indices -- Changes Affecting the Medicare Advantage (MA) Program -- Changes to the Medicare Part D Outpatient Prescription Drug Benefit -- Changes to Address Fraud and Abuse -- Changes to Medicare Taxes