[1996 Green Book] SECTION 3. MEDICARE

CONTENTS

Overview

• Coverage
• Benefits
• Payments for Services
• Administration
• Financing
• Federal Outlays

Eligibility and Coverage

• Aged
• Disabled
• Number of Beneficiaries

Benefits and Beneficiary Cost-Sharing

• Part A
• Part B

Financing

• Hospital Insurance Trust Fund--Income
• Supplementary Medical Insurance Trust Fund--Income
• Financial Status of Hospital Insurance Trust Fund
  • Part 2
• Financial Status of Supplementary Medical Insurance Trust Fund
• Components of Medicare Spending Growth
• Comparison of Medicare Lifetime Benefits with Beneficiary Contributions

Part A Services--Coverage and Payments

• Inpatient Hospital Services
• Skilled Nursing Facility Services
• Home Health Services
• Hospice Services

Part B Services--Coverage and Payments

• Physicians Services
• Services of Nonphysician Practitioners
• Clinical Laboratory Services
• Durable Medical Equipment and Prosthetics and Orthotics
• Hospital Outpatient Department Services
• Ambulatory Surgical Center Services
• Other Part B Services

End-Stage RenalDisease Services

• Coverage
• Reimbursement

ManagedCare

• Enrollment
• Payment Methodology

Selected Issues

• Utilization and Quality Control Peer Review Organizations
• Financing Graduate Medical Education
• Secondary Payer
• Health Insurance Protection that Supplements Medicare Coverage
• Qualified Medicare Beneficiaries (QMBs)

Legislative History, 1980-93

• Part 1
• Part 2

Medicare Historical Data

• Part 1
• Part 2
• Part 3

References

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