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The future of Medicare and managed care: implications for optometry.

BACKGROUND: Medicare, the major health entitlement program for the elderly, is faced with many challenges. Health costs and managed care have been instrumental in restructuring delivery of health care in this country. The Medicare program, the last bastion of unmanaged and fee-for-service care, is now under pressure to conform to the changes already embraced within the private sector. METHODS RESULTS: Data obtained from the Health Care Finance Administration (HCFA) demonstrate how marketing strategies and enrollment programs are successful in enrolling Medicare beneficiaries into health maintenance organizations (HMOs). Enrollment in Medicare risk-contract HMOs has doubled in the last 2 years as HMOs actively market the Medicare population. New managed care options are being developed for Medicare patients. CONCLUSIONS: HMOs are marketing their plans specifically toward Medicare beneficiaries and are offering increased benefits-including vision care-to encourage increased enrollment. Optometric participation in the Medicare program will be affected Freedom of choice will be restricted to panel practitioners who participate with these HMOs. Practitioners will be subject to credentialing criteria established by the HMOs, site visitations, audits, and other aspects of quality assurance implemented by the HMOs.

Aged↗

Vision, learning and dyslexia. A joint organizational policy statement of the American Academy of Optometry and the American Optometric Association.

1. Vision problems can and often do interfere with learning. 2. People at risk for learning-related vision problems should be evaluated by an optometrist who provides diagnostic and management services in this area. 3. The goal of optometric intervention is to improve visual function and alleviate associated signs and symptoms. 4. Prompt remediation of learning-related vision problems enhances the ability of children and adults to perform to their full potential. 5. People with learning problems require help from many disciplines to meet the learning challenges they face. Optometric involvement constitutes one aspect of the multidisciplinary management approach required to prepare the individual for lifelong learning.

Academies and Institutes↗

Vision, learning, and dyslexia. A joint organizational policy statement. American Academy of Optometry. American Optometric Association.

1. Vision problems can and often do interfere with learning. 2. People at risk for learning-related vision problems should be evaluated by an optometrist who provides diagnostic and management services in this area. 3. The goal of optometric intervention is to improve visual function and alleviate associated signs and symptoms. 4. Prompt remediation of learning-related vision problems enhances the ability of children and adults to perform to their full potential. 5. People with learning problems require help from many disciplines to meet the learning challenges they face. Optometric involvement constitutes one aspect of the multi-disciplinary management approach required to prepare the individual for lifelong learning.

Academies and Institutes↗