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PubMedDate not supplied

Health Card: a new reform plan.

Health Card is a new reform plan. Every household, regardless of employment of health status, would receive a government-issued health credit card to use at the doctor's office or hospital like MasterCard. Later, it would be billed a percentage of the provider's charge--a percentage scaled to its last income tax return; its annual burden would never exceed a designated percentage of its income. Health Card would simply and directly achieve universal coverage and equitable patient cost-sharing. Like MasterCard, government would pay bills, not regulate providers. Each household would choose its medical provider (fee-for-service or HMO), bearing a percentage of the charge. Provider competition for cost-sharing consumers would help contain health care costs.

Computer Communication Networks↗
PubMed1989

Medicare program, data, standards and methodology used to establish budgets for fiscal intermediaries and carriers--HCFA. Final notice with comment period.

This notice describes the data, standards, and methodology that we will use to establish fiscal intermediary and carrier budgets for fiscal year (FY) 1990. Intermediaries and carriers assist in the administration of the Medicare program by performing numerous functions related to paying for medical services and equipment. This notice implements section 4035(a) of the Omnibus Budget Reconciliation Act of 1987 (Pub. L. 100-203). Section 4035(a) requires us to publish for public comment in the Federal Register data, standards, and methodology we will use to establish budgets for Medicare intermediaries and carriers.

Centers for Medicare and Medicaid Services, U.S.↗
PubMedDate not supplied

Applying life care planning principles in acute situations.

In autumn of 2004, a US stop-loss carrier requested consultation regarding their in-house catastrophic case-management program. Their market was self-funded Employee Retirement Income Security Act (ERISA) plans with fewer than 10,000 lives. Although the company was committed to providing case management, they had problems with data gathering and communication with various third-party administrators (TPAs) for lack of a consistent flow of work and communication among all parties concerned. Their question: "Is case management provided by a stop-loss carrier viable in this circumstance?"

Adult↗