Public Health Medicare and Medicaid公共医疗保险和医疗补助.pptVIP

Public Health:Medicare and Medicaid Law and Poverty Insurance Coverage - US 60% Private Insurance 19% Have No Insurance – 46 million 27% Public/ Government Insurance 14% Medicare 13% Medicaid Source: Census, Income Poverty, Health Insurance, August 2005 p60-229 Rising Healthcare Costs Since 2000, the cost of family health insurance has risen 87% Since 2000, consumer prices overall are up 18% Since 2000, worker pay is up 20% Overall cost is $11,000+ /year Milt Freudenheim, “Health Care Costs…” NYT 9.27.06 Declining Employer Coverage of Insurance In 2000, 69% of businesses gave some of their workers health ins; By 2006, it was down to 61%; Even in businesses that offer health insurance, many employees not covered, especially in small firms. Kaiser Family Foundation Report Medicare What is it? What kind of law is it? How is a person eligible? What is the benefit conferred? Who administers it? Who pays for it? What is its constituency? What is its history? Who are collateral beneficiaries? What size is it? What is Medicare? Federal Law Medicare is a nationwide federal health insurance program for the aged and certain disabled persons. It has two parts: Part A...hospital insurance Part B...supplementary medical insurance Eligibility for Medicare Depends on part Part A- hospital insurance almost all persons over 65, (those who are covered by SS) If not SS eligible, pay $393/month in 2006 (less if some coverage)(2-5) Fed employees - special rules (2-5) [PLUS SSD recips after 24 months] Part B - outpatient insurance all persons over 65, whether SS eligible or not by paying a monthly premium (in 2006 it is $88.50) What is Medicare Benefit? Very much like insurance with co-pays, deductibles, etc. Part A: inpatient hospital services, Also up to 100 days of post-hospital skilled nursing facility Part B: outpatient services Administration of Medicare? CMS, within the Dept of Health and Human Services; CMS=Center for Medicare and Medicaid Service