• Medicare's
  • He continued that the proposal "abandons Medicare's long-standing support for physician training and specialized, emergency care services," and "further cuts discretionary spending, threatening national priorities such as the investment in scientific discovery and lifesaving medical research through the National Institutes of Health. (aamc.org)
  • 4.25
  • Combine that with a strong 4.25 stars for both customer service and value for price, an 87 percent recommendation rate and 89 percent renewal rate, and Horizon ended up with a solid score of 88.3 in this years survey. (insure.com)
  • The home phone, long distance and Internet services each had a $4.25 fee, while the Sprint and Fido bundles have a $6.95 fee. (wikipedia.org)
  • medical
  • The company was first formed in 1932 as the Associated Hospitals of Essex County, Inc., and ten years later, the Medical-Surgical Plan of New Jersey was combined. (insure.com)
  • Besides the consumer rankings, the book includes how-to material for comparing health plans, keeping medical bills down, choosing a doctor and negotiating with the Medicare system. (sfgate.com)
  • Most importantly, fee-for-service is able to dictate the prices it will pay to medical service providers. (thenewatlantis.com)
  • Assessing these conflicting views, pollster Louis Harris concluded, "So deep is the concern about medical care for the aged that the American people would welcome any of a variety of national plans. (washingtonpost.com)
  • GEHA traces its roots to 1937, when the Railway Mail Hospital Association was formed in Kansas City, Missouri, to help provide U.S. Railway Mail Service clerks with assistance for their medical expenses. (wikipedia.org)
  • Ancillary Services - Supplemental services such as laboratory, radiology, therapy services that are provided in conjunction with medical or hospital care. (dosingpdf.com)
  • Carve Out - The separation of a medical service (or a group of services) from the basic set of benefits in some way. (dosingpdf.com)
  • Managed care plans are widely credited with subduing medical cost inflation in the late 1980s by reducing unnecessary hospitalizations, forcing providers to discount their rates, and causing the health care industry to become more efficient and competitive. (wikipedia.org)
  • Health services provided by the hospital include general medical care, general surgery, obstetrics, pediatrics and neonatal care. (wikipedia.org)
  • Lower-cost concierge medical business models have also been attempted, such as GreenField Health in Portland, Oregon, which charged an annual fee between $195-$695 depending on age. (wikipedia.org)
  • coverage
  • It's not just speculative musing to consider what would happen if fee-for-service were more expensive than private coverage in certain markets. (thenewatlantis.com)
  • Previous estimates by the Congressional Budget Office and the chief actuary of the Medicare program confirm that a move in this direction would lower costs in the Medicare program because in many parts of the country efficient managed care models would be able to offer coverage at much less cost than price-controlled fee-for-service. (thenewatlantis.com)
  • Certificate of Creditable Coverage - A written certificate issued by a group health plan or health insurer that shows prior health coverage (creditable coverage) and is used to satisfy waiting periods for plans with pre-existing conditions. (dosingpdf.com)
  • A qualified high deductible plan with a minimum deductible of $1,100 individual and $2,200 for family coverage for 2007 and that has an out-of-pocket maximum that is no more than $5,500 for individual only coverage and $11,000 for family coverage. (dosingpdf.com)
  • Provides for a phased-in elimination of the Medicare Part D coverage gap and requires drug manufactures to discount and/or rebate additional qualifying drugs originally excluded from the plan. (wikipedia.org)
  • costs
  • Bush reportedly would offer private health plans, many of which have said that Medicare payments are not enough to cover their costs, additional funds to encourage them to remain in the program. (californiahealthline.org)
  • This is an attractive feature since costs are managed through fee levels instead of being shifted to employees. (njbia.org)
  • The backlash included vocal critics, including disgruntled patients and consumer-advocacy groups, who argued that managed care plans were controlling costs by denying medically necessary services to patients, even in life-threatening situations, or by providing low-quality care. (wikipedia.org)
  • Outlines Administrative standards that reduces costs and improves service, including the ability for Administrators to determine an accurate total financial estimate at the point of service as well as enabling real time electronic transfer of funds to take place if possible (mirrors currently existing laws). (wikipedia.org)
  • Part C is an alternative to the other parts intended to allow experimentation with differently structured plans in an effort to reduce costs to the government and allow patients to choose plans with more benefits. (wikipedia.org)
  • customary
  • All generally claim to be accessible via telephone or email at any time of day or night or offer some other service above and beyond the customary care. (wikipedia.org)
  • employee
  • Under that program, the government contributes a set amount per employee, and individuals who want more expensive plans pay more. (californiahealthline.org)
  • The primary care dentist provides general dentistry services to the employee and coordinates referrals to dental specialists also participating with the dental HMO if needed. (njbia.org)
  • allowances
  • Often participating providers accept plan allowances as full payment. (dosingpdf.com)
  • Two monthly plans were offered, with different allowances for local wireless minutes: $51.90 for 150 anytime minutes $63.90 for 150 daytime minutes and 1000 evening and weekend minutes $71.90 for 300 daytime minutes and 1000 evening and weekend minutes Daytime minutes could be used from Monday to Friday between 8 am and 7 pm. Evenings and weekend minutes could be used at any time on Saturdays and Sundays. (wikipedia.org)
  • provide
  • Medicare would provide a premium payment to either pay for or offset the premium of the plan chosen by the senior. (wikipedia.org)
  • Discount brokers typically do not provide financial advice or guidance and provide instead a service aimed at self-directed investors. (wikipedia.org)
  • Traditional brokers in contrast will often provide financial advice and investment planning as well as related wealth management services. (wikipedia.org)
  • Instead of commission they charge one-off fees for their services, but do not provide financial advice. (wikipedia.org)
  • Municipalities may voluntarily or be mandated by law to work together to provide certain services, but elected representatives from the participating groups govern these partnerships. (wikipedia.org)
  • Clinical geropsychologists provide psychological assessment and intervention to older adults and their families, as well as consultation services to other health care professionals. (wikipedia.org)
  • offer
  • BCBSNJ has grown over eight decades to offer several plans to best suit the needs of their customers. (insure.com)
  • allowable
  • CHICAGO (Reuters) - U.S. retirement savers dodged a speeding train last week when Republican lawmakers racing toward tax reform dropped their plan to sharply reduce allowable tax-deferred contributions to 401(k) plans. (reuters.com)
  • The dental PPO is similar to the traditional plan, but features a network of dentists who agree not to charge more than the maximum allowable charge determined by the plan. (njbia.org)
  • Care
  • The survey showed that most people are reasonably happy with the quality of their health care, regardless of whether they are enrolled in a huge HMO, a for-profit chain or a traditional fee-for-service plan. (sfgate.com)
  • Nearly a third of those surveyed said they did not get enough information from their health plans to pick a primary care doctor. (sfgate.com)
  • California Healthline is a service of the California Health Care Foundation produced by Kaiser Health News , an editorially independent program of the Kaiser Family Foundation . (californiahealthline.org)
  • In addition, the concept of a "care plan" is more fully defined. (healthcare-informatics.com)
  • Ambulatory Care - Health care services that do not require a patient to be hospitalized. (dosingpdf.com)
  • Fee For Service - Method of billing for health services where the provider of care bills separately for each patient service. (dosingpdf.com)
  • It is interesting to read here how the managed care patients had a higher risk assessment coding and it says they should be the same as traditional Medicare, just talking risk here, but the managed care folks for some reason and error were rated as higher. (blogspot.com)
  • The budget plan also proposes to repeal the Affordable Care Act (ACA, P.L. 111-148 and P.L. 111-152 ) and replaces the sequester required by the Budget Control Act (BCA, P.L. 112-25 ) [see Washington Highlights , Aug. 5, 2011 ] with budget reconciliation instructions to six House committees. (aamc.org)
  • Managed care plans and strategies proliferated and quickly became nearly ubiquitous in the U.S. However, this rapid growth led to a consumer backlash. (wikipedia.org)
  • Because many managed care health plans are provided by for-profit companies, their cost-control efforts created widespread perception that they were more interested in saving money than providing health care. (wikipedia.org)
  • The National Directory of Managed Care Organizations, Sixth Edition profiles more than 5,000 plans, including new consumer-driven health plans and health savings accounts. (wikipedia.org)
  • Requires the Secretary of Health and Human Services (HHS) to develop quality measures for the delivery of health care services in the United States. (wikipedia.org)
  • Concierge medicine (also known as retainer medicine) is a relationship between a patient and a primary care physician in which the patient pays an annual fee or retainer. (wikipedia.org)
  • The Fee for Care ('FFC') is an annual retainer model, where the patient pays a monthly, quarterly, or annual retainer fee to the physician. (wikipedia.org)
  • Concierge physicians care for fewer patients than those in a conventional practice, ranging from 50 patients per doctor to 1,000, compared to 3,000 to 4,000 patients that the average traditional physician now sees every year. (wikipedia.org)
  • widely
  • Now, Medicare is widely seen as an important government service, albeit one politicians have used to increase the coffers of their hometown doctors . (washingtonpost.com)
  • The annual fees vary widely, ranging, on average, from US$195 to US$5,000 per year for an individual with incremental savings when additional family members are added. (wikipedia.org)
  • Typically
  • Typically, air couriers work for traditional courier companies as employees and may receive discounted airline tickets. (wikipedia.org)
  • Discount brokers typically allow investors as well as consumers of financial services to buy and sell on-line while offering comparatively fewer services and/or support. (wikipedia.org)
  • FFC or retainer plans may typically not be purchased with pre-tax dollars utilizing HSA and/or FSA accounts because it is not a fee incurred for a service. (wikipedia.org)
  • dual-eligible
  • In addition, dual-eligibles may choose a type of MA plan called a dual-eligible special needs plan (D-SNP), which is designed to target the needs of this population. (wikipedia.org)
  • Therefore
  • Representative Paul Ryan, Chairman of the House Budget Committee, played a prominent public role in drafting and promoting both The Path to Prosperity proposals, and they are therefore often referred to as the Ryan budget, Ryan plan or Ryan proposal. (wikipedia.org)
  • program
  • Indeed, when the bipartisan leadership of the Medicare Commission in the late 1990's recommended a move toward a voucher-like program , would-be defenders of government-administered, fee-for-service Medicare viewed it as a mortal threat ("privatization! (thenewatlantis.com)
  • tend
  • They also tend to be "pretty sophisticated consumers of these services," said Robert Krughoff , president of the Washington research group. (sfgate.com)
  • Traditional plans tend to be more expensive since they do not hold contracts with network dentists to manage fee levels. (njbia.org)
  • cost
  • People who want to keep traditional Medicare wind up paying more - the saving on premium support comes from people who have traditional Medicare now, but shift to a lower-cost option because that is all they can afford. (reuters.com)
  • Only 32 percent of those surveyed said they would recommend the plan to a friend, assuming cost was not an issue. (sfgate.com)
  • In these cases, the women would have to pay a fee, probably in the form of a $10 co-payment, or 20% of the cost of the procedure, depending on the health plan they join. (latimes.com)
  • Premium support for seniors would be based on income and the cost of the second-least-expensive plan in the exchange. (aamc.org)
  • He designed a plan to transform it into an ultra-low-cost carrier. (wikipedia.org)
  • Although businesses pursued the HMO model for its alleged cost containment benefits, some research indicates that private HMO plans don't achieve any significant cost savings over non-HMO plans. (wikipedia.org)
  • contrast
  • The plans stand in contrast to the 2012 and 2013 budget proposals, outlined by President Barack Obama and the Congressional Progressive Caucus. (wikipedia.org)
  • amounts
  • The bids are compared to the pre-determined benchmark amounts set, which are the maximum amount Medicare will pay a plan in a given county, by law. (wikipedia.org)
  • patients
  • That means they monitor doctors to see if they are performing more services for their patients than other doctors, or fewer. (wikipedia.org)
  • This model allows the physician to continue to see their non-retainer patients while providing their "concierge" patients a fee for the increased or "special" services. (wikipedia.org)
  • establishes
  • Though the budget plan does not hold the force of law, it establishes enforceable spending limits and outlines spending priorities and targets. (aamc.org)