Committee on Choice and Managed Care: Furthering the Knowledge Base to Ensure Public Accountability and Information for Informed Purchasing by and on Behalf of Medicare Beneficiaries's Books

Developing an Information Infrastructure for the Medicare+Choice Program

Summary of a Workshop

By: Institute of Medicine,Committee on Choice and Managed Care: Furthering the Knowledge Base to Ensure Public Accountability and Information for Informed Purchasing by and on Behalf of Medicare Beneficiaries

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Developing an Information Infrastructure for the Medicare+Choice Program

Summary of a Workshop

On March 4 and 5, 1998, the Institute of Medicine (IOM) Committee on Choice and Managed Care held a 2-day workshop entitled Developing the Information Infrastructure for Medicare Beneficiaries. This workshop was a follow-up to the IOM report entitled Improving the Medicare Market: Adding Choice and Protections. The workshop focused on the Medicare provisions in the Balanced Budget Act of 1997, which mandate that the Health Care Financing Administration (HCFA) develop a "nationally coordinated education and publicity campaign" in 1998 and move Medicare beneficiaries to an open-season enrollment process by the year 2002.

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National Academies Press

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ISBN 10

0309063884

ISBN 13

9780309063883

Developing an Information Infrastructure for the Medicare+Choice Program

Summary of a Workshop

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Developing an Information Infrastructure for the Medicare+Choice Program

Summary of a Workshop

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0309184509

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9780309184502

Extending Medicare Reimbursement in Clinical Trials

By: Institute of Medicine,Committee on Routine Patient Care Costs in Clinical Trials for Medicare Beneficiaries

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Extending Medicare Reimbursement in Clinical Trials

By: Institute of Medicine,Committee on Routine Patient Care Costs in Clinical Trials for Medicare Beneficiaries

Increasingly over the past five years, uncertainty about reimbursement for routine patient care has been suspected as contributing to problems enrolling people in clinical trials. Clinical trial investigators cannot guarantee that Medicare will pay for the care required, and they must disclose this uncertainty to potential participants during the informed consent process. Since Medicare does not routinely "preauthorize" care (as do many commercial insurers) the uncertainty cannot be dispelled in advance. Thus, patients considering whether to enter trials must assume that they may have to pay bills that Medicare rejects simply because they have enrolled in the trial. This report recommends an explicit policy for reimbursement of routine patient care costs in clinical trials. It further recommends that HCFA provide additional support for selected clinical trials, and that the government support the establishment of a national clinical trials registry. These policies (1) should assure that beneficiaries would not be denied coverage merely because they have volunteered to participate in a clinical trial; and (2) would not impose excessive administrative burdens on HCFA, its fiscal intermediaries and carriers, or investigators, providers, or participants in clinical trials. Explicit rules would have the added benefit of increasing the uniformity of reimbursement decisions made by Medicare fiscal intermediaries and carriers in different parts of the country. Greater uniformity would, in turn, decrease the uncertainty about reimbursement when providers and patients embark on a clinical trial.

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National Academies Press

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ISBN 10

030918388X

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9780309183888

The Medicare and Choice Program After One Year

Congressional Hearing

By: United States. Congress. House. Committee on Commerce. Subcommittee on Health and the Environment

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The Medicare and Choice Program After One Year

Congressional Hearing

By: United States. Congress. House. Committee on Commerce. Subcommittee on Health and the Environment

Hearing on the first year of the Medicare & Choice options, which are coordinate care plans. Witnesses: Bruce E. Bradley, Dir., Managed Care Plans, General Motors Corp.; Judith Feder, Prof. of Public Policy, Georgetown Univ.; Bill Gradison, Pres., Health Insurance Assoc. of Amer.; Michael Hash, Deputy Administrator, Health Care Financing Admin.; Karen Ignagni, Pres. & CEO, Amer. Assoc. of Health Plans; Patricia A. Riley, V.P., Government Relations, Allina Health System; Donald P. Sacco, CEO, Blue Cross Blue Shield of Oregon, accompanied by Mary Nell Lehnhard, Sr. V.P. of Blue Cross Blue Shield Assoc.

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131

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DIANE Publishing

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0788189573

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9780788189579

Book's by Committee on Choice and Managed Care: Furthering the Knowledge Base to Ensure Public Accountability and Information for Informed Purchasing by and on Behalf of Medicare Beneficiaries

Developing an Information Infrastructure for the Medicare+Choice Program

Developing an Information Infrastructure for the Medicare+Choice Program

Developing an Information Infrastructure for the Medicare+Choice Program

Developing an Information Infrastructure for the Medicare+Choice Program

Extending Medicare Reimbursement in Clinical Trials

Extending Medicare Reimbursement in Clinical Trials

The Medicare and Choice Program After One Year

The Medicare and Choice Program After One Year

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