cooperative federalism
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COOPERATIVE FEDERALISM
MEDICARE Created By: Ellen Gabis, Ryan
Hanrahan, Max Graff, and Sarah Elzey
COOPERATIVE FEDERALISM When state, local, and federal
governments share responsibilities in governing the people. State and federal governments work together in partnership to exercise government authority.
MEDICARE
Established in 1965 Guarantees health insurance for
Americans of age 65 and older or younger people with disabilities
Title XVIII of the Social Security Act Lyndon B. Johnson was the president
when the act was established Over 48 million people are on Medicare
POLITICAL CONTROVERSY The cost of Medicare was very
expensive for the government Many inpatient procedures were
changed to outpatient procedures to lower the cost the government had to pay
Government was forced to slow spending growth
TODAY’S CONTROVERSY In 2012 lawmakers thought that there
should be a higher premium for the wealthy
Raise the eligibility of age when seniors can receive Medicare
Cut the cost by making Medicare more efficient
MEDICARE BEING MODIFIED 1997- Balanced Budget Act- Lower rates
on post acute care area New ways of payment and lower rates of
payment were legislated New goals were set to move away from
a cost-based system and toward one that will provide incentives for “appropriate” levels of care
Resource Based Relative Value Scale has been created for physicians to use to determine level of care
COST OF MEDICARE Federal Government pays for all of the
costs $105 per month per citizen
PARTICIPANTS OF MEDICARE All states do participate Doctors Hospitals Nursing Homes Hospice Programs Assisted Living
MEDICARE BEING PAID FOR Paid through two trust funds of the U.S
Treasury Hospital Insurance Trust Fund
Payroll taxes paid by most employees Supplementary Medical Insurance Trust
FundFunds are authorized through Congress Interests earned on trust fund investments
Total expenditures for year 2011 was $549.1 billion dollars
REQUIREMENTS OF THE CITIZENS TO RECEIVE MEDICARE
Age 65 and older or have increased medical disabilities
Citizen of the United States Have to receive social security Have to go to a physician or hospital
that is associated with Medicare
QUESTIONS How much is the average cost of
Medicare per month? What age do citizens become qualified
for Medicare? Does Federal or State government run
the Medicare Program? Can Medicare participants go to any
physician or hospital that they choose? When was the Medicare Program
established?
ANSWERS $105 dollars per month 65 years old Federal Government No, patients must go to physicians or
hospitals that are associated with the Medicare Program
1965
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