Balanced Budget Reconciliation Act of 1997: Committee Recommendations as Submitted to the Budget Committee on the Budget Pursuant to H. Con. Res. 84, Volumul 4U.S. Government Printing Office, 1997 - 241 pagini |
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Pagina 80
... Reasons for Change The existing Medicare HMO risk contracting program has en- joyed only limited success for a number of reasons . First of all , there has been no assertive effort by the Health Care Financing Administration to inform ...
... Reasons for Change The existing Medicare HMO risk contracting program has en- joyed only limited success for a number of reasons . First of all , there has been no assertive effort by the Health Care Financing Administration to inform ...
Pagina 94
... Reason for Change When a Medicare beneficiary decides to leave the traditional Medicare program to try a Medicare Choice plan , they no longer need their supplemental coverage ( Medigap ) policy because most ( if not all ) Medicare ...
... Reason for Change When a Medicare beneficiary decides to leave the traditional Medicare program to try a Medicare Choice plan , they no longer need their supplemental coverage ( Medigap ) policy because most ( if not all ) Medicare ...
Pagina 96
... Reason for Change The intention of this act is to give Medicare beneficiaries the same choices for health care delivery as the private sector currently has , including Medical Savings Accounts . In addition , Medical Sav- ings Accounts ...
... Reason for Change The intention of this act is to give Medicare beneficiaries the same choices for health care delivery as the private sector currently has , including Medical Savings Accounts . In addition , Medical Sav- ings Accounts ...
Pagina 97
... changes in methods of payment or reimbursement for Medi- care services , including a change to methods based on negotiated rates , would have the effect of increasing the efficiency and econ- omy of such health services . Reason for Change ...
... changes in methods of payment or reimbursement for Medi- care services , including a change to methods based on negotiated rates , would have the effect of increasing the efficiency and econ- omy of such health services . Reason for Change ...
Pagina 99
... Reason for Change There is some evidence that allowing plans to conduct their own enrollment operations may lead to greater risk selection ( i.e. “ cher- ry picking " healthier beneficiaries ) . One possible solution to this would be to ...
... Reason for Change There is some evidence that allowing plans to conduct their own enrollment operations may lead to greater risk selection ( i.e. “ cher- ry picking " healthier beneficiaries ) . One possible solution to this would be to ...
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Termeni și expresii frecvente
additional adjustment amendments annual assistance auction authority Estimated outlays benefits budget authority Estimated CBO estimates Change The Committee Committee Provision Congressional Budget Office contract copayments cost-sharing coverage current law direct spending durable medical equipment Effective Date eligible employees enactment enrollees enrollment entities establish Estimated budget authority expiration fee schedule ficiaries financing Food Stamp funds guaranty agencies HCFA home health hospice care hospital housing income increase individual legislation limits loan mark-to-market Medicaid medical savings account Medicare beneficiaries Medicare Choice plan Medicare HMO Medicare payment Medicare program Medigap ment million mortgage nursing organization payment amount payment rates percent period physician premium Present Law projects qualified Reasons for Change receipts reconciliation instructions RECONCILIATION RECOMMENDATIONS reduce reimbursement restructuring rural Secretary September 30 Social Security Act spectrum Subsection Subtitle tion United States Code update veterans waiver
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Pagina 103 - ... carrying on propaganda, or otherwise attempting, to influence legislation . . . , and which does not participate in, or intervene in (including the publishing or distributing of statements), any political campaign on behalf of (or in opposition to) any candidate for public office.
Pagina 103 - ... Corporations, and any community chest, fund, or foundation, organized and operated exclusively for religious, charitable, scientific, testing for public safety, literary, or educational purposes, or for the prevention of cruelty to children or animals, no part of the net earnings of which inures to the benefit of any private shareholder or individual, no substantial part of the activities of which is carrying on propaganda, or otherwise attempting, to influence legislation, and which does not...
Pagina 191 - ... at the end of the taxable year and was a full-time student during the taxable year), or is permanently and totally disabled. Also, if the qualifying child is married at the close of the year, the individual may claim the EIC for that child only if the individual may also claim that child as a dependent. To satisfy the identification test, an individual must include on their tax return the name, age, and TIN of each qualifying child. The residence test requires that a qualifying child must have...
Pagina 74 - For purposes of this subparagraph, the term "physician incentive plan" means any compensation arrangement between an entity and a physician or physician group that may directly or indirectly have the effect of reducing or limiting services provided with respect to individuals enrolled with the entity.
Pagina 89 - Each health maintenance organization shall — "(1) have a fiscally sound operation and adequate provision against the risk of insolvency which is satisfactory to the Secretary ; . "(2) assume full financial risk on a prospective basis for the provision of basic health services, except that...
Pagina 83 - emergency medical condition' means a medical condition manifesting itself by acute symptoms of sufficient severity (including severe pain) such that the absence of immediate medical attention could reasonably be expected to result in...
Pagina 189 - ... (D) Outside salesmen. The deductions allowed by part VI (sec. 161 and following) which are attributable to a trade or business carried on by the taxpayer, if such trade or business consists of the performance of services by the taxpayer as an employee...
Pagina 103 - Under present law, an organization described in sections 501(cX3) or (4) of the Code is exempt from tax only if no substantial part of its activities consists of providing commercial-type insurance.
Pagina 130 - For purposes of receiving skilled nursing and home health aide services, "part-time or intermittent" is defined as skilled nursing and home health aide services furnished any number of days per week as long as they were furnished (combined) less than 8 hours each day and 28 or fewer hours each week (or, subject to review on a case-by-case basis as to the need for care, less than 8 hours each day and 35 or fewer hours per week).
Pagina 191 - In order to claim the credit, an individual must either have a qualifying child or meet other requirements. A qualifying child must meet a relationship test, an age test, an identification test, and a residence test. In order to claim the credit without a qualifying child, an individual must not be a dependent and must be over age 24 and under age 65.