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This is a print on demand edition of a hard to find publication. Medicare covers dialysis for most individuals with end-stage renal disease (ESRD). Beginning Jan. 2011, the Centers for Medicare and Medicaid Services (CMS) must use a single payment to pay for dialysis and related services, which include injectable ESRD drugs. What is this new payment system's effects on the access to and quality of dialysis care for certain groups of beneficiaries? This report examined: (1) Medicare expend. for injectable ESRD drugs, by demographic characteristics; (2) factors likely to result in above average doses of these drugs; (3) CMS's approach for addressing beneficiary differences in the cost of dialysis care under the new payment system; and (4) CMS's plans to monitor the new payment system's effects. Charts and tables.
Many Americans believe that people who lack health insurance somehow get the care they really need. Care Without Coverage examines the real consequences for adults who lack health insurance. The study presents findings in the areas of prevention and screening, cancer, chronic illness, hospital-based care, and general health status. The committee looked at the consequences of being uninsured for people suffering from cancer, diabetes, HIV infection and AIDS, heart and kidney disease, mental illness, traumatic injuries, and heart attacks. It focused on the roughly 30 million-one in seven-working-age Americans without health insurance. This group does not include the population over 65 that is covered by Medicare or the nearly 10 million children who are uninsured in this country. The main findings of the report are that working-age Americans without health insurance are more likely to receive too little medical care and receive it too late; be sicker and die sooner; and receive poorer care when they are in the hospital, even for acute situations like a motor vehicle crash.
More than 1,000 pages in this landmark publication cover areas that are critical To The sound financial management of health care organizations.