Overview of Medicare

Policies and budget of Medicare

Impact of past decisions regarding Policies

Estimate costs for Revising Policy

Government Role & Responsibilities

Special interest groups’ effect

Desired Policy vs. Outcome

Part A Hospital insurance (HI)

Part B Supplemental Medical Insurance (SMI)

Part C Medicare Advantage Program

Part D Supplemental Medical Insurance (SMI)

Freedom of Information Act (FOIA)

Protection of Privileged Information

The Affordable Care Act

Affordable and Quality Care

Medicare Prescription Drug, Improvement, and

Modernization Act Benefits of Prescription drug Cost of Patient Care

BUDGET TAXES

Congress

Authorized

Recipient Premiums

Trust Fund

Investment

Balanced Budget

Act

Payroll Taxes

Social Security

Income tax

Trust FundsTrust Funds

Hospital Hospital Insurance Trust Insurance Trust

FundFund

Supplementary Supplementary Medical Medical InsuranceInsurance

1972 – End-stage renal disease

1983 - Medicare Prospective Payment System

1989 - Medicare Fee Schedule

2003 - Medicare Prescription Drug,

Improvement, and Modernization Act

2006 - Medicare Advantage

2010 - Patient Protection and Affordable Care

Act

Affordable Care Act of 2010

National Health Care Increases

Medicare Advantage Plans (Part C)

Increased Medicare Regulations

Medicare Fraud Prevention

Politics over the enactment

Ideological & partisan divisions

Accommodation in Medical Industry

Open-ended payments

Regulatory revolution

Control in Budget

Market-driven Medicare Reformation

Medicare Prescription Drug, Improvement and

Modernization Act

Campaigned for Medicare Part D

Pharmaceutical Research and

Manufactures of America (PhRMA)

Secondary insurance companies

Beneficiaries of Medicare

Decreased Health care Costs

Decreased Drug Prescription Costs

Supplement paying medical expense for senior citizens

Less Medicare Funding

Expansion of Medicare Enrollment

Increment in Medicare Fraud

Overview of Medicare

Policies and budget of Medicare

Impact of past decisions regarding Policies

Estimate costs for Revising Policy

Government Role & Responsibilities

Special interest groups’ effect

Desired Policy vs. Outcome

AARP. (2011). Part D. Retrieved from https://www.aarpmedicareplans.com/medicare-education/what-is-medicare/medicare-part-d.html

Centers for Medicare & Medicaid Services. (2008). How is Medicare Funded. Retrieved from

http://www.medicare.gov/Publications/Pubs/pdf/11396.pdf CMS Office of the Actuary (2010). Affordable Care Act Update: Implementing Medicare Cost Savings. Retrieved

from mmapinc.org/pdfs/ACA-Update-Implementing-Medicare-Costs-Savings.pdf Donut Hole, Medicare Prescription Drugs. (n.d.). Retrieved from http://healthcare.gov/glossary/d/donuthole.html Donvan, J., & Patrick, M. (2010, December 31). Baby Boomers Expected to Drain Medicare. ABC

news. Retrieved from http://abcnews.go.com/US/baby-boomers-projected-drain- medicare/story?id=12507968

Department of Health & Human Services. (2005). Balanced Budget Act overview. Centers for Medicare and Medicaid Services. Retrieved from http://www.cms.gov/Deeming/

Medicare Fraud: A $60 billion crime. (2010, ). CBS News. Retrieved from http://www.cbsnews.com/stories/2009/10/23/60minutes/main5414390.shtml

Morone, J. A., Litman, T. J., & Robins, L. S. (2008). Health politics and policy (4th ed.). Clifton

, NY: Delmar Cengage Learning PhRMA. (n.d ). Medicare: Part D: A Success Story for Seniors. Retrieved from

http://www.phrma.org/issues/medicare Polinski, J., Kilabuk, E., Schneeweiss, S., Brennan, T., & Shrank, W. (2010). Changes in drug use and

out- of-pocket costs associated with Medicare Part D implementation: a systematic review. Journal Of The American Geriatrics Society, 58(9), 1764-1779. doi:10.1111/j.1532-5415.2010.03025.x

Rettenmaier, A. J. & Saving, T. R. (2007). The Structure of Medicare. Publication no. 299.

Retrieved from http://www.ncpa.org/pub/st299?pg=4

Retrieved from http://www.ncpa.org/pub/st299?pg=4 The Henry J. Kaiser Family Foundation. (n.d.). U.S. Health Care Costs. Retrieved from

http://www.kaiseredu.org/Issue-Modules/US-Health-Care-Costs/Background-Brief.aspx The Official U.S. Government Site for Medicare. (2011). Medicare Advantage (Part C).

Retrieved from http://www.medicare.gov/navigation/medicare-basics/medicare- benefits/part-c.aspx

The White House. (2010). The Affordable Care Act: Strengthening Medicare, combating

misinformation and protecting Americas senior. Retrieved from

http://www.whitehouse.gov/the-press-office/affordable-care-act-strengthening-medicare-

combating-misinformation-and-protecting- U.S. Department of Health & Humans Services and U.S.Department of Justice. (n.d.). About Fraud.

Retrieved from http://www.stopmedicarefraud.gov/aboutfraud/index.html U.S. Department of Health &Human Services.(2010). Strengthening Medicare. Retrieved from

http://www.healthcare.gov/law/features/65-older/strengthening-medicare/index.html