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Previous Volume 353:305-309 July 21, 2005 Number 3 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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When the Medicare program became operational in 1966, its primary orientation was the treatment of acute, episodic illness.^1,2 The design of the program's benefits, coverage policies, payments to providers, and criteria for determining medical necessity were all oriented toward the treatment of acute diseases. Medicare retained this orientation for the next 40 years in spite of the growing number of Americans with chronic conditions.^3,4 The Medicare Prescription Drug Improvement and Modernization Act of 2003 was an important first step in the reorientation of the Medicare program toward the care of patients with chronic disorders. Additional changes, however, will be necessary . . . [Full Text of this Article]

Beneficiaries with Five or More Chronic Conditions

Beginning Modernization of Medicare

Getting Physicians Involved

Managed Care

Electronic Prescriptions

Next Steps

Medicare Payment Rules

Source Information

From the Center for Hospital Finance and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore.

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