When the Medicare program became operational in 1966, its primaryorientation was the treatment of acute, episodic illness.1,2The design of the program's benefits, coverage policies, paymentsto providers, and criteria for determining medical necessitywere all oriented toward the treatment of acute diseases. Medicareretained this orientation for the next 40 years in spite ofthe growing number of Americans with chronic conditions.3,4The Medicare Prescription Drug Improvement and ModernizationAct of 2003 was an important first step in the reorientationof the Medicare program toward the care of patients with chronicdisorders. 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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