Word: medicaid
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...penalty in the bill would apply to hospitals that began juggling their patient load so that they were taking in higher-paying patients at the expense of lower-paying, or began discriminating against the poor or the elderly. These hospitals would lose their eligibility to collect from Medicare and Medicaid...
Carter planned to stop rising hospital costs by slapping a 9 per cent ceiling on revenue increases and major capital expenditures, enforcing the regulations with the clout of Medicare and Medicaid, the source of more than half the hospital industry's revenues. Backed by blustering Joe Califano, secretary of HEW, Carter pushed the bill on a reluctant Congress in April 1977. Since then, committee after subcommittee responded to heavy pressure from the medical lobby and near-total silence from public interest groups, dismembering the original bill...
Since the 1930s, commercial insurance firms have reimbursed hospitals on a cost-plus basis--the more hospitals spend, the more they collect. By the '60s, slightly inflated costs caused hospital bills were to weigh heavily on families without sufficient insurance and liberal America introduced Medicaid and Medicare to ease the burden...
Ironically, in the ensuing decade-and-a-half, public insurance programs greatly exacerbated the upward spiral of health costs. By providing almost limitless funds for hospital services, Medicare and Medicaid fostered loose management, easy expansion and profits for related industries. Improvements in quality or access to care have generally been made at great cost. Hospitals compete for physicians with expensive new technology and abundant beds, and doctors stock the wards. Because insurance usually covers in hospital care, doctors tend to hospitalize a patient for procedures which could be done on an outpatient basis, to keep the patient in the hospital...
...years ago a small group of North Cambridge residents decided they were fed up with the lack of health care services in their area of the city. They were tired of having only one doctor in the area, who charged $20 for house calls and would not accept Medicaid, and lacking nearby public transportation to the Cambridge Hospital. They were angry that it often took all day for elderly people to travel to the hospital to get their blood pressure checked and that the hospital would often overbook its schedule, forcing people to come back the next...