Word: medicaid
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When U.S. Senate investigators looked into the costs of Medicaid for the poor, they discovered payments to individual doctors running into five or six figures for a single year. Michigan's Medicaid program had paid $169,000 to Dr. Sanford Polansky, of Benton Harbor, for 1968. His case, along with the names of 80 other physicians who had collected more than $25,000 each, were in the records of Michigan Blue Shield, which serves as Medicaid's fiscal agent in the state...
SUMMER FOCUS (ABC, 8-9 p.m.). Director of the Massachusetts General Hospital and almost a member of the Nixon team, Dr. John Knowles is featured on "The Right to Live," an examination of Medicare and Medicaid...
...ultra-conservative influence on national policies. Moderate and liberal critics question its propriety in helping to scuttle the appointment of Dr. John Knowles to the nation's top health post (TIME, July 4). Still remembered are the association's relentless fights of yesteryear against Medicare and Medicaid. Opponents also recall its past opposition to group practice and its efforts to limit medical-school enrollment. Thus the A.M.A. has made itself a visible villain, and is blamed, somewhat unfairly, for the soaring cost of medical care, which is rising at a rate more than double that of the cost...
Rhetoric, Not Remedies. The report was stronger on rhetoric than remedies. Blaming the high (average: $70 a day) cost of hospital care on the previous Administration, it warned that the federal share of the Medicaid program of health care for the poor alone could sextuple its $2.5 billion annual cost by 1975 unless draconic measures are adopted. The HEW message proposed a combination of voluntary action by the medical profession and hospitals, plus close supervision by the Government. HEW, the report said, will increase and intensify its programs for reviewing drug utilization and effectiveness, tighten its surveillance of Medicare-Medicaid...
National Goals. The Senate meanwhile passed and sent to the House a measure that would permit states to reduce certain Medicaid services without risking the loss of federal aid. Under the bill, states would still be required to provide basic services: hospital and nursing-home care, outpatient treatment, preventive care for children, physicians' fees, laboratory costs and X rays. But the states would be permitted to drop coverage of dental care, prescription drugs and eyeglasses. The Senate measure will enable financially pressed states to cut burgeoning costs without abandoning their Medicaid programs altogether...