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  2. National coverage determination - Wikipedia

    en.wikipedia.org/wiki/National_coverage...

    A national coverage determination (NCD) [1] is a United States nationwide determination of whether Medicare will pay for an item or service. [2] It is a form of utilization management and forms a medical guideline on treatment.

  3. Medicare Advantage - Wikipedia

    en.wikipedia.org/wiki/Medicare_Advantage

    Medicare.gov logo. Medicare Advantage (Medicare Part C, MA) is a type of health plan offered by private companies which was established by the Balanced Budget Act (BBA) in 1997. This created a private insurance option that wraps around traditional Medicare. Medicare Advantage plans may fill some coverage gaps and offer alternative coverage ...

  4. Health services research - Wikipedia

    en.wikipedia.org/wiki/Health_services_research

    Health services research (HSR) became a burgeoning field in North America in the 1960s, when scientific information and policy deliberation began to coalesce. [1] Sometimes also referred to as health systems research or health policy and systems research (HPSR), HSR is a multidisciplinary scientific field that examines how people get access to health care practitioners and health care services ...

  5. 'Rampant abuse of the system': Insurers made patients ... - AOL

    www.aol.com/finance/rampant-abuse-system...

    The Journal says it consulted over a dozen experts about its analysis of the Medicare data who concluded the methodology to be sound. The data was reviewed under a research agreement with the ...

  6. Medicare (United States) - Wikipedia

    en.wikipedia.org/wiki/Medicare_(United_States)

    Lyndon B. Johnson signing the Medicare amendment (July 30, 1965). Former president Harry S. Truman (seated) and his wife, Bess, are on the far right.. Originally, the name "Medicare" in the United States referred to a program providing medical care for families of people serving in the military as part of the Dependents' Medical Care Act, which was passed in 1956. [6]

  7. Accountable care organization - Wikipedia

    en.wikipedia.org/wiki/Accountable_care_organization

    The Medicare Shared Savings Program is a three-year program during which ACOs accept responsibility for the overall quality, cost and care of a defined group of Medicare Fee-For-Services (FFS) beneficiaries. Under the program, ACOs are accountable for a minimum of 5,000 beneficiaries. [21]

  8. Clinical Medicine & Research - Wikipedia

    en.wikipedia.org/wiki/Clinical_Medicine_&_Research

    Clinical Medicine & Research is an open-access, peer-reviewed, academic journal of clinical medicine published by the Marshfield Clinic Research Foundation. The journal is currently edited by Adedayo A. Onitilo ( Marshfield Clinic ).

  9. 5 2025 Medicare Changes Every Retiree Should Know - AOL

    www.aol.com/5-2025-medicare-changes-every...

    Image source: Getty Images. 1. Cost increases for Parts A and B. Original Medicare's premiums and deductibles went up in 2025. The Part A annual deductible increased from $1,632 to $1,676, and the ...