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A Chronic Condition Special Needs Plan (C-SNP) is a type of Medicare Advantage care plan that provides additional targeted healthcare for people with severe and chronic medical conditions.
Along with the panel of clinical advisors who met in 2008, the Centers for Medicare and Medicaid Services (CMS) approved 15 chronic conditions that met the requirements to be eligible for a C-SNP ...
Chronic care management is a service that helps coordinate healthcare for people with at least two chronic health conditions. Medicare Part B covers the costs of CCM, and a person’s doctor ...
In a 1997 analysis, it was estimated that in 1991–1993, the original four hospitals would have had expenditures of $110.8 million for coronary artery bypasses for Medicare beneficiaries, but the change in reimbursement methodology saved $15.31 million for Medicare and $1.84 million for Medicare beneficiaries and their supplemental insurers ...
Section 299I of Public Law 92-603, passed on October 30, 1972, extended Medicare coverage to Americans if they had stage five chronic kidney disease (CKD) and were otherwise qualified under Medicare's work history requirements. The program's launch was July 1, 1973. Previously only those over 65 could qualify for Medicare benefits.
Medicare reimbursements per enrollee vary significantly across the country. In 2012, average Medicare reimbursements per enrollee ranged from an adjusted (for health status, income, and ethnicity) $6,724 in the lowest spending region to $13,596 in the highest. [54] The U.S. spends more than other countries for the same things.
A C-SNP is a type of Medicare Advantage plan for people with chronic conditions. Anyone who has one of the 15 eligible conditions and qualifies for Medicare can join. The specific benefits may ...
"Long-term services and supports" (LTSS) is the modernized term for community services, which may obtain health care financing (e.g., home and community-based Medicaid waiver services), [7] [8] and may or may not be operated by the traditional hospital-medical system (e.g., physicians, nurses, nurse's aides).
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