Medicare Coverage Of Diabetes Supplies Services

This publication explains Medicare coverage of diabetes supplies and services in Original Medicare and with Medicare prescription drug coverage (Part D). Original Medicare is fee-for-service coverage under which the government pays your health care providers directly for your Medicare Part A (Hospital Insurance) and/or Part B (Medical Insurance) benefits. If you have other insurance that supplements Original Medicare, like a Medicare Supplement Insurance (Medigap) policy, it may pay some of the costs for the services described in this publication. If you have a Medicare Advantage Plan (like an HMO or PPO) or other Medicare health plan, your plan must give you at least the same coverage as Original Medicare, but it may have different rules. Your costs, rights, protections, and choices for where you get your care might be different if you're in one of these plans. You might also get extra benefits. Also available in Spanish.

This report, which was developed by an expert committee of the Institute of Medicine, reviews the first three services listed above. It is intended to assist policymakers by providing syntheses of the best evidence available about the effectiveness of these services and by estimating the cost to Medicare of covering them. For each service or condition examined, the committee commissioned a review of the scientific literature that was presented and discussed at a public workshop. As requested by Congress, this report includes explicit estimates only of costs to Medicare, not costs to beneficiaries, their families, or others. It also does not include cost-effectiveness analyses. That is, the extent of the benefits relative to the costs to Medicareâ€"or to society generallyâ€"is not evaluated for the services examined. The method for estimating Medicare costs follows the generic estimation practices of the Congressional Budget Office (CBO). The objective was to provide Congress with estimates that were based on familiar procedures and could be compared readily with earlier and later CBO estimates. For each condition or service, the estimates are intended to suggest the order of magnitude of the costs to Medicare of extending coverage, but the estimates could be considerably higher or lower than what Medicare might actually spend were coverage policies changed. The estimates cover the five-year period 2000-2004. In addition to the conclusions about specific coverage issues, the report examines some broader concerns about the processes for making coverage decisions and about the research and organizational infrastructure for these decisions. It also briefly examines the limits of coverage as a means of improving health services and outcomes and the limits of evidence as a means of resolving policy and ethical questions.

Get all the knowledge you need to provide effective care for adults as they age. Grounded in the core competencies recommended by the AACN in collaboration with the Hartford Institute for Geriatric Nursing, Ebersole & Hess’ Toward Healthy Aging, 9th Edition is the only comprehensive text to address all aspects of gerontological nursing care. The new ninth edition has been extensively revised and updated and now includes shorter, more streamlined chapters and pedagogical features to facilitate learning, covering the areas of safety and ethical considerations, genetics, communication with the patient and caregiver, promoting health in persons with conditions commonly occurring in later-life world-wide addressing loss and palliative care and much more. This new edition considers the experience of aging as a universal experience and the nurse’s role in the reduction of health disparities and inequities as a member of the global community. Plus, it contains a variety of new learning features that focus the readers’ attention on applying research and thinking critically in providing care to aging adults across the care continuum.

This is a print on demand edition of a hard to find publication. Federal departments and agencies have examined the services they provide and have prepared a plan identifying the steps they will take to provide beneficiaries with limited English proficiency (LEP) with meaningful access to the agencies¿ programs and activities. The Centers for Medicare and Medicaid Services (CMS) intends to take steps to help ensure timely access to language assistance services by eligible LEP beneficiaries to their programs and activities. This report reviews CMS¿s language access policies, efforts to translate Medicare documents, and the challenges health care providers face in communicating with LEP beneficiaries. Includes recommendations. Illustrations.