Overview of Medicare Policies and budget of Medicare Impact of past decisions regarding Policies Estimate costs for Revising Policy Government Role & Responsibilities Special interest groups’ effect Desired Policy vs. Outcome

Part A Hospital insurance (HI) Part B Supplemental Medical Insurance (SMI) Part C Medicare Advantage Program Part D Supplemental Medical Insurance (SMI)

Freedom of Information Act (FOIA) Protection of Privileged Information The Affordable Care Act Affordable and Quality Care Medicare Prescription Drug, Improvement, and Modernization Act Benefits of Prescription drug Cost of Patient Care

BUDGET TAXES Congress Authorized Recipient Premiums Trust Fund Investment Balanced Budget Act Payroll Taxes Social Security Income tax Trust Funds  Hospital Insurance Trust Insurance Trust Fund Fund  Supplementary Medical Medical Insurance Insurance

1972 – End-stage renal disease Medicare Prospective Payment System Medicare Fee Schedule Medicare Prescription Drug, Improvement, and Modernization Act Medicare Advantage Patient Protection and Affordable Care Act

 Affordable Care Act of 2010  National Health Care Increases  Medicare Advantage Plans (Part C)  Increased Medicare Regulations  Medicare Fraud Prevention

Politics over the enactment Ideological & partisan divisions Accommodation in Medical Industry Open-ended payments Regulatory revolution Control in Budget Market-driven Medicare Reformation Medicare Prescription Drug, Improvement and Modernization Act

 Campaigned for Medicare Part D  Pharmaceutical Research and Manufactures of America (PhRMA)  Secondary insurance companies  Beneficiaries of Medicare

 Decreased Health care Costs  Decreased Drug Prescription Costs  Supplement paying medical expense for senior citizens  Less Medicare Funding  Expansion of Medicare Enrollment  Increment in Medicare Fraud

Overview of Medicare Policies and budget of Medicare Impact of past decisions regarding Policies Estimate costs for Revising Policy Government Role & Responsibilities Special interest groups’ effect Desired Policy vs. Outcome

 AARP. (2011). Part D. Retrieved from medicare/medicare-part-d.html  Centers for Medicare & Medicaid Services. (2008). How is Medicare Funded. Retrieved from  CMS Office of the Actuary (2010). Affordable Care Act Update: Implementing Medicare Cost Savings. Retrieved from mmapinc.org/pdfs/ACA-Update-Implementing-Medicare-Costs-Savings.pdf  Donut Hole, Medicare Prescription Drugs. (n.d.). Retrieved from  Donvan, J., & Patrick, M. (2010, December 31). Baby Boomers Expected to Drain Medicare. ABC news. Retrieved from medicare/story?id=  Department of Health & Human Services. (2005). Balanced Budget Act overview. Centers for Medicare and Medicaid Services. Retrieved from Medicare Fraud: A $60 billion crime. (2010, ). CBS News. Retrieved from  Morone, J. A., Litman, T. J., & Robins, L. S. (2008). Health politics and policy (4th ed.). Clifton, NY: Delmar Cengage Learning  PhRMA. (n.d ). Medicare: Part D: A Success Story for Seniors. Retrieved from  Polinski, J., Kilabuk, E., Schneeweiss, S., Brennan, T., & Shrank, W. (2010). Changes in drug use and out-of-pocket costs associated with Medicare Part D implementation: a systematic review. Journal Of The American Geriatrics Society, 58(9), doi: /j x

 Rettenmaier, A. J. & Saving, T. R. (2007). The Structure of Medicare. Publication no Retrieved from Retrieved from  The Henry J. Kaiser Family Foundation. (n.d.). U.S. Health Care Costs. Retrieved from  The Official U.S. Government Site for Medicare. (2011). Medicare Advantage (Part C). Retrieved from benefits/part-c.aspx  The White House. (2010). The Affordable Care Act: Strengthening Medicare, combating misinformation and protecting Americas senior. Retrieved from combating-misinformation-and-protecting-  U.S. Department of Health & Humans Services and U.S.Department of Justice. (n.d.). About Fraud. Retrieved from  U.S. Department of Health &Human Services.(2010). Strengthening Medicare. Retrieved from