2. 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

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

4. 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

5. 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

6. 1972 – End-stage renal disease 1983 - Medicare Prospective Payment System 1989 - Medicare Fee Schedule 2003 - Medicare Prescription Drug, Improvement, and Modernization Act 2006 - Medicare Advantage 2010 - Patient Protection and Affordable Care Act

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

8. 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

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

10.  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

11. 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

12.  AARP. (2011). Part D. Retrieved from https://www.aarpmedicareplans.com/medicare-education/what-is- medicare/medicare-part-d.html  Centers for Medicare & Medicaid Services. (2008). How is Medicare Funded. Retrieved from http://www.medicare.gov/Publications/Pubs/pdf/11396.pdf  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 http://healthcare.gov/glossary/d/donuthole.html  Donvan, J., & Patrick, M. (2010, December 31). Baby Boomers Expected to Drain Medicare. ABC news. Retrieved from http://abcnews.go.com/US/baby-boomers-projected-drain- medicare/story?id=12507968  Department of Health & Human Services. (2005). Balanced Budget Act overview. Centers for Medicare and Medicaid Services. Retrieved from http://www.cms.gov/Deeming/http://www.cms.gov/Deeming/ Medicare Fraud: A $60 billion crime. (2010, ). CBS News. Retrieved from http://www.cbsnews.com/stories/2009/10/23/60minutes/main5414390.shtml  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 http://www.phrma.org/issues/medicare  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), 1764-1779. doi:10.1111/j.1532- 5415.2010.03025.x

13.  Rettenmaier, A. J. & Saving, T. R. (2007). The Structure of Medicare. Publication no. 299. Retrieved from http://www.ncpa.org/pub/st299?pg=4http://www.ncpa.org/pub/st299?pg=4 Retrieved from http://www.ncpa.org/pub/st299?pg=4  The Henry J. Kaiser Family Foundation. (n.d.). U.S. Health Care Costs. Retrieved from http://www.kaiseredu.org/Issue-Modules/US-Health-Care-Costs/Background-Brief.aspx  The Official U.S. Government Site for Medicare. (2011). Medicare Advantage (Part C). Retrieved from http://www.medicare.gov/navigation/medicare-basics/medicare- benefits/part-c.aspx  The White House. (2010). The Affordable Care Act: Strengthening Medicare, combating misinformation and protecting Americas senior. Retrieved from http://www.whitehouse.gov/the-press-office/affordable-care-act-strengthening-medicare- combating-misinformation-and-protecting-  U.S. Department of Health & Humans Services and U.S.Department of Justice. (n.d.). About Fraud. Retrieved from http://www.stopmedicarefraud.gov/aboutfraud/index.html  U.S. Department of Health &Human Services.(2010). Strengthening Medicare. Retrieved from http://www.healthcare.gov/law/features/65-older/strengthening-medicare/index.html