Biomaterial Database

The Balanced Budget Act of 1997: Medicare implications. 1997

L A Vanston

Early last month, President Clinton signed into law the historic balanced Budget Act of 1997. The Act contains many sweeping changes, including provisions that authorize provider-sponsored organizations to contract directly with the Medicare program on a risk basis.

UI	MeSH Term	Description	Entries
D008004	Licensure	The legal authority or formal permission from authorities to carry on certain activities which by law or regulation require such permission. It may be applied to licensure of institutions as well as individuals.	Institutional Personnel Licensure,Licenses,Licensure, Institutional, Personnel,Licensing,Permits,Institutional Personnel Licensures,License,Licensure, Institutional Personnel,Licensures,Licensures, Institutional Personnel,Permit,Personnel Licensure, Institutional,Personnel Licensures, Institutional
D008329	Managed Care Programs	Health insurance plans intended to reduce unnecessary health care costs through a variety of mechanisms, including: economic incentives for physicians and patients to select less costly forms of care; programs for reviewing the medical necessity of specific services; increased beneficiary cost sharing; controls on inpatient admissions and lengths of stay; the establishment of cost-sharing incentives for outpatient surgery; selective contracting with health care providers; and the intensive management of high-cost health care cases. The programs may be provided in a variety of settings, such as HEALTH MAINTENANCE ORGANIZATIONS and PREFERRED PROVIDER ORGANIZATIONS.	Case Management, Insurance,Insurance Case Management,Managed Health Care Insurance Plans,Managed Care,Care, Managed,Managed Care Program,Management, Insurance Case,Program, Managed Care,Programs, Managed Care
D002017	Budgets	Detailed financial plans for carrying out specific activities for a certain period of time. They include proposed income and expenditures.	Budgetary Control,Budget,Budgetary Controls,Control, Budgetary,Controls, Budgetary
D003284	Contract Services	Outside services provided to an institution under a formal financial agreement.	Services, Contract,Contract Service,Service, Contract
D006278	Medicare	Federal program, created by Public Law 89-97, Title XVIII-Health Insurance for the Aged, a 1965 amendment to the Social Security Act, that provides health insurance benefits to persons over the age of 65 and others eligible for Social Security benefits. It consists of two separate but coordinated programs: hospital insurance (MEDICARE PART A) and supplementary medical insurance (MEDICARE PART B). (Hospital Administration Terminology, AHA, 2d ed and A Discursive Dictionary of Health Care, US House of Representatives, 1976)	Health Insurance for Aged and Disabled, Title 18,Insurance, Health, for Aged and Disabled,Health Insurance for Aged, Disabled, Title 18,Health Insurance for Aged, Title 18
D006801	Humans	Members of the species Homo sapiens.	Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D012308	Risk Management	The process of minimizing risk to an organization by developing systems to identify and analyze potential hazards to prevent accidents, injuries, and other adverse occurrences, and by attempting to handle events and incidents which do occur in such a manner that their effect and cost are minimized. Effective risk management has its greatest benefits in application to insurance in order to avert or minimize financial liability. (From Slee & Slee: Health care terms, 2d ed)	Hospital Incident Reporting,Incident Reporting, Hospital,Hospital Incident Reportings,Incident Reporting,Incident Reportings, Hospital,Management, Risks,Reporting, Hospital Incident,Reportings, Hospital Risk,Voluntary Patient Safety Event Reporting,Hospital Risk Reporting,Hospital Risk Reportings,Incident Reportings,Management, Risk,Reporting, Hospital Risk,Reporting, Incident,Reportings, Hospital Incident,Reportings, Incident,Risk Reporting, Hospital,Risk Reportings, Hospital,Risks Management
D013659	Tax Equity and Fiscal Responsibility Act	PL97-248. Title II of the Act specifies "provisions relating to savings in health and income security programs." This includes changes in payment for services, benefits and premiums of Medicare as well as changes in provisions under Medicaid and other specific programs covered by Social Security. Title II includes various revenue measures.	Public Law 97-248,TEFRA,Tax Equity Act,United States Tax Equity and Fiscal Responsibility Act,PL 97-248,PL97-248,Act, Tax Equity
D014481	United States	A country in NORTH AMERICA between CANADA and MEXICO.
D019058	Community Networks	Organizations and individuals cooperating together toward a common goal at the local or grassroots level.	Community Care Networks,Community Health Networks,Care Network, Community,Care Networks, Community,Community Care Network,Community Health Network,Community Network,Health Network, Community,Health Networks, Community,Network, Community,Network, Community Care,Network, Community Health,Networks, Community,Networks, Community Care,Networks, Community Health