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《社会保险》.ppt

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该【《社会保险》】是由【相惜】上传分享，文档一共【20】页，该文档可以免费在线阅读，需要了解更多关于【《社会保险》】的内容，可以使用淘豆网的站内搜索功能，选择自己适合的文档，以下文字是截取该文章内的部分文字，如需要获得完整电子版，请下载此文档到您的设备，方便您编辑和打印。CHAPTER10GOVERNMENTANDTHEMARKETFORHEALTHCARESOURCE:CentersforMedicareandMedicaidServices[2005a].PrivateHealthInsuranceTheImplicitSubsidyforEmployer-ProvidedInsuranceWorldWarIIerapricecontrolsFederaltaxsubsidyTheAdvantagesofEmployer-ProvidedHealthInsuranceIncreasetheriskpoolReduceadverseselectionLoweradministrativecostsEmployer-ProvidedHealthInsuranceandJobLockJoblockountabilityActof1996(Kennedy-KassenbaumAct)CostControlandPrivateInsuranceCost-basedreimbursement(fee-for-service)ManagedcareCapitation-basedreimbursementanizations(HMOs)anizations(PPOs)Point-of-service(POS)Medicare:OverviewSOURCE:CentersforMedicareandMedicaidServices[2005a].RealexpendituresonMedicareExpendituresonMedicareasaShareofGDPHowMedicareWorksBenefitsPartA–Hospitalinsurance(HI)PartB–Supplementarymedicalinsurance(SMI)FinancingPayrolltaxfundsHIGeneralrevenuesfundSMIPrescriptionDrugBenefitPartC–MedicareAdvantagePartD–PrescriptionDrugBenefitMonthlypremiumLowdeductibleDonutholeGenerouscoverageforhighcostsCostControlUnderMedicareMedicare’sretrospectivepaymentsystemMedicare’sprospectivepaymentsystemDiagnosisrelatedgroupsResource-basedrelativevaluescalesystemMedicareManagedCare

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