Preventive Services in Medicare

Background

The goals of prevention are to promote good health (primary prevention) and detect disease at early stages when it is most treatable (secondary prevention). To help achieve these goals, the ACA Comprehensive health care reform legislation passed by Congress and signed into law on March 23, 2010. introduced Medicare Authorized in 1965 under Title XVIII of the Social Security Act, Medicare provides health insurance coverage for people age 65 and older and for some disabled people under age 65. This federal program consists of Part A (Hospital Insurance), Part B (Supplemental Medical Insurance), Part… ’s one-time preventive physical examinations within the first 12 months of becoming eligible for Medicare Part B This program primarily covers physician and outpatient services and some home health care and ambulatory care. People who are covered or eligible for coverage by Medicare Part A may voluntarily enroll in Part B by paying a monthly premium. However, a person also may be enrolled only in… (the Welcome to Medicare Authorized in 1965 under Title XVIII of the Social Security Act, Medicare provides health insurance coverage for people age 65 and older and for some disabled people under age 65. This federal program consists of Part A (Hospital Insurance), Part B (Supplemental Medical Insurance), Part… Visit) and annual wellness visits thereafter. These exams, which are not subject to a deductible or copayment, must include a comprehensive health risk assessment and the development of a personalized prevention plan. Medicare Authorized in 1965 under Title XVIII of the Social Security Act, Medicare provides health insurance coverage for people age 65 and older and for some disabled people under age 65. This federal program consists of Part A (Hospital Insurance), Part B (Supplemental Medical Insurance), Part… also waives deductibles or copayments for other preventive care that meets certain criteria. Cost-sharing is also waived for preventive services that have a US Preventive Services Task Force (USPSTF) rating of A or B. In addition, cost-sharing is waived for all immunizations recommended by the Advisory Committee on Immunization Practices (ACIP) that are covered under Medicare Part B This program primarily covers physician and outpatient services and some home health care and ambulatory care. People who are covered or eligible for coverage by Medicare Part A may voluntarily enroll in Part B by paying a monthly premium. However, a person also may be enrolled only in… . Vaccines covered under Medicare Authorized in 1965 under Title XVIII of the Social Security Act, Medicare provides health insurance coverage for people age 65 and older and for some disabled people under age 65. This federal program consists of Part A (Hospital Insurance), Part B (Supplemental Medical Insurance), Part… Part D are not exempt from cost-sharing. The Affordable Care Act ( ACA Comprehensive health care reform legislation passed by Congress and signed into law on March 23, 2010. ) further supports the use of preventive services for Medicare Authorized in 1965 under Title XVIII of the Social Security Act, Medicare provides health insurance coverage for people age 65 and older and for some disabled people under age 65. This federal program consists of Part A (Hospital Insurance), Part B (Supplemental Medical Insurance), Part… beneficiaries by waiving cost-sharing for preventive services that have a U.S. Preventive Services Task Force rating of A or B and provides enhanced federal funding to states that eliminate cost-sharing for recommended preventive services in their Medicaid programs. In addition, the ACA Comprehensive health care reform legislation passed by Congress and signed into law on March 23, 2010. waives Medicare Part B This program primarily covers physician and outpatient services and some home health care and ambulatory care. People who are covered or eligible for coverage by Medicare Part A may voluntarily enroll in Part B by paying a monthly premium. However, a person also may be enrolled only in… cost-sharing for vaccines recommended by the Advisory Committee on Immunization Practices.

Although all Medicare Authorized in 1965 under Title XVIII of the Social Security Act, Medicare provides health insurance coverage for people age 65 and older and for some disabled people under age 65. This federal program consists of Part A (Hospital Insurance), Part B (Supplemental Medical Insurance), Part… beneficiaries underutilize many evidence-based preventive services, this is more pronounced among historically disadvantaged racial and ethnic groups. To address this disparity, The Affordable Care Act requires federally conducted or federally supported health care activities or public health efforts to collect and report data on race, ethnicity, and primary language. The law requires the Department of Health and Human Services to develop standards for collecting these data to provide statistically reliable population estimates. Another way to reach underserved populations is to provide information about preventive services in senior centers and other congregate facilities, such as affordable housing.

PREVENTIVE SERVICES IN MEDICARE: Policy

Community outreach

In this policy: FederalStateLocal

Federal, state, and local governments should fund community-based outreach, education, and promotion efforts that include targeted initiatives for at-risk and underserved beneficiaries to increase the number of Medicare Authorized in 1965 under Title XVIII of the Social Security Act, Medicare provides health insurance coverage for people age 65 and older and for some disabled people under age 65. This federal program consists of Part A (Hospital Insurance), Part B (Supplemental Medical Insurance), Part… beneficiaries who use covered preventive services and screenings.

Outreach, education, and promotion efforts should be culturally competent and language accessible. In addition, to the extent possible, these efforts should be evidence-based. States and localities have a vested interest in doing this because they provide funding, often through care coordination arrangements, for dual-eligibles (e.g., Medicare Authorized in 1965 under Title XVIII of the Social Security Act, Medicare provides health insurance coverage for people age 65 and older and for some disabled people under age 65. This federal program consists of Part A (Hospital Insurance), Part B (Supplemental Medical Insurance), Part… beneficiaries who are also eligible for Medicaid).

Cost-sharing for preventive services

In this policy: Federal

HHS should make A- and B-rated preventive services available without cost-sharing only for those beneficiaries for whom the U.S. Preventive Services Task Force finds evidence to support such provision. Recommended vaccines should be made available without cost-sharing in Medicare Authorized in 1965 under Title XVIII of the Social Security Act, Medicare provides health insurance coverage for people age 65 and older and for some disabled people under age 65. This federal program consists of Part A (Hospital Insurance), Part B (Supplemental Medical Insurance), Part… Part D. (Specifically those recommended by the Advisory Committee on Immunization Practices.

Research

In this policy: Federal

Congress should continue to adequately fund research to identify and evaluate appropriate preventive and screening services that Medicare Authorized in 1965 under Title XVIII of the Social Security Act, Medicare provides health insurance coverage for people age 65 and older and for some disabled people under age 65. This federal program consists of Part A (Hospital Insurance), Part B (Supplemental Medical Insurance), Part… does not cover.

 

Comprehensive risk assessment

In this policy: Federal

The federal government should ensure that an evaluation of medical and family history for purposes of developing a comprehensive risk assessment includes cognitive ability, diet and exercise history, depression screening, substance use history, and social and sexual history.

 

Research on utilization of preventive services

In this policy: FederalStateLocal

Federal, state, and local governments should fund research to better understand why evidence-based Medicare Authorized in 1965 under Title XVIII of the Social Security Act, Medicare provides health insurance coverage for people age 65 and older and for some disabled people under age 65. This federal program consists of Part A (Hospital Insurance), Part B (Supplemental Medical Insurance), Part… -covered preventive services are underutilized in the general Medicare Authorized in 1965 under Title XVIII of the Social Security Act, Medicare provides health insurance coverage for people age 65 and older and for some disabled people under age 65. This federal program consists of Part A (Hospital Insurance), Part B (Supplemental Medical Insurance), Part… population and among historically disadvantaged groups.

Special care should be taken to include older adults with disabilities and, where appropriate, people with chronic conditions in this research.

In developing standards for the collection of data on race and ethnicity, the federal government should take steps to ensure that such data reflect statistically reliable population estimates including by developing criteria for whether and how such methods as geocoding and surname analysis may be used, as well as when the use of such strategies is contraindicated.