Related Experiment Videos
Medicare program; special solicitation; preventive services demonstration--HCFA. General notice
Federal Register
|July 21, 1983
Summary
The Centers for Medicare & Medicaid Services (CMS) is seeking demonstration projects to evaluate the cost-effectiveness and medical efficacy of expanding Medicare coverage for preventive services. This initiative aims to assess benefits for the Medicare population.
Area of Science:
- Health Services Research
- Preventive Medicine
- Health Economics
Background:
- Medicare typically covers services for treatment, not prevention.
- Preventive services show efficacy in the general population but lack Medicare-specific data.
- Insurers, including Medicare, often limit coverage to curative rather than preventive care.
Purpose of the Study:
- To solicit applications for demonstration projects.
- To assess the economy and efficacy of expanding Medicare coverage to preventive services.
- To gather data on the impact of preventive services on Medicare beneficiaries.
Main Methods:
- Soliciting applications for demonstration projects.
- Providing reimbursement for currently uncovered preventive services.
- Evaluating demonstration project outcomes based on predefined criteria.
Main Results:
- Data on the efficacy and economy of preventive services for Medicare beneficiaries is currently lacking.
- Proponents suggest health improvements and cost savings from expanded preventive services.
- The study aims to fill this evidence gap through demonstration projects.
Conclusions:
- Research is necessary to determine the value of preventive services for Medicare beneficiaries.
- Demonstration projects will provide crucial data on coverage expansion.
- Findings will inform future Medicare coverage decisions for preventive care.