1. Created By: Ellen Gabis, Ryan
Hanrahan, Max Graff, and Sarah Elzey

2.  When state, local, and federal governments
share responsibilities in governing the
people. State and federal governments work
together in partnership to exercise
government authority.

3.  Established in 1965
 Guarantees health insurance for Americans of
age 65 and older or younger people with
disabilities
 Title XVIII of the Social Security Act
 Lyndon B. Johnson was the president when
the act was established
 Over 48 million people are on Medicare

4.  The cost of Medicare was very expensive for
the government
 Many inpatient procedures were changed to
outpatient procedures to lower the cost the
government had to pay
 Government was forced to slow spending
growth

5.  In 2012 lawmakers thought that there should
be a higher premium for the wealthy
 Raise the eligibility of age when seniors can
receive Medicare
 Cut the cost by making Medicare more
efficient

6.  1997- Balanced Budget Act- Lower rates on
post acute care area
 New ways of payment and lower rates of
payment were legislated
 New goals were set to move away from a
cost-based system and toward one that will
provide incentives for “appropriate” levels of
care
 Resource Based Relative Value Scale has
been created for physicians to use to
determine level of care

7.  Federal Government pays for all of the costs
 $105 per month per citizen

8.  All states do participate
 Doctors
 Hospitals
 Nursing Homes
 Hospice Programs
 Assisted Living

9.  Paid through two trust funds of the U.S
Treasury
 Hospital Insurance Trust Fund
 Payroll taxes paid by most employees
 Supplementary Medical Insurance Trust Fund
 Funds are authorized through Congress
 Interests earned on trust fund investments
 Total expenditures for year 2011 was $549.1
billion dollars

10.  Age 65 and older or have increased medical
disabilities
 Citizen of the United States
 Have to receive social security
 Have to go to a physician or hospital that is
associated with Medicare

11.  How much is the average cost of Medicare
per month?
 What age do citizens become qualified for
Medicare?
 Does Federal or State government run the
Medicare Program?
 Can Medicare participants go to any
physician or hospital that they choose?
 When was the Medicare Program established?

12.  $105 dollars per month
 65 years old
 Federal Government
 No, patients must go to physicians or
hospitals that are associated with the
Medicare Program
 1965