Medicare: Elements & Economics

Medicare is a nationwide health insurance program for individuals aged 65 and over and certain disabled individuals. This book provides an overview of the elements and economics of Medicare. Topics discussed include the Medigap supplemental program; medicare hospital readmissions; Medicare’s skilled nursing facility benefit basics and issues; Medicare financing and triggers; Medicare Advantage risk adjustment and risk adjustment data validation audits; and Medicare physician payment updates and the sustainable growth rate (SGR) system.