Medicare Explained has been prepared for Medicare beneficiaries and others who need a relatively thorough explanation of the Medicare program with particular emphasis on services covered in institutional settings and services provided by physicians and suppliers. Published annually, Medicare Explained includes changes made during 2019 by law and regulation amendments and updates to program manuals issued by the Centers for Medicare and Medicaid Services (CMS). Medicare Explained includes: Analysis of legislative, regulatory, and agency guidance issuance on available benefits Medicare coverage and exclusions The administration of the Medicare program Medicare payment rules under Parts A, B, C, and D Details on the process for submitting beneficiary claims as well as the appeals process The 2020 Edition has been updated to include: Updated discussions of health care reform impact on reimbursement systems for 2019 Discussion of quality of care initiatives Updated discussion of hospital and physician reimbursement and outpatient services Previous Edition: Medicare Explained, 2019 Edition, ISBN: 9781543806649¿

Many Americans believe that people who lack health insurance somehow get the care they really need. Care Without Coverage examines the real consequences for adults who lack health insurance. The study presents findings in the areas of prevention and screening, cancer, chronic illness, hospital-based care, and general health status. The committee looked at the consequences of being uninsured for people suffering from cancer, diabetes, HIV infection and AIDS, heart and kidney disease, mental illness, traumatic injuries, and heart attacks. It focused on the roughly 30 million-one in seven-working-age Americans without health insurance. This group does not include the population over 65 that is covered by Medicare or the nearly 10 million children who are uninsured in this country. The main findings of the report are that working-age Americans without health insurance are more likely to receive too little medical care and receive it too late; be sicker and die sooner; and receive poorer care when they are in the hospital, even for acute situations like a motor vehicle crash.

Medicare Explained has been prepared for Medicare beneficiaries and others who need a relatively thorough explanation of the Medicare program with particular emphasis on services covered in institutional settings and services provided by physicians and suppliers. Published annually, Medicare Explained includes changes made during 2016 by law and regulation amendments and updates to program manuals issued by the Centers for Medicare and Medicaid Services (CMS). Medicare Explained includes: Analysis of legislative, regulatory, and agency guidance issuance on available benefits Medicare coverage and exclusions The administration of the Medicare program Medicare payment rules under Parts A, B, C, and D Details on the process for submitting beneficiary claims as well as the appeals process The 2017 Edition has been updated to include: Updated discussions of health care reform impact on reimbursement systems for 2017 Discussion of quality of care initiatives Updated discussion of hospital and physician reimbursement and outpatient services