STRATEGIC PLAN - ASPE - U.S. Department of Health and Human ...

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CHAPTER 2: Health careStrategic Objective 1.1Broaden health insurance andlong-term care coverage.HHS is committed to broadening health insuranceand long-term care coverage. The multifacetedapproach to expanding consumer choices includesstrengthening and expanding the safety net throughprograms such as Medicare, Medicaid, and the StateChildren’s Health Insurance Program (SCHIP); creatingnew, affordable health insurance options; and creatingnew options for long-term care, including State Long-Term Care Partnership Programs. The operating andstaff divisions contributing to the achievement of thisobjective include CMS, SAMHSA, AoA, HRSA, and OD.The growing availability of prescription drugs andtheir cost have had a significant impact on healthinsurance. The first selected performance indicator,at the end of this chapter, measures the percentage ofMedicare beneficiaries who have insurance coverage forprescription drugs through the Medicare drug benefit(Part D) or other coverage. This enrollment is expectedto increase. Also, health care coverage for millions ofpresent and future Medicare participants is protectedby ensuring that the level of improper payments in theMedicare Fee-For-Service program remains low.26 HHS Strategic Plan FY 2007-2012
CHAPTER 2: Health careHealth InsuranceMedicareMedicare is a health insurance program for peopleage 65 years or older, people younger than age 65 withserious disabilities, and most people of all ages withend stage renal disease (permanent kidney failurerequiring dialysis or a kidney transplant). Three majorcategories of Medicare include: Part A, which coversinpatient hospital care, skilled nursing facilities, certainhome health care, and hospice care; Part B, whichencompasses physicians’ services, outpatient hospitalcare, and many other medical services; and Part D,the newest component of Medicare, which offers avoluntary prescription drug benefit to beneficiaries.There is also a Part C for Medicare, known as MedicareAdvantage, that allows beneficiaries to choose a privatehealth insurance plan that covers the Part A and PartB services and, in most circumstances, additionalbenefits and/or lower cost-sharing payments thanunder the traditional Medicare FFS program.Medicare Part D. Part D is celebrated as the mostsignificant improvement to the program sinceMedicare was created in 1965. More than 39 millionMedicare beneficiaries now have prescription drugcoverage through Part D or another source, includingalmost 24 million beneficiaries in Part D plans. vi CMScontinues to improve program administration of theMedicare prescription drug benefit and to expandawareness of the program through relationships withStates and pharmacists, increased use of electronictechnology, and education and outreach efforts withmore than sixteen thousand partners. CMS willcontinue these efforts to ensure that beneficiaries canget the prescriptions they need. In particular, CMShas collaborated with AoA and its grassroots AgingServices Network, consisting of State agencies on aging,area agencies on aging, and local service providers, toprovide one-on-one assistance and outreach directly tobeneficiaries and their caregivers.HHS Strategic Plan FY 2007-201227
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Appendix h: endnotesXXX.CDC. (2005)
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