Medicare

The Medicare Program is a set of amendments to Social Security, first passed
on July 30, 1965, that provides health insurance for the elderly.

Nowadays, generally, Medicare is available for people age 65 or older,
younger people with disabilities and people with End Stage Renal Disease
(permanent kidney failure requiring dialysis or transplant). Medicare has
two parts, Part A (Hospital Insurance) and Part B (Medicare Insurance, helps
cover doctors' services, outpatient hospital care, and some other medical
services that Part A does not cover).

In 2003, Medicare provides health care coverage for 40 million Americans.
Enrollment is expected to reach 77 million by 2031, when the Baby Boom
generation is fully enrolled.

It is administered by the Centers for Medicare and Medicaid Services (CMS)
(formerly the Health Care Financing Administration) in the United States
Department of Health and Human Services.

Medicare uses the Resource-Based Relative Value Scale (RBRVS) to determine
how much money each doctor should earn, although it is criticized for not
paying doctors enough because of the low conversion factor. Because of the
nature of RBRVS, it is possible to pay all doctors more or less depending on
how much money the person paying (CMS in this case) is willing to pay.

Legislation

   * 1960 PL 86-778 Social Security Amendments (Kerr-Mill aid)
   * 1965 PL 89-97 Medicare
   * 1988 PL 100-360 Medicare Catastrophic Coverage Act

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