国会预算办公室-“较低”的支付政策和双重合格受益人中医生服务的使用：工作文件（英）-2023.1

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国会预算办公室-“较低”的支付政策和双重合格受益人中医生服务的使用：工作文件（英）-2023.1.pdf

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国会预算办公室-“较低”的支付政策和双重合格受益人中医生服务的使用：工作文件（英）-2023.1.pdf

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类型: 专题

上传者: Wna

撰写机构: 国会预算办公室

出版日期: 2023-01-02

摘要：

Most dual-eligible beneficiaries—people enrolled in both Medicare and Medicaid—are eligible for Medicaid through their enrollment in the Qualified Medicare Beneficiary (QMB) program, which requires that states pay for Medicare cost sharing. Since 1997, states have gradually implemented policies under which they pay the lesser of Medicare cost sharing and the amount, if any, by which Medicaid’s payment rate for the service exceeds Medicare’s payment rate. Consequently, physicians in most states receive roughly 80 percent of the Medicare rate for primary care services provided to QMBs.

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