Modernizing the Medicare Benefit: A Closer Look at ...

Modernizing the Medicare Benefit: A Closer Look at Reforming Medicare Cost-Sharing Rules

By Marc Goldwein, Ed Lorenzen and Jessica Stone

Growing Medicare spending represents the single biggest long-term fiscal challenge facing this country. Even with the recent slowdown in health care cost growth, Medicare spending (net of offsetting receipts) will grow from roughly $500 billion this year to...

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Date: 2018-03-24 08:54:59
Website: http://www.momentoftruthproject.org

Does Medicare Advantage Cost Less Than Traditional ...

Does Medicare Advantage Cost Less Than Traditional Medicare?

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January 28, 2016

Citation

B. Biles, G. Casillas, and S. Guterman, Does Medicare Advantage Cost Less Than Traditional Medicare? The Commonwealth Fund, January 2016.

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Medicare Advantage plans with lower costs than traditional Medicare are concentrated in a small number of counties

Abstract

The costs of providing benefits...

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Website: http://www.commonwealthfund.org

Case Management for High-Cost Medicare Beneficiaries ...

We estimated the effects of three Health Care Financing Administration (HCFA)-funded case management demonstrations for high-cost Medicare beneficiaries in the fee-for-service (FFS) sector. Participating beneficiaries were randomly assigned to receive case management plus regular Medicare benefits or regular benefits only. None of the demonstrations improved self-care or health or reduced...

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Website: http://europepmc.org

Setting the record straight on Medicare’s overhead costs ...

Setting the record straight on Medicare's overhead costs

Traditional Medicare's administrative costs were only 1% in 2010, but if you roll in the private insurers' Medicare plans, that figure jumps to 6%, says new study

FOR IMMEDIATE RELEASE, Feb. 20, 2013

Contact: Mark Almberg, communications director PNHP,  (312) 782-6006 , mark@pnhp.org

The traditional Medicare program allocates only 1...

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Date: 2018-03-24 09:12:07
Website: http://www.pnhp.org

Medicare Advantage - Wikipedia

Overview[ edit ]

Since the 1970s, Medicare beneficiaries have had the option under Medicare demonstration programs to receive their Medicare benefits through managed capitated-fee health plans, mainly HMOs, as an alternative to FFS Original Medicare. The Balanced Budget Act of 1997 , which formalized the demonstration programs into Part C of Medicare, introduced the term Medicare+Choice as a...

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Date: 2018-03-23 16:03:10
Website: https://en.wikipedia.org

Medicare Advantage - Wikipedia

Overview[ edit ]

Since the 1970s, Medicare beneficiaries have had the option under Medicare demonstration programs to receive their Medicare benefits through managed capitated-fee health plans, mainly HMOs, as an alternative to FFS Original Medicare. The Balanced Budget Act of 1997 , which formalized the demonstration programs into Part C of Medicare, introduced the term Medicare+Choice as a...

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Date: 2018-03-23 16:03:11
Website: https://en.wikipedia.org

How raising age for Medicare would affect seniors - CBS News

How raising age for Medicare would affect seniors

Fiscal cliff Uncle Sam budget tax spending generic

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News Analysis

(MoneyWatch) As part of the "fiscal cliff" negotiations , one controversial proposal for cutting entitlement spending and reining in medical costs for seniors is to raise Medicare's eligibility age from 65 to 67. Yet while it might seem obvious that restricting...

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Website: https://www.cbsnews.com

The Privatization of Medicare - NCPSSM

The Privatization of Medicare

V I E W P O I N T

Medicare is the federal health insurance program that provides coverage to 43 million Americans who are age 65 and older or who are younger than 65 and receiving Social Security disability payments. Traditional Medicare consists of hospital insurance, Part A, and supplementary medical insurance, Part B. Every Medicare beneficiary has the same...

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Website: http://www.ncpssm.org

Medicare Part A Enrollment Information For 2017

Inpatient care for qualifying clinical research studies

Mental health facilities

Private-duty nursing is not covered under Medicare Part A, and you won't get a private room unless it's medically necessary. Also, if there's a separate charge for having a phone or TV in your room, then Medicare won't cover these things either. You'll also be responsible for your own personal care items.

It's...

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Website: https://medicare.net

Obamacare law was ‘funded’ and expected to save billions ...

Medicare Part D "was far more expensive than the Affordable Care Act and unlike" the act, "was never budgeted."

-- Facebook posts on Sunday, November 3rd, 2013 in an image shared on Facebook

Obamacare law was 'funded' and expected to save billions; not so for Medicare Part D

By Sue Owen on Monday, November 18th, 2013 at 3:18 p.m.

This item with wording that's identical to an Andrew Sullivan tweet...

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Website: http://www.politifact.com

2018 Cost Comparisons - MedicareNewsWatch

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2018 Medicare Advantage Plan Cost Comparisons

The COSTSHARE REPORTSM is produced annually by HealthMetrix Research.� All comparisons are based on the Medicare health plan benefits (effective January 1, 2018)...

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Website: http://www.medicarenewswatch.com

2 Approaches to the Future of Medicare – Democrats vs ...

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2 Approaches to the Future of Medicare - Democrats vs. Republicans

By Michael Lewis

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The costs of healthcare in the United States is a potent issue in the forthcoming election. Both political parties agree that immediate steps must be taken to reduce the proportion of the nation's gross domestic product (GDP) dedicated to...

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Website: https://www.moneycrashers.com

Bill Text - AB-1863 Medi-Cal: federally qualified health ...

An act to amend Section 14132.100 of the Welfare and Institutions Code, relating to Medi-Cal.

[ Approved by Governor �September�25,�2016. Filed with Secretary of State �September�25,�2016. ]

LEGISLATIVE COUNSEL'S DIGEST

AB 1863, Wood. Medi-Cal: federally qualified health centers: rural health centers.

Existing law provides for the Medi-Cal program, which is administered...

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Website: leginfo.legislature.ca.gov

US Social Security and Medicare Finances Worsen in 2012 ...

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The recently released annual reports for 2012 from the trustees 1 on the financial states of Social Security and Medicare show accelerating deterioration in the finances of both programs. Slower growth in average earnings and higher unemployment reduced current and projected payroll taxes. Other short-term factors include higher inflation and a falloff in immigration. Higher disability...

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Website: https://www.towerswatson.com

Financial Impact AHCA Medicaid on Safety-Net Hospitals ...

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The AHCA's cuts to federal Medicaid funds would reduce net income for safety-net hospitals by 83% in 2026

The financial status of safety-net hospitals in rural areas would be especially jeopardized by AHCA cuts to Medicaid

Abstract

Issue: Safety-net hospitals play a vital role in our health care system, delivering significant care to Medicaid, uninsured, and other vulnerable patients....

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Website: http://www.commonwealthfund.org

Runaway Medicare and Medicaid Spending | Harvard Political ...

By Pragya Kakani | October 24, 2011

Health care spending in the United States has been growing significantly faster than the national economy for several years, posing serious threats to the solvency of Medicare and Medicaid. The Congressional Budget Office (CBO) projects that federal spending to support Medicare and Medicaid will rise to 12% of the GDP in 2050 and 19% of the GDP in 2082, which,...

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Website: http://harvardpolitics.com

Medicare dual eligible - Wikipedia

7 External links

Medicare and Medicaid Coverage for Dual-Eligibles[ edit ]

Medicare is the primary payer for most services, but Medicaid covers benefits not offered by Medicare. Medicare coverage for dual-eligibles includes hospitalizations, physician services, prescription drugs, skilled nursing facility care, home health visits, and hospice care. Under Medicaid, states are required to cover...

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Date: 2018-03-09 17:03:12
Website: https://en.wikipedia.org

Medicare and health reform - Medicare Resource Center

Medicare and health reform

How the Affordable Care Act has worked to reduce spending, drive down costs for Medicare beneficiaries, improve service delivery

September 16, 2017

"Keep your hands off my Medicare."

There is perhaps no quote more memorable - nor more contentious - from the battle over the Affordable Care Act. During the debate, reform critics warned that the ailing Medicare system...

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Website: https://www.medicareresources.org

Large 2017 Medicare premium increase projected | JustCare

Note: For information on Medicare premiums in 2017 click here . The post below explains why Medicare premiums are increasing.

Some people with Medicare could face a 20% increase in their Part B premiums in 2017 unless Congress intervenes this fall and prevents it.�The warning of the increase came in late June in the annual report of the Medicare Trustees to Congress, on the financial state of...

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Website: http://justcareusa.org

New IRMAA Medicare Premium Surcharges Taking Effect In 2018

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Executive Summary

Since 2007, the Medicare Modernization Act of 2003 has required high-income Medicare enrollees to pay an "Income-Related Monthly Adjustment Amount" (IRMAA) surcharge on their Medicare Part B premiums, which lifts the Medicare Part B premium from covering "just" 25% of costs up to as high as 80% of results, increasing Medicare Part B premiums by as much as 219% in 2017. And...

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Website: https://www.kitces.com

Paul Ryan is determined to kill Medicare. This time he ...

(R-Wis.)�has lost no time in teeing up a favorite goal: gutting

Medicare

In an interview with

Fox News Channel

only�days after the election, Ryan said:�"Obamacare rewrote Medicare ... so if you're going to repeal and replace Obamacare, you have to address those issues as well. ... What people don't realize is that Medicare is going broke, that Medicare is going to have price controls. ......

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Website: http://www.latimes.com

Medicare costs take big bite out of Social Security income ...

By 2030, medical fees not covered by Medicare will consume half of seniors' Social Security benefits.

Herald Business Journal Columnist

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New analysis by the Kaiser Family Foundation has found that out-of-pocket heath care costs for Medicare beneficiaries are likely to take up half of their average Social Security income by 2030.

As many...

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Website: http://www.heraldnet.com

Traditional Medicare’s Administrative Cost – 1%; Private ...

> Today's Headlines

The article explains the difference between the yardstick used by the trustees and the one used by the NHEA and concludes both are accurate. The trustees' measure counts as overhead only those administrative expenditures that support the traditional fee-for-service Medicare program, in which approximately three-fourths of all Medicare beneficiaries are...

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Date: 2018-02-16 22:16:43
Website: http://www.seniorjournal.com

50 Years Later, Medicaid, Medicare Still Spend Us Into ...

This week marks the fiftieth�anniversary of Medicare and Medicaid, the healthcare entitlement programs that together cover 125 million Americans and last year cost nearly a trillion dollars.

When these programs were created back in 1965, no one ever thought they would get this big or cost this much. Congressional budgeters at the time thought Medicare, the healthcare program for the elderly,...

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Website: http://thefederalist.com

Related topics : medicare and medicaid spending per year / medicare and medicaid increasing costs / medicare medicaid percent of healthcare spending / medicare medicaid cost sharing / medicare medicaid cost reports

Medicare (Australia) - Wikipedia

In 2009 before means testing was introduced, the private health insurance rebate was estimated to cost $4 billion, around 20% of the total budget. [3] The overall figure was projected to rise by almost 4% annually in real terms in 2007. [2] In 2013/4 Medicare expenditure was $19 billion and expected to reach $23.6 billion in 2016/7. [4]

Contents

Constitutional framework Edit

Section 51 (xxiiiA)...

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Date: 2018-03-15 12:19:25
Website: https://en.m.wikipedia.org

National Debt – Just Facts

Total

3,480.7

[24] Calculated with data from the footnote above and the report: "Financial Accounts of the United States: Flow of Funds, Balance Sheets, and Integrated Macroeconomic Accounts, Third Quarter 2017." Board of Governors of the Federal Reserve System, December 7, 2016. < www.federalreserve.gov >

Page 138: "B.101 Balance Sheet of Households and Nonprofit Organizations ... Billions of...

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Website: https://www.justfacts.com

Social Security and Medicare Financial Futures Worsen ...

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The recently released annual reports for 2011 from the trustees 1 on the financial states of Social Security and Medicare show the "great recession" continues to take a toll on both programs. Current revenues from payroll taxes have fallen even more steeply than under prior projections. Other short-term factors include higher projected health care costs and a recent fall-off in...

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Website: https://www.towerswatson.com

A brief history of Medicare in America

A brief history of Medicare in America

Landmark social program now covers 58.5 million Americans

medicareresources.org Editor

February 27, 2018

Discussion about a national health insurance system for Americans goes all the way back to the days of President Teddy Roosevelt , whose platform included health insurance when he ran for president in 1912. But the idea for a national health plan didn't...

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Website: https://www.medicareresources.org

Medicare (USA) Wiki | FANDOM powered by Wikia

Medicare is a United States federal government program implemented in 1965 to provide health coverage to Americans aged 65 and older and people under 65 with certain disabilities.

The Medicare wiki will review Medicare Parts A-D, Medicare Advantage Plans, Medigap, and all things Medicare.

Original Medicare

Edit

Medicare as established in 1965 consisted of Medicare Part A and Medicare Part B,...

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Date: 2015-05-27 08:23:09
Website: http://medicare.wikia.com

A Guide to the 2017 Social Security and Medicare Trustees ...

The public trustees for Social Security and Medicare have been essential to the oversight of program finances since the official positions were established in 1983. These individuals are tasked with ensuring that the trustees' reports for Social Security and Medicare--the primary sources of information on the programs' finances--are developed in an objective manner.

Unfortunately, for the past...

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Website: https://bipartisanpolicy.org

Related topics : social security and medicare finances worsen / social security and medicare tax rate / social security medicare savings program / social security medicare payroll tax / social security and medicare payroll rate

MEDLink - Medicare Set-Aside, Future Cost Projections ...

Medlink MSA/LCP

Our Approach

Since 2004, MEDLink has prepared over 1000 objective, customized Medicare Set-Aside Arrangements and Life Care Plans. We conduct a detailed medical care and medication investigation for a WC settlement, prepare comparative pricing analyses, and select the most reasonable pricing method(s). We provide a realistic MSA and/or Life Care Plan (LCP),...

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Website: https://www.medlinkmsalcp.com

Related topics : medicare set asides / workers compensation medicare set aside arrangement / medicare set aside arrangement / medicare service providers / cms medicare service

Will CMS Pop the Gross-to-Net Bubble in Medicare Part D ...

Last week, the Centers for Medicare & Medicaid Services (CMS) released its 713-page proposed policy changes and updates for the Medicare program. See the links below.

Buried in this document is a radical concept: Part D plans would be required to recognize the value of manufacturer rebates and pharmacy payments in retail prescription prices. These amounts are two key components of Direct and...

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Date: 2018-03-23 11:35:41
Website: http://www.drugchannels.net

Be Prepared for Higher Medicare Premiums | Coastal.Tax ...

Clients may not realize that Medicare premiums can change from year to year based on their reported income. If they had a good year in 2014, they may see higher premiums in 2016.

Now that tax returns for 2014 have been filed and forgotten, you might take one more look at them for your over-­63 clients to see how their 2014 income will affect their 2016 Medicare premiums. If adjusted gross income...

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Website: https://coastal.tax

Models of Care for High-Need, High-Cost Patients: An ...

�Improved (2 of 3 studies)�

�Some reduced cost (1 of 3 studies)�

Hospital-to-home transition

�Reduced use and cost (many studies)

Home-based

�No clear evidence

�No evidence

* Note: Studies of home-based interventions reviewed by Bodenheimer and Berry-Millett differed from those reviewed by Boult and colleagues, who found positive impact for hospital-at-home interventions (Exhibit...

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Website: http://www.commonwealthfund.org

How to Time Medicare and Social Security Claims for 2016

Medicare Part B premium hike that may occur next year, but for only certain groups of Medicare enrollees, mainly those not paying the cost out of Social Security. Of course it seems inherently unfair to charge an individual like myself who has decided to delay Social Security for a higher benefit at age 70 and pay my Medicare out of pocket till then.

My question is can I avoid this increase by...

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Website: http://time.com

Trumpcare vs Obamacare: How Does Trumpcare (BCRA) Compare?

Obamacare vs. Trumpcare (BCRA)

Updated 7/13/2017

We will be updating the table in the previous update to reflect the new proposed changes under the Senate version of the Trumpcare (BCRA). This latest version at the outset has some provisions that will be popular with Americans. However, there are still going to be millions of deeply concerned families who rely on Medicaid for care. Below we get...

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Website: https://trumpcare.com

Rural Health Clinics (RHCs) Introduction - Rural Health ...

a directory of state-specific CMS review contractors' toll-free telephone numbers and websites

How do I get certified as an RHC?

The first step is to determine if your site is eligible. Using our Am I Rural? tool, enter the facility's current or proposed address to receive a preliminary determination. You may also contact your state agency responsible for RHC...

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Website: https://www.ruralhealthinfo.org

How does U.S. healthcare reform change Medicare Advantage ...

How does U.S. healthcare reform change Medicare Advantage plans?

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Administration

Nearly 25 percent of all seniors receive Medicare benefits through Medicare Advantage Plans (Medicare Part C), which are health plans similar to HMOs or PPOs that are run by Medicare-approved private insurance companies. Medicare Advantage plans provide the same services covered by...

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Website: https://www.sharecare.com

Looming Medicare Changes - Today's Geriatric Medicine

Looming Medicare Changes

By Sally C. Pipes

Older adults expecting sweeping improvements to Medicare under the newly enacted health reform are likely to discover disappointing changes.

Bad news continues to plague the Obama administration's signature achievement: healthcare reform.

Medicare's chief actuary recently projected that the nation's healthcare bill will increase rather than decrease ...

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Website: http://www.todaysgeriatricmedicine.com

Managed Care magazine

When Value Is in the Eye Of the Patient

Jan Greene

Physicians and their charges have different ideas about what makes for good cancer care. Patient surveys help, but they need to be handled right.

François de Brantes axed by Altarum

François de Brantes, whose payment reform organization merged with the Altarum...

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Date: 2018-03-24 20:42:04
Website: http://www.managedcaremag.com

Related topics : high cost medicare beneficiaries / cms medicare service / medicare cost projections

2015 Medicare Open Enrollment Period - LeadingAge New York

2015 Medicare Open Enrollment Period

2015 Medicare Open Enrollment Period

For 2015, the Centers for Medicare and Medicaid Services (CMS) have designated Oct. 15th through Dec. 7th as the open enrollment period for Medicare Parts C and D coverage.  Part C covers the individual's Medicare health maintenance organization or Medicare Advantage enrollment as a voluntary alternative to traditional...

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Website: https://www.leadingageny.org

Ryan's plan includes $700 billion in Medicare "cuts," says ...

Says Paul Ryan's budget relies on the same $700 billion in savings from Medicare that Mitt Romney and other Republicans have been attacking Democrats about.

-- Stephanie Cutter on Sunday, August 12th, 2012 in an interview on "Face the Nation"

Ryan's plan includes $700 billion in Medicare "cuts," says Stephanie Cutter

By Angie Drobnic Holan on Wednesday, August 15th, 2012 at 11:01 a.m.

Mitt...

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Website: http://www.politifact.com

Social Security finances worsen: trust funds will run dry ...

The trustees said in their annual report that Congress should address the programs as soon as possible, but no action is likely before the November election.

(William Thomas Cain/Getty Images)

THE ASSOCIATED PRESS

Monday, April 23, 2012, 4:10 PM

WASHINGTON -- High energy prices and an economy that has been slow to rebound are worsening Social Security's finances, shortening the life of the trust...

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Website: http://www.nydailynews.com

Naturopathic Physicians and Medicare

Licensed Naturopathic Doctors and Medicare

DEMONSTRATING naturopathic medicine'S VALUE FOR SENIORS

Each year, the number of seniors who qualify for Medicare increases and so does the need to provide them with greater choice in health care. A major AANP legislative priority is to get licensed naturopathic doctors included in Medicare so that seniors can be reimbursed for a type of care that can prevent many types of chronic illness and improve patients' quality of life by alleviating the need for expensive drugs and surgery.

To move toward this goal,...

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Website: https://www.naturopathic.org

Related topics : centers for medicare and medicaid innovation / senior citizens medicare / medicare health cover / center for medicaid & medicare / center for medicaid and medicare