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Hx Health Ins U.S.

Health Information Technology Related

TermDefinition
Reimbursement claim statement of services submitted by healthcare provider
American Association of Labor Legislation (AALL) began campaign for health insurance in 1913 with creation of committee on social welfare, first national conference, drafted model health insurance legislation in 1915; supported by AMA; never passed into law
Committee on Cost of Medical Care (CCMC) (1926-1932) made recommendation for voluntary health insurance, national resources allocated for healthcare; nothing came of this initiative
Tactical Committee on Medical Care was formed in 1937 and drafted the Wagner National Health Act of 1939; generated extensive national debate; was not passed into law
1945, Harry Truman introduced a plan for universal comprehensive national health insurance which died in a congressional committee in 1946
Congress first introduced a bill to fund coverage of hospital costs for SS beneficiaries in 1948
In 1965 President Lyndon Johnson signed the law, Title II amendment to Title XVIII of the Social Security Act, commonly known as Medicare
Medicaid became effective in 1966 under Title XIX of the Social Security Act, allowing states to add health coverage to their public assistance prorams for low-income groups, families with dependent children, aged, disabled
Medicare and Medicaid were originally under the responsibility of Department of Health, Education, and Welfare
The Department of Health, Education, and Welfare was the predeessor to the Department of Health and Human Services (DHHS)
Initially the Social Security Administration (SSA) administered the Medicare program
Initially the Social and Rehabilitation Service (SRS) administered the Medicaid program
In 1977 administration of Medicare and Medicaid was transferred to a new agency within HHS, the Health Care Financing Administration (HCFA)
in 2001 HCFA name changed to Centers for Medicare and Medicaid Services (CMS)
Since 1983, to manage the rising costs of Medicare/Medicaid programs, CMS has developed the PPS, or prospective payment system for IP acute care initially, followed by others-home health to OP services
Managed Care delivery has virtually eliminated traditional fee-for-service reimbursement systems (in just two decades).
1860, first commercial insurance company in U.S. was the Franklin Health Assurance Company of Massachusetts
Modern health insurance came on the scene in 1929 when Baylor University Hospital in Dallas, Texas, agreed to provide healthcare services for Dallas schoolteachers and is generally considered to be the first Blue Cross plan.
Group health insurance was offered during WWII as a way to attract scarce war-time labor; group plans provide hc insurance benefits to full-time employess of a company
Created by: Janas