Government mandating health insurance

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In 1966, Medicare spurred the racial integration of thousands of waiting rooms, hospital floors, and physician practices by making payments to health care providers conditional on desegregation.Medicare has been in operation for a half century and, during that time, has undergone several changes.On average, Medicare covers about half of the health care charges for those enrolled.The enrollees must then cover their remaining costs either with supplemental insurance, separate insurance, or out-of-pocket.Part D covers self-administered prescription drugs. Part C is an alternative to the other parts intended to allow experimentation with differently structured plans in an effort to reduce costs to the government and allow patients to choose plans with more benefits.under the leadership of President Lyndon Johnson, Congress enacted Medicare under Title XVIII of the Social Security Act to provide health insurance to people age 65 and older, regardless of income or medical history.

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Beginning in 19 respectively, these and other insurance companies also began administering Part C and Part D plans.The Specialty Society Relative Value Scale Update Committee (or Relative Value Update Committee; RUC), composed of physicians associated with the American Medical Association, advises the government about pay standards for Medicare patient procedures performed by doctors and other professionals under Medicare Part B.A similar but different CMS system determines the rates paid acute care and other hospitals—including skilled nursing facilities—under Medicare Part A. Part A's inpatient admitted hospital and skilled nursing coverage is largely funded by revenue from a 2.9% payroll tax levied on employers and workers (each pay 1.45%).Johnson signed the bill into law on July 30, 1965 at the Harry S.Truman Presidential Library in Independence, Missouri. Former President Truman and his wife, former First Lady Bess Truman became the first recipients of the program.

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