beneficiary liability

beneficiary liability

The money amount beneficiaries must pay to providers for Medicare-covered services. Beneficiaries also are responsible for paying the Medicare program for their share of the Part-B premium, but this is not included in estimates of beneficiary liability.

Examples
Co-payments, deductibles, balance billing amounts.
References in periodicals archive ?
Indeed, throughout much of Medicare's history, little action has been taken to constrain Medicare Part B expenditures by directly increasing beneficiary liability.
While most efforts to constrain costs have been directed at the supply side, these changes may also have implications for beneficiary liability (demand side) as well.
Of course, other efforts to limit reimbursement on the supply side may serve to limit beneficiary liability.
Table 4 indicates that changes both in Medicare reimbursement and in beneficiary liability and ability to pay affect Medicare expenditures substantially.
Although the results suggest that significant cost savings to Medicare may be realized either by constraining reimbursement (supply-side constraints) or by increasing beneficiary liability (demand-side constraints), it is unclear which of these options for controlling Medicare costs is prefarable.
That demand factors apparently have played a significant role in raising Medicare expenditures does not imply that efforts to increase beneficiary liability serve the public interest.
In 1977, total beneficiary liability accounted for about 18.
As a proportion of all beneficiary liability, the HI deductible liability amount increased from 18.
As currently envisioned by HHS Secretary Otis Bowen, Medicare would be restructured to limit beneficiary liability to $2,000 per year.
For the years 1984-88, trend data on Medicare physician and supplier services are shown by: distribution of Medicare program payments and beneficiary liability (Table 3); assignment rate by State of residence of the beneficiary (Table 4); allowed charges by physician specialty (Table 5); and allowed charges by place of service (Table 6).
The total Medicare program and beneficiary liability for physician and supplier services increased from $24.