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APPENDIX A: Racial Patterns Within Medicare and Medicaid
Pages 161-165

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From page 161...
... Medicare involves two types of insurance benefits. Part A covers inpatient hospital care, post-hospital extended care, and post-hospital home health care and is automatically provided to anyone eligible for Social Security payments.
From page 162...
... 1.44 1.13 Hospital Insurance 1.30 1.19 Inpatient Hospital Services 1.36 1.19 Skilled Nursing Facility Services 2.83 1.72 Home Health Agency Services 1.23 0.88 Supplementary Medical Insurance 1.41 1.10 Physician & Other Medical Services 1.49 1.16 Outpatient Services 0.80 0.86 Home Health Agency Services 1.14 0.72 SOURCE: Martin Ruther and Allen Dobson, "Equal Treatment and Unequal Benefits: A Reexamination of the Use of Medicare Services by Race, 1967-1976," Health Care Financing Review 2 (Winter, 1981)
From page 163...
... Since states have considerable control over the mix of services that are available to Medicaid recipients, the possibility exists that racial bias affects the mix of services included in a state's Medicaid program. Concern about this aspect of the Medicaid program has risen in North Carolina, where a lawsuit was initiated over proposed Medicaid cutbacks that would have disproportionately affected services used by blacks, and, in Mississippi, where whites constitute 25 percent of the Medicaid population and receive 50 percent of the Medicaid dollars.6 Medicaid is the most important source of medical coverage for poor people in the United States.
From page 164...
... PERCENTAGE OF ALL MEDICAID RECIPIENTS RECEIVING EACH TYPE OF COVERED SERVICE, FISCAL YEAR, 1977 Service Total White Other Than white Inpatient Hospital General Hospital 15.9 18.2 16.7 Mental Hospital 0.4 0.4 0.1 Skilled Nursing Facility 2.6 3.8 0.8 Intermediate Care Facility For Mentally Retarded 0.4 0.7 0.2 All Other 3.1 6.5 1.3 Physician 67.7 71.2 68.8 Dental 19.5 20.1 19.5 Other Practitioners 12.4 13.5 11.8 Outpatient Hospital 36.3 36.1 40.0 Clinic Services 7.0 6.5 10.1 Laboratory and Radiologic 23.1 18.1 17.3 Home Health 1.6 0.7 0.4 Prescribed Drugs 64.7 64.3 62.0 Family Planning 5.6 5.4 6.6 Other Care 13.7 11.8 8.4 SOURCE: Health Care Financing Administration, 1977 State Tables (35, 36, 37) , unpublished.
From page 165...
... REFERENCES 1. Martin Ruther and Allen Dobson, "Equal Treatment and Unequal Benefits: A Reexamination of the Use of Medicare Services by Race, 1967-1976," Health Care Financing Review 2 (Winter 1981)


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