Discusses problems and needs of the Black elderly in terms of social security, medicare and social services, and nursing homes. Also discusses the need for qualified Black personnel in programs designed for the Black elderly, and offers suggestions for legislation and funding. (CMG)

Experience gathered to date confirms that capitation of Medicare does not necessarily decrease quality of health care and may in fact encourage an improvement in health care quality. Incentives inherent in capitated reimbursement are threefold. First, practitioners, by not receiving more payment for more service, are discouraged from providing…