medicare and medicaid essay

Medicare has become a hot topic because of the state of the... ...Table of Contents Affordable Care Act does not necessarily eliminate every issue associated with Medicare, but... ...Introduction

Unlike coverage in Medicare Parts A and B, Part D coverage is not provided within the traditional Medicare program. Medicare and Medicaid are two of the United States largest broken systems, which must sustain themselves in order to provide care to their beneficiaries. While the government does deduct a sum from paychecks everywhere, Medicare and Medicaid are very two very different programs. The criteria for participating would include those who are unable to work due to disabilities, anyone who receives Aid to Families with Dependent Children (AFDC), as well as single, pregnant women who fall below the Federal Poverty Level (FPL). Today, Medicare covers: people age 65 or older, people under age 65 with certain disabilities, and people of all ages with End-Stage Renal Disease (ESRD). The initial reason behind Medicare was to provide health insurance to the United States senior citizens beginning in 1966. When Americans retire, the last thing they should have to worry about is how will my health care be paid for? Medicare is a federal program that pays certain health care expenses for people aged 65 or older, and individuals who are deemed disabled by the Social Security Administration. It impacts everyone even if you do... ...is eligible for Medicare? Further still, such program is necessary for people to guarantee comfortable being and get health coverage. Facilities have also been known to commit Medicaid fraud through false billing. Medicaid and Medicare were setup to provide medical and health related services to a group here in the United States.

Medicare spending in 2010 was 3.6% of the Gross Domestic Product (GDP) and is expected to grow to 5.1% by the year 2030. Medicare is a health care insurance program, which put simply is overseen by the United State Federal Government. With the rising number of uninsured Americans, health care has been a major issue in the United States.

Tyeisha Molina As for the HCERA, the first title has provisions detailing health care and revenues. Managed care plans cover above and beyond the basic benefits of Medicare, the size of premiums and co payments, and the decisions about paying for treatment are controlled by the managed care plan.Medicare and Medicaid in Nursing Essay The basic premise of managed care is that the member/patient agrees to receive care from only a specific doctors and hospitals, in exchange for reduced healthcare costs. In this paper will be information about who receives Medicaid/Medicare, the services offered by these programs, and those long term services that are not. The steady rise in costs due to technology and an aging population necessitate changes to Medicare. According to the 2010 Census, there are now 40.3 million aged 65 and older. Recipients also commit fraud by failing to report or misrepresenting income, household members, residence, or private health insurance. Please join StudyMode to read the full document. The purpose of this paper is to give an overview of two federally and/or state funded programs.

Person eligible for Medicare include individuals ages sixty-five and over, those with disabilities, and those with end-stage renal disease (Hammaker, 2011). Medicare enrollment is expected to double by the year 2030 and estimated to reach 80 million. Beneficiary pays 25% of the next $2,235. What effect will that have on available resources?

Socoial security is a pay as you go program.... ...What is Medicare? Medicaid Tyeisha Molina Medicare and Medicaid’s sustainability relies greatly on funding in order to provide health care. Medicare has become a hot topic because of the state of the... ...What is the Impact of ACA on Medicare? The Annual Enrollment Period for Part D runs from November 15 – December 31. Medicare, like other insurance companies offer plans that give Medicare beneficiaries more choices in coverage, like HMO or PPO. Anyone who has Medicare Part A (Hospital Insurance) and/or enrolled in Part B (Medicare Insurance) can join a Medicare prescription drug plan. Many of these uninsured again have lost their employee health insurance benefits or they made the decision to cut their health insurance just to cut back costs. Beneficiary pays the first $275 (Deductible).

‪I will research the following, the parts of Medicare including the "doughnut hole" advantage cuts, what’s covered, what’s provided, Policy Challenges, Benefits and Affordability. That is, what the beneficiary and the plan have spent ($275 + $2,235 = $2,510) It also aims to cut down and reconstruct Medicare spending, which will be the main focus of this paper. Both Medicare and Medicaid are funding by a joint effort between the federal government and the local state government.Medicare and Medicaid in Nursing Essay If and when these governments choose to cut funding or reduce spending, Medicare and Medicaid take the biggest hit.

There are many changes being made by the Affordable Care Act which will have an impact on Medicare.

(Medicare & You, 2013) During this time we see the American public growing tired of the Vietnam Conflict and lack of support and care for those returning Marines and soldiers with severe disabilities.

The federal government requires coverage of thirteen services, including inpatient and outpatient hospital services, nursing home and home health care, and for children under the age of twenty-one. A. Impacts on Medicare Medicare is a federal governed program that pays for hospital and medical care for elderly and certain disabled Americans while Medicaid is a means tested health and medical services program for certain individuals and families with less resources. Our elderly. Beneficiary pays 100% of the next $3,216.25.

Due to “The Great Recession” and the growing number of Americans who found themselves unemployed, the number of uninsured Americans has rose from 46.6 million in 2005 to a record number of 50.7 million in 2010. Subtitle B of Title I involves provisions that change provisions PPACA relevant to those listed above (Medicare Advantage, fee-for-service, and prescription drug programs). Managed care has been used since the mid 1990’s in order to provide healthcare to beneficiaries with serious or life long illnesses.

II. According to the Congressional Budget Office (CBO), the provisions in PPACA as amended by the HCERA will reduce direct spending by an estimated $390 billion (CRS, 2010). Both Medicare and Medicaid are funding by a joint effort between the federal government and the local state government. Prior to 1965, it was almost impossible for people 65 years and older to get a private health insurance. Today, managed care has become a way for states to provide quality care to both Medicaid and Medicare patients. (25% of $2,235 = $558.75) - Initial Benefit Period As the protests escalate and the peace initiatives fail a key piece of legislation is signed showing government support and a willingness to extend health care benefits to this growing and vocal population of veterans (The Vietnam War, 1999). Donut Hole "Threshold" = $2,510. Problem Issue "Catastrophic Coverage" begins after the... ...MEDICARE (The "Donut Hole") Medicaid is social welfare that serves about 40 million people. Analysis of Medicaid Funding Medicaid provides a comprehensive benefit package for those who enroll. The government programs which came about are called Medicaid and Medicare. The rapid growth in the baby boomers population that began in 2011 caused a burden on the government by adding to the already high deficits.

Managed care has been adopted into the government funded care organizations. ...coverage. Define the populations that they are intended to serve. COMPARE AND CONTRAST MEDICAID AND MEDICARE Medicaid and Medicare are two different government programs. When Americans retire, the last thing they should have to worry about is how will my health care be paid for? During State of the Union speeches in 1943-1945, Roosevelt spoke about universal health care, and Americans being covered from "Cradle to Grave" (Mallon 2013). The federal government, Both Medicare and Medicaid are managed by the Centers for Medicare and Medicaid Services (CMS), which is a division of the U.S. Department of Health and Human Services.

Provide a brief history of both Medicare and Medicaid.

You might keep this in mind when we get to the point where we have to choose what we CAN do versus what we would LIKE to do. Subtitle D has provisions regarding decreasing fraud, abuse, and waste in Medicare.

Medicare enrollment is expected to double by the year 2030 and estimated to reach 80 million. Medicare is useful for American citizens, however, not in full volume, because the system of Medicare has its failures to complete. V. Prevention Program Methods/Reform for Medicare & Medicaid 9 Medicaid is the largest program run by the Federal government and states that helps low income families that can not otherwise pay for the high costs of healthcare. Medicare is health insurance that pays hospital and medical care for these individuals.... ...Issues in Financing Medicare There are proposed alternatives to reduce costs of Medicare over the long run. It is important that we all understand the basics of the Medicare and Medicaid programs as we will all eventually come of age where it is necessary to seek their assistance. Our elderly. October 21, 2012 July 9, 2012 During forty years in operation, Medicare was updated and changed several times to meet the changing needs of the US citizens and the political agendas resulting in reform and making Medicare more responsive to the needs of the elderly.

Medicare recipients can also work with their physicians to develop a personal prevention plan. Medicare Part C, also known... ...Issues in Financing Medicare To enroll, a person must live in the service area of the plan.

The current health... ...coverage. The act will provide essential free assistances which include preventive services, yearly wellness appointments and a fifty percent price reduction towards prescription drugs for the individuals that are in the coverage gap called the donut hole. Medicare is a social insurance program that serves more than 44 million people. The older population will continue to grow rapidly over the next few decades as the first baby boomers turn 65 in 2011 (Wacker & Roberto 2013). But with the increasing number of baby boomers becoming eligible for Medicare, the future of the Medicare fund is looking very dim. Background Summary Statement Managed Care and Insurance By the year 2000 we will spend over 4 times than amount on Health and Medicare alone, and Medicare will equal the annual spending for Defense (CNN). With the rising number of uninsured Americans, health care has been a major issue in the United States. Donut Hole "Threshold" = $2,510. Another major problem of Medicare is that the government does not regulate Medicare enough (Medicare). Medicare was a program that was not acceptable gracefully by the Liberal/Socialists. To control the cost of medical care government came up with Omnibus Budget Reconciliation Act of 1989, but still

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