IHP 630 3-1 Cost Impact of Medicare and Medicaid

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Southern New Hampshire University *

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630

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Health Science

Date

Jan 9, 2024

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pptx

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10

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Cost Impact of Medicare and Medicaid Belkisa Alic Dec 25, 2023 IHP 630
Areas of Interest MEDICAID VS. MEDICARE COSTING & STRATEGY COST- REDUCTION INITIATIVES COST CONTROL REFERENCES
Medicare Funded by the federal government For individuals 65 and older or based on your disability Three parts to Medicare Part A- no monthly premium Part B- small monthly premium Part D- Prescription coverage
Medicare Broken Down of Coverage Medicare Part A Medicare Part B Medicare Advantage (Part C) Medicare Part D Hospital Coverage, Inpatient Services Skilled Nursing Some Hospice Home Health Medical Coverage, physician services, PT, OT, medical equipment Managed Care: private carrier combo of both A and B. Prescription Drug Coverage No premium Premium charge either monthly or yearly Monthly premium (can change yearly) Monthly premium(can change yearly) Deductible: $1600 Deductible: $226 Deductible: varies depending on the plan Varies depending on the plan Copay dependent of services Copay dependent of services Copay dependent of services Copay dependent of plan and pharmacy and medication Covered services: hospital stays, skilled nursing, home health, hospice Covered Services: physician visits, labs, imaging, and outpatient services Covered Services: Part A, Part B, plus additional benefits such as vision, dental, hearing Covers generic and some brand name prescription drugs Original Medicare Original Medicare Comes from private insurance carriers that contract with Medicare
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