Evolution Of Health Care

The Patient Protection and Affordable Care Act (Obamacare) had mame dramatic changes in the field of the health care system, especially in Medicare, that will seriously take effect in American seniors. Indeed, much of the health law’s new spending is financed by spending reductions in the Medicare program. In addition to the provider payment reductions, Obamacare significantly reduces payments to Medicare Advantage (MA) plans by an estimated $156 billion from 2013 to 2022.( Elmendorf, letter to Speaker Boehner). About 27 percent of all Medicare beneficiaries are enrolled in MA plans, a system of regulated and private plans competing against each other as an alternative to traditional Medicare. MA plans are attractive to beneficiaries because they offer more generous and comprehensive coverage than traditional Medicare by capping out-of-pocket costs and offering drug coverage to a rasonable

Many proposals to reorganize Medicare could increase the financial and health risks faced by the vulnerable elderly. Turning Medicare into a premium-support system a voucher set randomly at the value of the second-least-expensive insurance plan could shift costs to elderly households. Increasing the Medicare eligibility age from 65 to 67 will leave many Americans ages 65 and 66 without insurance. The basic idea of part A Medicare payment is simple. The patient pays a deductible that approximately equal to the cost of the first day in the hospital;

Though Medicare plans are typically for persons over the age of 65 years old, they do not come without costs to the patient. If the patient has enough work credits, Medicare Part A is automatically available to the patient once he or she reaches age 65. Medicare Parts B and D, however, require the patient to navigate through an application process and the patient may incur penalty fees if he or she does not sign up for the plans during the allotted time frame once they have reached the age of 65. For Medicare parts B and D, the patient is responsible for paying the designated premiums. The Medicare Part B premium ranges from

Medicare is the federal health insurance program for people with certain disabilities, end stage renal disease, and for those who are over the age of 65. There are four different parts to Medicare, part A, part B, part C, and part D. Medicare Part A, also known as hospital insurance, covers inpatient hospital stays, care in nursing facilities, hospice care, and some in home health care. Part B is often referred to as medical insurance; it covers certain doctors’ services, outpatient care, medical supplies, and preventative care services. Medicare Part C, otherwise known as Medicare advantage plan is offered by a private

Individuals that are younger than sixty-five are eligible if they have permanent disabilities, are diagnosed with end-stage renal disease, or amyotrophic lateral sclerosis, known as ALS (Medicare, 2014). According to an article by Juliette Cubanski and colleagues (2015) the four different parts of Medicare have varying eligibility requirements. Coverage under Part A and B is automatic when a Medicare-eligible individual applies for Social Security, or Railroad retirement benefits (Cubanski, et al., 2015). All individuals that are sixty-five and up are eligible for Part A, regardless of their health, and medical history, or their income. In addition, individuals must be U.S citizens or permanent legal residents with at least five years of continuous residence (Cubanski, et al., 2015). Nonelderly individuals that receive social security disability insurance become eligible after a twenty-four month waiting period (Medicare, 2014). The article (2014) states that individuals that are diagnosed with end-stage renal disease, or ALS are eligible for Medicare without a waiting period. Part B of Medicare is voluntary, however individuals that are eligible for Part A also qualify for Part B benefits (Cubanski, et al., 2015). Many Part A beneficiaries that are entitled to the benefits are automatically enrolled into Part B, however they may choose to decline. Those individuals 65 and older who are not entitled to

Medicare is America’s largest health insurance program for the men and women over the age of 65 or with certain disabilities. For many Americans, this a huge part of how they can afford medications, doctor visits and other medical expenses. In recent years the number of Medicare enrollees has doubled (NASI, 2015). The “Baby Boomers”, people born from 1946-1965, is the largest generation within America with roughly 75 million Americans. This generation of Americans are all turning 65 around the same time and enrolling into this medical program. With the amount of new enrollees the total spending for Medicare will rise from 3.6% of the nations GDP to 5.1% by 2030, when the youngest of the baby boomer generation will be 65 (NASI, 2015). Even

Specific groups of people who are not 65 are also eligible for Medicare. Adults under the age of 65 with permanent disabilities are eligible for Medicare after receiving Social Security Disability Income (SSDI) for 2 years. Adults with End-Stage Renal Disease (ESRD) or Lou Gehrig’s (ALS) disease are likewise eligible for Medicare benefits. Coverage

Medicare is a federal health insurance program. This program pays for a variety of health care expenses for people who are 65 and older, adults with approved medical conditions such as Lou Gehrig’s disease, qualifying permanent disabilities may be eligible. It is financed by payroll taxes, premiums paid by voluntarily beneficiaries, income taxes paid on Social Security benefits and interest earned on the trust fund investments.

The baby boomer generation will need more Medicaid services which would place a large financial burden on the program. Compared with previous generations, the baby boomers generation has a higher rate of "diabetes, hypertension, high cholesterol, and obesity" (Barr, 2014). People with multiple chronic conditions are hospitalized more than those with fall or cold. They are more vulnerable and therefore, are more expensive. As a result, a two-fold problem is created. First, there will be a shortage in health care professionals, because baby boomer makeup such a large part of the healthcare field. The second part of the problem is

Medicare offers health insurance to individuals over the age of 65, people with certain disabilities, persons with Lou Gehrig’s disease, and individuals with severe kidney disease. Benefits are available regardless of an individual’s income. Medicare is administered exclusively by the federal government. Medicare stipulates one must be a U.S. citizen or legal resident for five years; and that he or she has contributed to FICA payroll tax for a minimum of 10 years. Medicare has a number of parts (A, B, C, and D); that pay for specific types of health care costs. Following a three day stay in a hospital for skilled care, nursing home care is covered only for 100 days by Medicare. Copays and deductibles (sometimes quite substantial) are paid by beneficiaries of this program.

The federal government provides health care insurance called Medicare. The program stared out strictly for those United States citizens who are 65 years of age and older. The plan has changed over the years to covering younger individuals with disabilities and diseases that are accepted by the program, like end-stage renal disease and young people with amyotrophic lateral sclerosis. Medicare covers over 49 million people as of the end of 2015 (Anderson, 2015).

Medicare supplement insurance supplements or completes the Medicare plan. If you are 65 or just about to turn 65 or you find yourself disabled for a period of 24 months, it may be that you qualify for benefits from Medicare. Medicare is the government run health insurance program intended to provide coverage for individuals who have been disabled as well as older citizens. The only trouble with Medicare is it does not pay for the entire cost of your medical expenses. There is always about 20% left over for the individual to pay out of their own pockets. That could be a problem for those on fixed or low incomes.

Healthcare industry in United States has been an important industry for a long time. It is one such industry that has representation from both public sector and private sector. The current health care system is segregated and fragmented in America. Some states have very effective and efficient healthcare system while some states lack the desired infrastructure. The evolution of healthcare system in USA can be traced back to 1750. The period from 1750 to 1849 is termed as preindustrial period where the care of sick people was primarily handled by families (Brian, 2010). The period of 1850 to 1969 is termed as postindustrial period which reflects the growth of organized medicine and systematic healthcare delivery.

Due to the upcoming presidential election, the two major political parties, and their candidates, have been focusing on the primary problems that the nation will face. Chief among those problems is the future of Medicare, the national health-insurance plan. Medicare was enacted in 1965, under the administration of Lyndon B. Johnson, in order to provide health insurance for retired citizens and the disabled (Ryan). The Medicare program covers most people aged 65 or older, as well as handicapped people who enroll in the program, and consists of two health plans: a hospital insurance plan (part A) and a medical insurance plan (part B) (Marmor 22). Before Medicare, many Americans didn't have health

The growing concern regarding the financial security of Medicare is one of particular interest to the nearly 72 million baby boomers that become eligible for this government-assisted, and tax-payer bolstered, program over the next two decades. According to the U.S. Census Bureau (2010), there will be a rapid increase in baby-boomers between 2010 and 2030, as the entire baby boomer population move into the 65 years and over category (p.3). Political and financial revisions must be made to ensure the security of Medicare as the numbers of individuals paying into this program are soon to be surpassed by the number of individuals drawing-off this program (U.S. Census Bureau, 2010). The elderly are also at a disadvantage with transportation to health care visits, picking up prescriptions, and rehabilitation services. There needs to be an establishment of access not only to primary care providers, hospitals, and rehabilitation services, but access to other aspects of the health care system for the elderly population.