Healthcare Vs Medicare

According to Barton (2010) Long-term Care “emphasized continuous care over a period of at least 90 days for a range of acute and chronic conditions. Regardless of the length of time (i.e., from weeks to years), LTC is an array of services provided in a range of settings to people who have lost some capacity for independence because of an injury, a chronic illness, or a condition” (pg. 349). This is the description of someone who may have been in a debilitating car accident, an elderly person with Alzheimer’s and dementia, a person diagnosed with chronic mental illness, and individuals who are developmentally delayed or “disabled.” People who are placed in these type of long-term care facilities are usually screened using two different

Part A covers hospitalization, emergency hospitalization, subacute care, home health, and end of life care depending on the situation. Part B covers Doctors’ visits, and covers subacute, end of life, and in home care that Part A will not cover if the patient qualifies. While part C covers medications and needed medical equipment (Center for Medicare and Medicaid Services, 2014). What Medicaid pays for depends on what state you live in, and what your specific situation is. Universally Medicaid covers hospitalization, day procedures, doctors’ visits, nursing facilities, home care, child health check, nurse practitioners, and transportation to doctors’ visits (Medicaid.gov, n.d). Medicaid offers different services in each state, but the aforementioned are the mandatory areas of coverage for every state. Medicare is aimed at helping the older population, while Medicaid is aimed at people in every stage of life. But who exactly is covered under which

Obamacare, Medicare, universal, privatized, public, parallel; these healthcare systems (HCS) may sound a little confusing and scary for a person who values their health and the health of their family. In the United States of America, there are several different options of health coverage to choose from: health insurance for people with disabilities, long term care insurance, traditional-fee-for-service, and preferred provider organization, this is just naming a few (USA.org, 2017). With all these choices, how do you know which one is the best for you and your family? Usa.org emphasizes that several questions must be considered when choosing a healthcare provider: Are there any deductibles? Can I see any doctors or go to any hospital? Will all medications be covered that the doctor prescribes? Again, seems confusing, right! Therefore, Canada's HCS is based on the patients' needs and not what they can afford (Government of Canada, 2012). Although Canada's HCS is widely known for their universal coverage, many Canadian citizens have various concerns; one being excessive wait times.

The Medicaid program is jointly financed by the federal government and states. The federal government pays states for a specific proportion of program expenses, called the Federal Medical Assistance Percentage (FMAP). FMAP varies by state based upon criteria such as per capita income. There are no intermediary like Medicare’s HMO and PPO, so payments are made directly to providers. Medicaid covers health insurance up to 400% of Federal Poverty Line for those who are under age 65 and poor and/or disabled through income and excise taxes. Elderly over age 65 who are poor are dual eligible for Medicare and Medicaid. There is an employer-based insurance (EBI) and cost share is between employees and employers.

Medicare and Medicaid are very different, Medicare is a insurance federal program while Medicaid is an assistant program for low income people of any age. Medicare then serve people over 65 years primarily, under Medicare patients pay the costs through deductibles for hospitals and other cost. Medicare consist in two part; Part A which is the hospital insurance and Part B which is the Medicare insurance, they also have Part A Premium and Part B Premium. The Medicare Part A Premium you pay certain amount of money a month, but if you are 65 and meet certain criteria that they have ,you can get the Premium-free Part A. Medicare Part B after you meet your deductible, you normally pay 20% of the Medicare approve amount for doctors services, including

Medicare is broken down into different parts that those who are insured can choose what program is best for them. There are four different parts to the Medicare health care system. There is the Medicare Part A, this part covers hospital insurance, meaning stays in the hospital, care

Medicare is one of the major financing sources for healthcare since 1965. Hospital Insurance or Medicare Part A is funded 1.45% from employee payroll tax and 1.45% from employer on all revenue. Self-employed individuals pay 2.9% of income. The government support nearly 75% of Medicare Part B and the other 25% is paid by individual’s monthly premiums. Medicare Part B individuals will be covered 100% once their $147 deductible is met. (Shi, L., & Singh, D. A., 2015)

The differences between Medicare and Medicaid are that Medicare is a federal program that provides health coverage for people that are sixty five year of age or older. Also, if the person has a severe disability , no matter what your income may be. For example, my mother has Rheumatoid Arthritis and Fibromyalgia, because her Rheumatoid Arthritis is very aggressive she is not able to work so she qualifies for social security therefore qualifying for medicare.

This retrospective study is based on data from Medicare LDS Outpatient billing and demographic data from patients that received care in 2014. With the Medicare data, I will be analyzing the differences in patients that are treated with single-fraction and those treated with multi-fraction treatments. The factors I will be investigating are overall number of single versus multiple fraction treatments, primary malignancy, age, gender, race and region in which patients live. The key issues to be studied are the Radiation Oncologists patterns in utilization of single or multi-fraction treatment. The differing number of fractions for multi-fraction treatments will also be analyzed to determine the most common multi-fractionation scheme. Finding

In Canada, a lot of debate has been raised in the last few years over the issue of "two-tier" healthcare. The public system is struggling, and there is a debate going on over whether or not private hospitals should be permitted. Universal healthcare is very cherished in Canada, but conservatives argue that introducing a private system will improve the burden on the public system. Those who oppose say that the creation of a two-tier system will result in one system that is better then the other, attracting the best doctors and the best equipment, and that those who can't afford private or do not wish to pay will only be able to obtain second-rate healthcare. Why should Canadians not have choices regarding the time, place, and nature of

Medicare part B is Medical Insurance. It covers medical costs such as regular doctor’s visits, flu shots, and x-rays. It also helps pay for goods like canes, walkers, and wheelchairs (https://www.medicare.gov). Both parts B and D are funded by premiums on the beneficiaries of these parts. High-income individuals also pay an additional tax on their Medicare part B and D premiums.

One type of funding beyond third party reimbursement is “Fee-for-Service.” This is when a health care professional can bill for everything they are doing for that patient. For an example, I know that home health care entities can charge for nursing staff, care taker staff, therapies, medications, supplies , the amount of time they are spending with that patient per day and how many days a week. Usually when a home health care company can charge for each individual thing they do for the patient, usually means that the patient has Medicare and that’s who the home health care is billing. But, if the patient the home health care company is seeing has a Managed Medicare such as Aetna, or Humana, these companies usually pay for “episodic care.” This

Medicare Part A and/or Part B covers eligible home health services. It all just depends what services the doctor orders and what the insurance covers. Some eligible home health services include but are not limited

Thank you for sharing your concerns about the difference in health care cost between males and females. Responding to letters like yours is one of our highest priorities as we share your interest in ensuring that all Americans receive equitable health care coverage.

Americans not getting treated for diseases that are very treatable if medical help is receive early enough.