How Did Medicare Change

The analysis of positive and negative impacts of Medicare that you made, I believe, were comprehensive and interesting to see with your background in health care. I agree Medicare has increased insurance beneficiaries in the elderly population which is a positive influence. This also includes the coverage of those disabled and with ALS and end stage renal disease. The impact that Medicare has made on the families of these particular populations is the greatest impact of all. Medicare as you stated, has its flaws and one of the primary negative impacts I believe there to be is the services that are not covered such as vision and dental. The major of individuals had a payroll deduction while they were able to work and now that the insurance is

As we become older, issues with our health begin to take affect and finding ways to fund for that care is becoming even more difficult. In the article “Some Elders Must Take Drastic Measures to Obtain Long-term Care”, national magazine journalist Mary A. Fischer (2011) states that many Americans must face demeaning and disempowering choices in order to qualify for Medicaid or Medicare—federal funded health insurance programs— such as refusing to pay for a spouses institutionalization, divorce, and spending down assets. The author argues that these choices leave the healthy spouse with decreased funds to plan for their own retirement expense (Fisher, 2011). Working in the health care field for 4 years, along with my family’s own personal experiences I can relate to this article, since I have seen a variety of ways that federal funded health insurances have been unable to meet the expectations and demands of its beneficiaries.

Health care is continuously changing. In the past several years there has been a large shift in the focus in hospitals. The focus has changed from the staff to patients, patient satisfaction, and cutting costs in order to budget more tightly (Tarrant & Sabo, 2010). Because of this, along with the extreme increase in a number of patients seen and the acuity of the patients, nurses are being overworked. As a result, role conflict and ambiguity is becoming an issue. The purpose of this paper is to discuss role conflict and ambiguity, its significance, and its application to nursing.

Decrease in funding is another economic challenge in health care. The amount of finances coming from various sources not just the

Medicare enrollees in Utah have saved about $78 million on prescription drugs due to the ACA. Coverage for both brand name and generic drugs will continue to increase until the coverage gap is closed. The ACA also allows Medicare beneficiaries to seek preventive services without worrying about cost, due to the lack of deductibles and copays. This aids in detecting and treating health problems early on. In Utah in 2014, 220,972 individuals with Medicare used free preventive services. In addition to that, fraud is at a minimum due to tougher screening procedures, penalties, and technology developments.

Medicare has gone through many changes through the years since President Johnson signed the programs, including Medicaid into law in 1965. Almost ¾ of the senior population, over 65 were uninsured. Even before that President Truman was eager to start a national health insurance plan, in 1945. In 2003, President GW Bush added a prescription drug plan to Medicare. Even President Teddy Roosevelt proposed a national health insurance plan when he was running in 1912. In 1972, President Nixon signed a bill allowing people with long-term disabilities under the age of 65 and patients with ESRD (End Stage Renal Disease), to be covered. Over the years more services were accepted for Medicare coverage, including hospice and home health. 2010 brought good

The Medicare and Medicaid programs were signed into law on July 30, 1965 by President Lyndon Johnson ("Centers for Medicare," 2012). Before this decision was even taken into consideration, many other healthcare reforms had previously been introduced by earlier presidents, but failed to pass the Senate. Healthcare issues have always been on board for the United States, but during this time the elderly and the poor were desperately screaming for help. The government had no choice but to come up with a solution to their healthcare needs; these two

Since 1984, Medicare patients have been serviced under the prospective payment system of the Medicare program. Under this system, primary care providers are reimbursed for their services using a fixed payment for each patient that is determined by the patient’s diagnosis-related group at the time of the admission. Therefore, under the prospective payment system a hospital’s reimbursement is unaffected by the actual expenditures that are required to care for a patient.

The proposed call RCS-1 would change the system to emphasize patient clinic characteristics and not services received. The new system does not receive payment on a number of services provided, but how much services the patient would receive based on the identification of patient characteristics. This approach could dramatically affect a number of therapy services provided to the client. Additionally, CMS would remove the existing 14, 30, 60, and 90-day PPS assessments and only require the initial and discharge assessments, with significant change assessments if applicable. Further, this could be a noteworthy change in the number of assessments used to determine payment and may not capture changes in patient status. Couple concerns relate to the proposed RCS-1 affect the provision of and access to occupation therapist and AOTA mention in part of those limitations when the patients receive therapy and whether they receive the appropriate amount of therapy. Improving the PPS system could have beneficial effects on patients and on practitioners but AOTA does not believe this proposed system has enough safeguards in place for

enrolled in the new program. The $8 billion includes the state share of costs for both newly eligible adults and the additional Medicaid participation among currently eligible populations that would result from expansion. If all states implemented the Medicaid expansion, federal spending would increase by $800 billion, or 21 percent, compared to the ACA with no states implementing the expansion (Holahan, et al., 2013). Therefore, although the increase in spending per state is relatively small, the cost to our nation is exponential. With the national debt growing day by day, many believe that an exponential increase in national spending is a difficult thing to justify.

Person eligible for Medicare include individuals ages sixty-five and over, those with disabilities, and those with end-stage renal disease (Hammaker, 2011). here are three basic entitlement categories: persons 65 years of age or over who are eligible for retirement under Social Security or the railroad retirement system, persons under 65 years of age who have been entitled for at least 2 years to disability benefits under Social Security or the railroad retirement system, and persons with ESRD who do not otherwise meet the age or disability requirements. The latter two groups together are known as the "under 65" enrollees (Petrie, 1992).

Medicare is our country’s health insurance program for people age 65 or older. Certain people younger than age 65 can qualify for Medicare, too, including those with disabilities and those who have permanent kidney failure. There are several changes for Medicare enrollees in 2017. The average increase is more than $4/month, and average premiums will be about $109/month for about 70 percent of enrollees. But the exact amount they’ll pay will vary depending on the dollar amount of the cost of living adjustment on their Social Security checks.

A debate discussed on a topic “RESOLVED: Medicare should be changed from a guaranteed health care benefit program into one that offers premium support for private insurance” was held on April 6, 2017, at Hunter Silberman campus room 303. Chaired and anchored by Professor Michele J. Siegel, the debate explores the pros and cons of “RESOLVED: Medicare should be changed from a guaranteed health care benefit program into one that offers premium support for private insurance.” There was two participating groups: one that spoke for the motion and another that talked against the motion. In the first place, Professor Siegel selected the participants and set the proposal for the debate. I was on the con's side of the debate, and before the debate,

A number of changes to both state workers' compensation laws and the MSPA would eliminate the problems inherent in the current system. These solutions include modifying state workers' compensation laws to permit the parties to settle only the indemnity portion of the claim in states that do not already do so, applying the MSPA only to cases in which the primary payer is legally obligated to pay, instituting a safe-harbor threshold amount for settlements, creating a right of appeal from Medicare's rejection of a settlement proposal, and allowing claimant's to waive their rights to certain treatments under Medicare. Any one of these changes implemented on its own would be an improvement, but implementing all of them would create a much fairer system.

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