I must say that I’m very interested in this week’s assignment. I’ve always know that there was a difference in these two programs but I never really took the time to learn about those differences. While both programs are important to the elderly and underprivileged, there are some distinct difference that I will discuss in this essay. In addition, we will take a look at the evolution of Medicare and how it’s frame work has changed over the years to provide care for aging American’s. Furthermore, we will take a look at how the Avoidable Care Act (ACA) initiatives will effect the Medicare and Medicaid programs.
Distinguish between Medicare and Medicaid. Medicaid is a Federal/State medical assistance program. It main focus are low…show more content… How has Medicare evolved to accommodate the changing needs of society? Medicaid cost is now and has always been an issue. Since its inception it was designed to take care of the aging, those with chronic illness and disabilities. The program has faced many amendments for providing health care to beneficiaries, while controlling spending. With the rising cost in health care we see an increase in Part A (hospital coverage) and B (doctors visits) deductibles and premiums. With the establishment of part C (advantage choice) and D (prescription coverage) we see added cost increases as well. Just from the little bit of knowledge that I has about these programs before reading the literature provided, I’ve always wondered about benefits availability once I reach the age of eligibility. When first established in 1965, Medicare was meant to be the nations first form of a national health insurance, the first steps in offering health care to everyone (Neuman, Rother, 2015). In 1997 we see the first of many efforts to control cost with the Balanced Budget Act (BBA) of 1997, but the many cuts made during this BBA seemed extreme and the BBA of 1999 restored some service that where cut in the BBA of 1997 (Trident, 2016). The basic function of an insurance program is to keep cost to the consumer down, but without an out-of-pocket cap on Medicare growing cost