Medicare Research Paper

Medicare and Medicaid are programs that have been developed to assist Americans in attainment of quality health care. Both programs were established in 1965 and are federally supported to provide health care coverage to vulnerable populations such as the elderly, the disabled, and people with low incomes. Both Medicare and Medicaid are federally mandated and determine coverage under each program; both are run by the Centers for Medicare & Medicaid Services, a federal agency ("What is Medicare? What is Medicaid?” 2008).

Medicaid is a joi8nt federal and state program. It provides health coverage to nearly 60 million Americans including children, pregnant women, seniors, and individuals with disabilities. As well as those people who are eligible to receive federally assisted income. Eligibility does however vary state to state.

The CMS.gov website provides information about Medicaid, Medicare and related government programs ("Cms.gov centers for”) to beneficiaries and other interested parties. It is a federal government website, created by the Freedom of Information Act (FOIA), which made government information to the public. All information provided must meet government standards for content and accuracy. The information is kept current and is clearly labeled with publication or modification dates. The government agencies are clearly identified and in-text references are available when appropriate.

Throughout the early 1980’s and 1990’s the Federal Medicaid program was challenged by rapidly rising Medicaid program costs and an increasing number of uninsured population. One of the primary reasons for the overall increase in healthcare costs is the

The Centers of Medicare and Medicaid Services (CMS) is a branch of the United States Department of Health and Human Services

Medicare provides federal health insurance coverage to millions of elderly, and disabled Americans. As of 2015 data by the Kaiser Family Foundation, Medicare covers 55 million people. Medicare covers people age 65 and older, people younger than 65 with certain disabilities, and people of all ages with End-Stage Renal Disease, or amyotrophic lateral sclerosis (Medicare, 2015). Medicare consists of several different components, including: Part A, Part B, Part C, and Part D. This Federal health insurance program, Medicare, is financed by several sources, including taxes, revenue, and premiums. Each part of Medicare has different eligibility requirements and provides different benefits, and covered services.

Are you aware of the various policies that are being enacted from each state to state regarding the qualification of Medicare? Medicare is funded by the federal government and each state is responsible for operating the

Managed care in the United States will constantly be changing or evolving. This is due to advances in technology, improvements made by the providers and deliverers of the services, new federal and state laws, and a shift towards a performance based system. Managed care will be delivered to the consumer in an affordable, innovative, and reliable manner with an emphasis on quality and accessibility.

To be eligible for federal funds, however, states are required to provide Medicaid coverage for certain individuals who receive federally assisted income-maintenance payments, as well as for related groups not receiving cash payments. In addition to their Medicaid programs, most states have additional "state-only" programs to provide medical assistance for specified poor persons who do not qualify for Medicaid. Federal funds are not provided for state-only programs. The following enumerates the mandatory Medicaid "categorically needy" eligibility groups for which federal matching funds are provided: Limited-income families with children, as described in section 1931 of the Social Security Act, are generally eligible for Medicaid if they meet the requirements for the Aid to Families with Dependent Children (AFDC) program that were in effect in their state on July 16, 1996. Children under age 6 whose family income is at or below 133 percent of the FPL. (As of January 2011, the FPL has been set at $22,350 for a family of four in the continental U.S.; Alaska and Hawaii's FPLs are $27,940 and $25,710, respectively.). Pregnant women whose family income is below 133 percent of the FPL. (Services to these women are limited to those related to pregnancy, complications of pregnancy, delivery, and postpartum care.). Infants born to

The essential target of the Medicare Prescription Drug, Improvement, and Modernization Act (MMA) was to furnish seniors in the United States with moderate scope for their physician endorsed solutions through the new Medicare Part D professionally prescribed medication advantage. After the MMA was implemented—however before Part D was actualized—there was a disagreement about the cost of the program. In March 2004, the Medicare Chief Actuary affirmed before the House Ways and Means Committee of United States Congress that he was requested by the (Centers for Medicare and Medicaid Services) CMS Administrator to smother his assessments of the ten-year cost of the program, which were considerably more noteworthy than unique Congressional Budget

Medicaid provides a comprehensive benefit package for those who enroll. The federal government requires coverage of thirteen services, including inpatient and outpatient hospital services, nursing home and home health care, and for children under the age of twenty-one. The benefits do not end there, Medicaid offers a

Medicaid provides healthcare insurance for individuals and families with low income. The federal government controls the program, but the states establish their own eligibility requirements and determines the type, duration, rate of payment, and amount of services. Even though the state can make final decisions on what they

Managed care has turned into the name for a change in the way health care is organized and financed in the US. Now a day the health care system is not just difficult, it is essentially unique in relation to what it used to be. The progressions are numerous and speak to the real moves required in moving from an indemnity plan, founded fundamentally on what the patient needed, toward a managed care system. The American human service has experienced radical changes inside two eras and keeps on developing. The federal legislation that I have chosen that most significantly influenced the growth of managed care from my point of view are the HMO Act of 1973 and HIPAA.

united health care is health insurance for those who have low income, pregnant, children, elderly or a disability. united health insurance is the largest single health carrier in the united states. This type of health insurance has Medicare and Medicaid but the are tow different government run programs that were created in 1965 in response to the inablility of older and low-income americans to buy private health

Congress was the creator of Medicaid and continues to wield influence by originating and passing legislation to amend the staute(“Home Health Care Management Practice” Aug, 2009). The Centers for Medicare and Medicaid Services or CMS purpose is to guarantee that recipents receive state of the art health care and to support the staes efforts to provide quality and safety. In the CMS si the Center for Medicaid and state operations. They help Medicaid provide safe, effective, efficient, patient-centered, timely and equitable care. The Medicaid Integrity Program is there to eradicate fraud and abuse of Medicaid. These groups along with a variety of other agencies and facilities are there to coordinate and provide care to people with Medicaid. John should be able to get help from one or more of these agencies to make sure he is taken care of properly. They are in place to help people on the program. It might take some time for new policies or offices to be put in place but at least there will be hope for people to get the proper care without having to go out of their way to get it.