Medicare Essay

06/30/61     The Social Security Amendments of 1961 were signed by President John F. Kennedy, permitting all workers to elect reduced retirement at age 62. 07/30/65     President Lyndon B. Johnson signed the Medicare bill into law. 12/30/69     President Nixon signed the Federal Coal Mine Health and Safety Act. Monthly cash benefits were provided coal miners who became totally disabled because of “black lung” disease, and for their dependents

Regardless of one’s financial standing, health care is an essential service. Without proper care, a cold can turn into pneumonia, a broken leg can turn into a disability, and high blood pressure can lead to a fatal heart attack. It doesn’t take much imagination to realize why nearly every industrialized nation has transitioned to a health care system that is both universal, and tightly controlled by the government. What’s less obvious, however, is how and why the United States has fallen so terribly

a broad range of legal services. Even if a ‘Legicare’ system was to come to fruition, it would likely be deficient in providing access to highly specialised legal services. A clear analogy with the Medicare system, which provides a basic level of universal health care, can be drawn. Although Medicare covers essential services, it does not usually cover matters such as dentistry and physiotherapy, for example. As with private health insurance for medical care, pro bono services would still have a

The Problem of Fraud and Abuse in the Current U.S. Healthcare System Introduction: Healthcare fraud and abuse has become a major issue for the United States healthcare system and affect many the citizens. The National Health Care Anti-Fraud Association (NHCAA) estimates that the financial losses due to health care fraud are in the tens of billions of dollars each year. “In 2011, $2.27 trillion was spent on health care and more than four billion health insurance claims were processed in the United

The War on Controlling Fraud and Abuse in the Current U.S. Healthcare System Introduction: Healthcare fraud and abuse has become a major issue for the United States healthcare system and affect many the citizens. The National Health Care Anti-Fraud Association (NHCAA) estimates that the financial losses due to health care fraud are in the tens of billions of dollars each year. In 2011, $2.27 trillion was spent on health care and more than four billion health insurance claims were processed in the

The Affordable Care Act was signed into law in 2010, just over five years ago. Since then the healthcare industry, and even organizations outside the industry, have been affected in many ways; from new reimbursement models, opening healthcare exchanges, millions of individuals gaining insurance that they previously did not have, and a plethora of new regulations just to name a few. Although the law was passed in 2010, it wasn’t until 2014 that millions of newly insured participants entered into

Introduction In 2010, the United States took the first tangible step toward universal health care coverage, with the legalization of the Patient Protection and Affordable Care Act of 2010. According to the U.S. Census Bureau’s most recent report the total population of the United States is nearly 309 million people (U.S. Census Bureau, 2010). In 2009, it was estimated 49 % of the population was covered under an employer sponsored insurance plan (Kaiser Family Foundation, 2009). The same 2009 data

The HIPAA transactions and code set standards are certain rules that regulate electronic data interchange (EDI) of healthcare information, which include patients’ identifiable and medical data, between two or more parties. Under the Health Insurance Portability and Accountability Act of 1996 (HIPAA), if providers or healthcare organizations conduct one of the nine types of electronic transactions of health-related information, they must adhere to the standards, which include claims status reporting

government health care programs, and many of these laws vary considerably (Krause 2004). Some of these laws specifically target health care fraud. Example of the laws that the government direct at inappropriate health care activities includes the “Medicare and Medicaid Anti-Kickback Statute and Ethics in Patient Referrals Act (EPRA).” In 1989, Congress enacted the Ethics in Patient Referrals Act. Commonly known as Stark law, Congress named it in honor of Rep. Pete Stark, a Democrat from California

Medicaid insurance was established in July 1965 in legislation on social security. The Centers for Medicare and Medicaid Services, aka requirements for CMS, finance, fitness, quality and services for government programs. Each State is responsible for the execution of the program of his own. Reconciliation Omnibus ACT of 1990 created Medicaid drug rebate program, adds a part which reduces paid Social Security Act of 1935 due to costs, the Medicaid outpatient drugs at prices. Changes to the program