Centers for Medicare and Medicaid Services

assignment Remaking the American Health Care System was very help in assisting me with understanding the PPACA a little bit more. Even thought I know that there is more to the law than what was covered in the reading assignments, I enjoy learning about Medicaid expansion and the changes that

Stark law, which prohibits physician referrals of designated health services for Medicare and Medicaid patients if the physician (or an immediate family member) has a financial relationship with that entity” (Hill, 2002). “The Physician Payments Sunshine Act (PPSA)—also known as section 6002 of the Affordable Care Act (ACA) of 2010—requires medical product manufacturers to disclose to the Centers for Medicare and Medicaid Services (CMS) any payments or other transfers of value made to physicians

Abstract Medicaid provides medical assistance to citizens in the United States who fall within the eligibility requirements. Medicaid has been enacted since 1965 and has faced many changes. One change most recently was the Patient Protection and Affordable Care Act, and the attempt to require states to expand Medicaid coverage to include more citizens. However, Medicaid is a states’ right and therefore Congress decided to leave expansion up to each individual state. As some states decide to move

the facility fees, staffing issues really affecting the cost, and people have accidentally gone to the standalone ER instead of urgent care, this gives them higher bill than they expected. “The Centers for Medicare and Medicaid does not recognize them as an ER, they are not able to accept Medicare, Medicaid or TRICARE as insurance” by John ingle. Standalone ER provides opportunities for the neighborhood people to participate in fund raising programs and attending

In today’s healthcare industry, medical professionals when providing the best patient care, must commit to continued learning and performance improvement. Medical professionals must stay current with the new trends in healthcare while decreasing costs. Evidence based medicine is key in providing care to patients, and medical professionals utilize this evidence in designing the best plans of treatment. In today’s rapidly changing medical industry, physicians, nurses and all medical personnel need

Finally, the fifth aim is to make critical investments in the public’s health (Rosenbaum, 2011). Kongstvedt (2013) states there are four federal laws that are related to managed care, which were amended by the ACA. These laws are The Public Health Service Act (PHSA), The Employee Retirement Income Security Act (ERISA), The Internal

maintain a successful medical organization in today’s healthcare environment. To the Hospital Corporation of America (HCA), it is of paramount importance that they provide a diverse range of healthcare services through the most cost-effective means available. Although, one of the largest health care services companies in the United States, HCA must take on the challenges of health care finance and reform through a strong and stable business strategy. In an attempt to combat the many challenges being faced

As the population ages, home health care (HHC) is increasingly used to reduce inpatient hospital stays and rehabilitation or nursing home stays. This option decreases health care costs and provides additional care and comfort for the patient; however, the patient is at a greater risk for infection. Reducing patient infections and identifying risks for infection is a significant problem as the trend toward HHC rises (Shang et al., 2014). A majority of home health recipients are adults aged 65 and

related to health care services. This law is considers to be reforms in health care sector and change the attitude of government towards health care services. Now, government is paying more attention after passing “Affordable Care Act” in 2010. Medicare has started to reduce the cost of living which was becoming the major part of hospital payments in fiscal year 2010. Medicare has started to make adjustment related to productivity in payments of hospital in fiscal year 2012. Medicare also started to

reduce the risk maternal mortality include access to skilled birth and emergency obstetric care. Pregnant women and children are able to receive Healthcare coverage through Employee Sponsored Health Insurance, Children Health Insurance Programs, and Medicare Programs Employer-Sponsored Health Insurance (Group Health Insurance) is healthcare coverage in which the employer is responsible for a significant portion of the healthcare expenses. Employer-sponsored plans typically are able to include a range