Centers for Medicare and Medicaid Services

of access to the health insurance market for individuals. HealthCare.gov is one of the most complex pieces of software ever created by the U.S. government (Chambers, 2014). The United States Department of Health and Human Services (HHS) managed the Centers for Medicare and Medicaid (CMS). CMS was the federal agency responsible for the website development, integrating, and testing all the combined components (Chambers, 2014). CMS selected CGI Federal as the lead software developer responsible for designing

The purpose of this memorandum is to recommend a series of changes in current routine vision service policies of the Centers for Medicare and Medicaid Services’ (CMS’) and the Affordable Care Act (ACA). The U.S. population is aging at a rapid speed, it is projected that by 2030 the population of adults over the age of 65 will be 72 million (Hooyman, N. R., & Kiyak, H. A., 2011, p. 15). Even more appalling is that adults over the age of 65 have a higher than normal risk to develop eye conditions

Introduction Meaningful Use is a Centers for Medicare and Medicaid Services (CMS) program that awards incentives to eligible professionals (EP) and hospitals for using electronic health records (EHR) to improve patient care. This paper will provide an overview of the core criteria providers must follow to effectively use the EHR to qualify for the incentives and avoid penalties. The Meaningful Use criteria is implemented in three stages over five years to improve healthcare outcomes. This paper

The future of health care will be impacted by the population, need, demand and utilization of services. The United States is facing unprecedented growth in older adults and decrease rate of new birth rates that will tax the health care system. In 2020 the U.S. is predicted to have 3.4 million new retirees while younger cohorts are shrinking and this trend will continue to expand into 2050 when the population over 65 is expected to rise 21.6 percent because of the expected 78 million baby boomers

significant reduction in uninsured Americans from 17.6% to 10.1% (Anderson, Hempstead, Karpman, Kenney, Long, Shartzer, Wissoker, Zuckerman , 2015). This was achieved through the new laws affecting private insurance and the expansion of the government’s Medicaid program. The ACA started the process by extending tax credits to an estimated 4 million small businesses that would help them provide insurance for their workers in 2010 (Implementation, 2016). In 2013, a marketplace exchange was finally opened

Social Security in the United States I. Introduction Social security in the United States is a federal system run by the Social Security Administration to provide monetary benefits, or welfare, to citizens who are retired, unemployed, or disabled. In 1935, President Franklin D. Roosevelt enacted the Social Security Act which limited the dangers of old age, unemployment, disability, and families with dependent children within the United States during the great depression. In order to obtain

Sight, n.d.). Behavioral health professionals and services have come a long way from the time of Hippocrates. Dr. Evans has stated, “Twenty years ago, providers were paid on a fee-for-services basis; no one ever asked if the patient got better” (Clay, 2011). This has changed and care is more “recovery-focused patient care” with evidence based studies for behavioral changes and to be more patient friendly. There is more to behavioral health services than just psychologist and psychiatrist. Often

that holds the benefits of the health insurance. The health benefits that is provided to the member will be outlined in the healthcare insurance plan. The plan will dictate how what healthcare servicers are covered and not covered. The plan also, services as a tool to calculate patient and insurance financial responsibility. 2) Network determination is determined by the health insurance companies that describes which doctors its member can see “in-network”, that will allow for normal plan fees (copays/coins/deductibles)

reimbursements should be linked to the quality outcomes and performance measures is central to the Patient Protection and Affordable Care Act. The legislation provides various reforms that either provide incentives to healthcare providers for better quality services and outcomes or reduce their payments if certain quality standards are unmet. This paper talks about the different reforms under PPACA, aimed at introducing payment variations based on quality of care such as, Hospital Value Based Purchasing (VBP)

Fairness of Medicare We, as people, age, which limits our abilities and our overall health. The unhealthier we are through our years of aging, the more likely we are to be unhealthy as we become geriatrics. Medicare is an insurance plan for United States citizens; it aids those over the age of 65, to help pay for medical bills they might encounter. As an elderly person gets older and unhealthier, the more likely they are to need hospital care, using Medicare funds. People who are overweight as they