...DeVry University Managed Care & Health Insur Professor: Keri Bahar Week 7 – Webliography Contribution Reforming Medicare in the age of Deficit Reduction Date: 04/16/2014 Webliography Contribution Entry / Reference 1: Urban Institute (2013). Can Medicare Be Preserved While Reducing the Deficit? Timely Analysis of Immediate Health Policy Issues. Retrieved from: http://www.rwjf.org/content/dam/farm/reports/issue_briefs/2013/rwjf404766/subassets/rwjf404766_1 This reference help the current healthcare insurance and managed healthcare issues to reach the right set of policy to make changes that could correct long-standing gaps in financial protections that Medicare beneficiaries face, promote greater efficiency within payment systems, and generate the additional revenues necessary to pay for the impending surge in the number of beneficiaries. Entry / Reference 2: Steckenride, Janie, Parrott, Tonya (1998). New Directions in Old-Age Policies. The Health Care Policies and Older Americans. Retrieved from: http://books.google.ae/books?id=rwR4rpIrvW0C&pg=PA19&lpg=PA19&dq=Reforming+Medicare+in+the+age+of+Deficit+Reduction&source=bl&ots=ZtGKc36-o3&sig=00b8wDb48nxaR4uqWAHTms1slBU&hl=en&sa=X&ei=SKgJU77mK8eb0QW-44C4AQ&ved=0CDUQ6AEwAjgU#v=onepage&q=Reforming%20Med&f=false This reference help the current healthcare insurance and managed healthcare issues to explores the changed political environment in the United States and what...
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...during his career. This paper will discuss some of the values he finds most important for creating an equal healthcare system. In order to establish an equal healthcare system, coverage needs to be affordable, with equal opportunities for everyone, and American’s need to feel they have the freedom of choice for the type of coverage they want. Healthcare coverage first of all, needs to be affordable. Employers should pay all or most of the healthcare premiums to cover their employees. The coverage should be competitive and at the same time the employee should have the right to choose if they want to be covered or seek private insurance. Mandatory physical exams and blood work should be discussed in detail at employee forums and human resources should not just assume all employees know their coverage rights. Physician’s office staff should be well educated in insurance literacy to let their patients know what their coverage rights are. This will keep the patient from getting a surprisingly high statement in the mail. Those who are eligible for Medicare should not have deductibles. If they are on Medicare then they obviously fall below some standard and therefore do not have the money to pay for medical coverage. Carla states, “Medicare should not be eliminated unless the federal government is going to hand out free healthcare coverage to the elderly.” According to the Future of the Affordable Care Act (ACA), as part of the Medicare Modernization Act that occurred...
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...Vulnerable Populations in Current Events Paper Vulnerable Populations in Current Events Paper Vulnerable populations can be defined broadly to include any individual, group, or community whose circumstances present barriers to obtaining information or to access resources offered before, during and after a socio-economic and or life changing event. Additionally, it may include, but are not limited to: age; physical, mental, emotional, or cognitive status (CDC, 2014). In 2011, the American Hospital Association (AHA) Board Committee on Research (COR) examined emerging practices in effectively coordinating care for vulnerable populations of Medicaid beneficiaries. There are approximately 9.2 million Medicaid beneficiaries are dual eligibles – low-income seniors and younger persons with disabilities who are enrolled in both the Medicare and Medicaid programs (AHA, 2011). Barriers that may prevent these populations from obtaining needed services: Medicare and Medicaid dual eligibles are among the sickest and poorest individuals, and they must navigate both government programs to access necessary services. The barriers that may prevent these populations can range to in include economic status, their personal or family values, attitudes, culture, and life circumstances of these individuals and the communities in which they reside. CDC provides evidence that Medicare beneficiaries belonging to racial and ethnic minorities persistently experience an increasing disproportionate...
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...Healthcare Interview Paper Introduction My paper is predicated on interviews with three generation of women in America, ranging from the age 78 to 32, and their experience in how healthcare is/is not accessible in America. We will attempt to convey to the reader each generation view on the accessibility of health care; how they paid for health care; where they received their health care; how they viewed their health care and health care providers; what changes they have seen in the health care system; and any other facts or information. Moreover, this paper will list all questions and answers as posed and stated by both the interviewer and the interviewee. As I have stated I will be interviewing three generation of women my mother an 85 year old, my sister a 60 years old and my niece a 37 years old. When referring to health care in this interview we will be discussing inpatient care, outpatient care and long term care. What is your name and age? What has been the biggest barrier to healthcare for you? Understanding the healthcare system in itself has been a hurdle for me to conquer. Medicare Part A, B, C, and D. (non-financial hindrance to access healthcare) How do you see healthcare in America today? If we had a more nationalized healthcare system, we could do a better job for our patients and physicians would feel more satisfied with their jobs. How has the ACA affected you? situation or obstacle you have overcome What do you think the future...
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...Fiscal Policy ECO372 August 14, 2012 Fiscal Policy Introduction Depending on whether a country is running a deficit, a surplus, or a debt, businesses and individuals are affected differently. “The most important budget in the world is that of the United States government. The U.S. budget impacts not only the United States of America but foreign investment, trade, and the economies of nations throughout the world.” (Boothe, 2003) The objective of this paper is to provide examples of how the United State’s deficits, surpluses, and debt affect individuals and business both domestically and internationally. Deficits, Surpluses and Debt; an Overview Summary measures of a budget are denoted by deficits and surpluses. Whereas a deficit is a shortfall of revenues under payments, a surplus is an excess of revenues over payments. Debt is accumulated deficits less accumulated surpluses (Colander, 2010). These summary measures indicate the health of an economy. This indicator helps both domestic and foreign companies determine if it is beneficial to invest in United States assets. Heading into the year 2000, the United States was running a surplus. This quickly changed as the government invested in The War on Terrorism, consumers changed spending habits, unemployment rose, and growth decreased. To increase the money supply, government implemented monetary policy and to get the economy moving again, implemented fiscal policies. These policies have wiped out the surpluses...
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...Dealing with Fraud Liquid Professor Beharry Health Care Policy, Law, and Ethics March 18, 2013 Abstract This paper will evaluate how the Healthcare Qui Tam affects health care organizations while providing (4) examples of Qui Tam cases that exist in a variety of health care organizations. Other responsibilities discussed, are devising a procedure for admission into a health care facility that upholds the law about the required number of Medicare and Medicaid referrals; the ability to recommend a corporate integrity program that will mitigate incidents of fraud and assess how the recommendation will impact issues of reproduction and birth. The know how to devise a plan to protect patient information that complies with all necessary laws. Evaluate how the Healthcare Qui Tam affects health care organizations. The Healthcare Qui Tam affects health care organizations in that well over more than 450 hospitals across the country were the subject of Medicare fraud investigations. Whether or not Medicare violations are found, the costs of responding to an investigation can be significant. Westchester Medical Center of New York, being investigated for possible health care fraud and violations of anti-kickback laws, received a subpoena for extensive records in some thirty-seven categories going back to 1997. Millions of dollars may be spent in legal fees and other costs associated with the investigation (e.g., hiring or reassigning staff to assist with compiling...
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...Individual Project This paper will be discussing what is Medicare, and what type of impact the Medicare Legislation will have upon it , what changes the Affordable Care Act made to the Medicare program, and last but lest what I feel need to change to the Medicare program that will extended the life program past the year of 2026. Medicare is known as the “national social insurance program, administrated by the United States Federal Government” (Medicare.gov, 2012). Medicare give health insurance to people ages sixty-five (65) years of age and older that have work and paid in to system, and younger people that have a medical and physical disabilities (Medicare.gov, 2012). Medicare when it first started only had two parts that was part A and part B (Longest, 2010). Medicare part A was the Hospital Insurance, better known as HI and it covers hospital visits, home health nurses, nursing homes, and hospice care, and part B which is known as Supplementary Medical Insurance or SMI covers doctor visit, home health services, and other medical services, And then the BBA, better known as Balance Budget Act in 1997 added on a third part which is known a Medicare part C, known as the Medicare Advantage Program pays for most prescription drugs. And there is Medicare Part D which was added by the MMA that pays for the prescription drugs that is not covered by Parts A&B. The Medicare Legislation will have a tremendously impact on the Medicare Program. The Medicare legislation I predict will...
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...Health Care Spending Paper HCS 440 October 30, 2013 Health Care Spending Paper In the United States about 44 million people do not have health insurance. 38 million Americans have inadequate health coverage (PBS). The level of current national health care expenditures increases every year. Is this spending on health care too much or not enough? Where the United States should add or cut from, and why. How the public’s health care is paid for and who pays. The current level of expenditures of the nation’s health care is presently at $2.1 trillion. This translates to $7,026 per person, and 16% of the Gross Domestic Product (ajronline.org, 2008). Hospital spending accounts for 31%, which is over the national health care expenditures. Physician expenditures are at 5.9%, and this is presently lower than the general expenditure amount due greatly to the 2% Medicare fee for physicians. Medicare Part D is at 19% and caused a quick rise in prescription drugs. Due to the high rate of individuals that joined the Medicare Advantage plan, administration fees were at 8.8% which grew faster than the overall. Due to the vast number of people enrolling in Medicare Part D, Medicaid shrank for the first time in history. The spending with health care is very high, and continues to climb. This means that the growth rates in health care persist to surpass the overall Gross Domestic Product, and will eventually exceed other spending. The national health care expenditures will not be supportable...
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...Timeline: History of Health Reform in the U.S. VIEW: Early 1900's 1930 – 1934 1935 – 1939 1940 - 1945 1945 - 1949 1950 - 1954 1955 - 1959 1960 – 1964 1965 – 1969 1970 - 1974 1975 – 1979 1980 - 1984 1985 - 1989 1990 – 1994 1995 - 1999 2000 – 2004 2005 – 2009 2010 1912 Teddy Roosevelt and his Progressive party endorse social insurance as part of their platform, including health insurance. 1912 National Convention of Insurance Commissioners develops first model of state law for regulating health insurance. 1915 The American Association for Labor Legislation 1912 Teddy Roosevelt and his Progressive party endorse social insurance as part of their platform, including health insurance. 1912 National Convention of Insurance Commissioners develops first model of state law for regulating health insurance. 1915 The American Association for Labor Legislation Early 1900's 1921 Women reformers persuade Congress to pass the Sheppard-Towner Act, which provided matching funds to states for prenatal and child health centers. Act expires in 1929 and is not reauthorized. (AALL) publishes a draft bill for compulsory health insurance and promotes campaigns in several states. A few states show interest, but fail to enact as U.S. enters into World War I. The idea draws initial support from the AMA, but by 1920 AMA reverses their position. 1927 Committee on the Costs of Medical Care forms to study the economic organization of medical care. Group is comprised of economists...
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...HMGT 6320.501 – The American Healthcare System, Briefing Paper- 2 Name: Dilpreet Singh What is Medicare? What are the components and how are they financed? What are the problems facing Medicare? What are your solutions? Medicare: Medicare is the federal health insurance program for people who are 65 or older, certain younger people with disabilities, and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant). Administered by the US government since 1966, Medicare is currently using 30 private insurance companies across United States. In 2010, Medicare provided health insurance to 48 million Americans—40 million people age 65 and older and 8 million younger people with disabilities. On average, Medicare covers about half (48 %) of the health care charges for those enrolled in Medicare. The enrollees must then cover the remaining approved charges either with supplemental insurance or with another form of out-of-pocket coverage. Components of Medicare: Medicare has four parts. These different parts help cover specific services. Medicare PART A (Hospital/Hospice Insurance): Part A covers inpatient hospital stays including semiprivate room, food, tests, care in a skilled nursing facility, and hospice care. (Hospice care focuses on palliation of seriously ill patient's pain and symptoms, and attending to their emotional and spiritual needs) Medicare PART B (Medical Insurance): Part B medical insurance covers certain doctors' services, outpatient...
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...Budgetary Analysis Heather Horning HCS/550 August 18, 2014 Elaine Bobo Budgetary Analysis The Medicaid program is one of the largest sources of health insurance in this country in addition to employer-based health insurance and Medicare. Medicaid delivers crucial medical related services to the most at risk populations in society. The importance of Medicaid's part in providing health insurance cannot be exaggerated; “the Medicaid program covers millions of low-income women, children, elderly people and individuals with disabilities” (U.S Department of Health and Human Services, 2000). Funding for Medicaid is limited through various federal policies, leaving much of the program’s budget burdened on the individual states to make necessary spending cuts in order to provide the funds needed for the demand of the program. Budgetary decisions need to be thoroughly reviewed before any immediate action is taken as these decisions can create a domino effect on other programs and their participants as sections of this paper will describe. Medicaid Overview Medicaid is a cooperative federal and state program with a common goal to provide a vital service for the general public. “Medicaid is the largest source of federal revenue for states. Medicaid funds support health care providers, jobs and state economies overall” (Kaiser Family Foundation, 2013). Every state institutes its own eligibility criteria, benefits platform, payment rates and program organization under the broad federal recommendations...
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...GOVERNMENT MANDATED BENEFITS Benefits May 18, 2015 Table of Contents Introduction…………………………………………………………………………………………………………………………3 Article Summary…………………………………………………………………………………………………………………3 Analysis……………………………………………………………………………………………………………………………….4 Conclusion…………………………………………………………………………………………………………………………..6 References…………………………………………………………………………………………………………………………..7 Introduction In this article, we will be summarizing and analyzing an article on “Mandated Insurance Benefit Laws: Important Health Protections for Women and Their Families”. The federal and state governments in the United States have mandated certain benefits, mostly related to health insurance. Employee benefits can consist of a variety of benefits that could become a great addition to an employee package. The article analyses the economic impact of these benefits. Article Summary There are certain benefits which have been mandated by the government which an employer must provide to its employees. Businesses use benefits to attract new employees and give current employees a greater sense of job satisfaction. The United States government has mandated certain benefits for employers to provide to their employees. Employers mostly and in some cases employees need to pay for these benefits. This article analyses the reasons behind the choices the government has made. Employee benefits are much more than health insurance, vacation time, and 401 (k) plans. Companies with 50 or more employees must also...
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... DR. ROBERT HOLLINGSWORTH, DHSC.PA-C HEALTH CARE MUSEUM The following paper is a proposal for the new Health Care Hall of Fame Museum. The Museum will be composed of five exhibits, which are Medicare, Modern Health Insurance, Hospice, Long term care and the Public Health service. The first part of this proposal for the museum will discuss the history and impact of these health care developments on the health care system. The second part will be an overview of how these five exhibits relate to each other in the health care system. Medicare Exhibit 1 As part of the Social Security Act the Medicare Program was signed into law on July 30, 1965 by President Johnson. This program came into place because Americans over 65 could not get insurance. Created in the 1960 it was based on the private insurance system that was in use at the time. Administered by the Centers for Medicare and Medicaid Services (CMS) Medicare is purely a government program Austin and Wetle (2012). Over the years there have been many changes to Medicare to keep it relevant with the changing times for example, the Medicare Prescription Drug, Improvement, and Modernization Act of 2003. People can become qualified to receive Medicare by three different ways, be over the age of 65 and eligible for Social Security benefits, be permanently disabled, or have an end-stage renal disease. Medicare brought the government into health care insurance business. Before the program it was...
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...this visit here: http://www.activitymode.com/product/hsa-405-week-4-assignment-2-strayer-latest/ Contact us at: SUPPORT@ACTIVITYMODE.COM HSA 405 WEEK 4 ASSIGNMENT 2 STRAYER LATEST HSA 405 Week 4 Assignment 2 - Health Insurance and Quality - Strayer Latest Imagine that you are the clinic manager of an urgent care center. Recently, your center has seen an increase in complaints regarding long wait times, inadequate or incomplete information from staff during visits, and the relatively small number of insurance types accepted at the facility. Write a two to three (2-3) page paper in which you: Examine at least three (3) examples of quality initiatives that could increase patient satisfaction and potentially reduce healthcare cost. Support the response with examples of the successful application your chosen quality initiatives. Defend your position on the decision to accept Medicare or Medicaid as potential pay sources for your urgent care center. Provide support with at least two (2) examples that illustrate your position. Use at least two (2) quality references. Note: Wikipedia and other Websites do not qualify as academic resources. Activity mode aims to provide quality study notes and tutorials to the students of HSA 405 Week 4 Assignment 2 Strayer Latest in order to ace their studies. HSA 405 WEEK 4 ASSIGNMENT 2 STRAYER LATEST To purchase this visit here: http://www.activitymode.com/product/hsa-405-week-4-assignment-2-strayer-latest/ Contact us at: ...
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...Reporting Practices and Ethics HCS/405 Victor Ho January 8, 2014 Reporting Practices and Ethics This paper will include a summary of the four elements of financial management, a summary of the generally accepted accounting principles, and a summary of the general financial ethical standards. The four elements of financial management are controlling, planning, directing and organizing, and decision making. The generally accepted accounting principles are generally known as GAAP, and are the basic accounting principles and guidelines. A few articles will be examined and examples that mirror ethical standards of conduct and financial reporting practices will be cited. The articles are Medicare Fraud: California Is Well-Represented on Federal List of Health Fraud Fugitives and Medicare Fraud Arrests. The Four Elements of Financial Management The four elements of financial management are controlling, planning, directing, organizing, and decision making. These four elements are the duties a financial manager must perform. Planning is where the objectives are recognized and the steps that must be taken for accomplishing these objectives are established. In the controlling element the financial manager must make sure each department in the organization is following the plans for accomplishing the set objectives. To ensure all plans are being followed, the financial manager will study the current reports and compare them with older reports. During the organizing...
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