Premium Essay

Should Medicare/Medicaid Reduce Funding for Renal Dialysis Cases?

In:

Submitted By Davisonm54
Words 1004
Pages 5
Background
Many people, both young and old, utilize Medicare/Medicaid for the treatment of several chronic illnesses such as kidney disease and End Stage Renal Disease (ESRD) which is the last stage of chronic kidney disease and is characterized by permanent irreversible kidney failure. ESRD patients include those who are treated with dialysis—and those who have a functioning kidney transplant. According to the National Kidney Foundation’s website (National Kidney Foundation, http://www.kidney.org/kidneydisease/threesimpletests.cfm) the numbers are epidemic as many as 25 million American adults are diagnosed with chronic kidney disease. In an effort to combat kidney disease and to find treatment cures, the National Institute of Health (NIH) spends $655 million on kidney disease research and Medicare spends approximately $24 billion per year or approximately more than $35 billion towards the care for over 525,000 patients with end-stage kidney failure alone.
Individuals with end-stage renal disease (ESRD)—irreversible loss of kidney function—require either dialysis or kidney transplantation to survive (add cite). Dialysis replaces the filtering function of the kidneys when they fail to operate properly and transplantation involves the transplanting of a donor kidney to an ill patient. There are two methods of dialysis and both have advantages and disadvantages—no one type of dialysis is best for everyone. The dialysis method that people select are based on what their provider suggests, their quality of life and their awareness of the different methods and their personal preferences (add direct quote cite). Because of the limited number of kidneys available for transplantation and because of potential patients’ suitability for transplantation, 70 percent of ESRD patients undergo dialysis. Patients receive additional items and services related to their dialysis

Similar Documents

Free Essay

Medicare Funded Organ Transplants

...| Medicare Funded Organ Transplants | Ethical Issues | | Pamela Caldwell | 10/16/2011 | Keller Graduate School of Management | Medicare Funded Organ Transplants: Ethical Issues Introduction “Ethical issues are the branch of philosophy that defines what is good for the individual and for society and establishes the nature of obligations, or duties, that people owe themselves and one another. In modern society, ethics define how individuals, professionals, and corporations choose to interact with one another.” (Ethics, Legal legal definition of Ethics, Legal. Ethics, Legal synonyms by the Free Online Law Dictionary.) The ethical issue with Medicare funded organ transplants is who it should be eligible and the problem that the needed immunosuppressant drug is only available for a limited amount of time through Medicare funding. The value of a person’s life has been fragmented down to if they have worked long enough, have enough wealth and/or resources to deserve an organ transplant; and the required drugs. This is troublesome in the regard to should everyone have an equal shot to a prolonged life and quality of care. Only those who have the ability to pay will be put on the waiting list for an organ. Define Problem How can Medicare better handle the ethical issues faced with funding organ transplants and the medication needed? “Since 1973, end-stage renal disease has been the only condition specifically covered by Medicare regardless of age...

Words: 2617 - Pages: 11

Premium Essay

Medicare vs. Medicaid

...States doesn’t have universal health care, we refer to the Medicare and Medicaid system. Medicare is referred to as “the universal health insurance for elderly people” (Barr, 2011, pg.132). Medicare is a federal program that helps all people 65 years or older pay for healthcare. Those who qualify for Social Security benefits are automatically eligible for Medicare (Barr, 2011). When Medicare was passed in 1965, only 56 percent of elderly people have hospital insurance. It was a strong national consensus that none of the elderly in United States should face financial ruins because serious illnesses were seen as a threat to financial security of seniors (Barr, 2011). Due to that reason, Medicare was created to ensure financial stability. Not only does Medicare cover people 65 years and older, but it also covers individuals with certain disabilities, and individuals with End-Stage Renal Disease that requires dialysis or transplant (Medicare.gov). Unlike Medicare, Medicaid was not created as a program for all people who fall below that poverty line. It only covers certain subgroups of poor people (Barr, 2011). Medicaid provides medical benefits to groups of low-income people, some who may have no medical insurance or inadequate medical insurance, health care to children, pregnant women, parents, senior, and individuals with disabilities (Medicaid.gov). Medicare is made up of four different parts: part A, B, C, and D. Medicare part A is a service plan for hospital care. All people eligible...

Words: 2289 - Pages: 10

Premium Essay

Women and Diabetes

...for Medicare Recipients Abstract In recent years, diabetes has become one of the top 10 causes of death among women. Research has revealed that women 65 years and older account for 40% of the population and numbers are expected to increase exponentially. Vigorous medication management and coordination of care is instrumental in treating diabetes effectively. The patchwork of health insurance that exist today, particularly Medicare Part D, is culpable in allowing unequivocal disparities among race, gender, and socioeconomic status. This paper will examine quality of care among Medicare beneficiaries, particularly women, and implications for revision in social policy. Maintaining an active and healthy lifestyle is a necessity for achieving longevity. A nutritional, well balanced diet coupled with regular exercise is a simple, yet effective way to sustain healthy living. Neglecting to address diet and exercise, as part of a weekly regimen, is a precursor to the onset of an acute, lifelong illness. Diabetes is one of the largest and fastest growing causes of chronic disease mortality, morbidity, and disability in the United States (Robbins & Webb, 2006). Currently, there is no vaccine to prevent diabetes and no cure for the disease once acquired. According to the American Diabetes Association, more than twenty-three million Americans have diabetes. Patients age 65 years or older account for approximately forty percent of all cases, the largest...

Words: 3809 - Pages: 16

Premium Essay

Boulder

...HBSP Product Number TCG239 THE CRIMSON PRESS CURRICULUM CENTER THE CRIMSON GROUP, INC. Boulder Public Schools Edward Caton, a teacher in a midsize elementary school in Boulder, Colorado, hoped someday to rise through the administrative ranks to serve as a principal of his own school, but he felt that to do so, he should understand more about the position to which he aspired. This was especially important to him in terms of the control he might have over the budget, which he knew was central to real power in many organizations. In an effort to learn more about the operations of the Boulder Public Schools, he set up some informational interviews with the principals of an elementary school, a middle school, and a high school. Before making those rounds, he visited the headquarters of the Boulder School Committee to obtain background information for his interviews. BACKGROUND Mr. Caton learned that the Department of Implementation (DI) was central to the school system. It’s manager reported directly to the Superintendent of Schools. The DI was responsible for making school enrollment projections each December for the coming fiscal year (which ran from July to June). These projections were important since annual staffing needs for each school were determined by a rather complex formula that used the DI's projections as the starting point. Moreover, since personnel formed the bulk of the budget, these projections effectively determined a school's budget. Each school...

Words: 24591 - Pages: 99

Premium Essay

Universal Insurance

...Universal insurance Course Project Implementation of Universal Health Health Policy and Economics June 22, 2014 Diera Kelley DvKelley30@Gmai.com Table of Contents Executive Summary Pg. 3 Define the Problem Pg. 4 Literature Review Pg. 4 Problem Analysis Pg. 9 I. The Uninsured II. The insured Possible Solutions Pg. 11 Solution and its Implementation Pg. 17 Justification Pg.19 References Pg.21 EXECUTIVE SUMMARY: The current health care crisis is depicted to be solved by the usage of Universal Health Coverage or UHC. This defined as the process of providing quality healthcare coverage with the aspect of financial gain or hardship. Since the assembly in 2005 of the World Health Assembly several countries have...

Words: 5210 - Pages: 21

Premium Essay

5 Theroies

...mail written comments to the following address only: Centers for Medicare & Medicaid Services, Department of Health and Human Services, Attention: CMS–3239– P, P.O. Box 8010, Baltimore, MD 21244– 8010. Please allow sufficient time for mailed comments to be received before the close of the comment period. 3. By express or overnight mail. You may send written comments to the following address only: Centers for Medicare & Medicaid Services, Department of Health and Human Services, Attention: CMS–3239–P, Mail Stop C4–26–05, 7500 Security Boulevard, Baltimore, MD 21244–1850. 4. By hand or courier. If you prefer, you may deliver (by hand or courier) your written comments before the close of the comment period to either of the following addresses: a. For delivery in Washington, DC— Centers for Medicare & Medicaid Services, Department of Health and Human Services, Room 445–G, Hubert H. Humphrey Building, 200 Independence Avenue, SW., Washington, DC 20201. (Because access to the interior of the Hubert H. Humphrey Building is not readily available to persons without Federal government identification, commenters are encouraged to leave their comments in the CMS drop slots located in the main lobby of the building. A stamp-in clock is available for persons wishing to retain a proof of filing by stamping in and retaining an extra copy of the comments being filed.) b. For delivery in Baltimore, MD— Centers for Medicare & Medicaid Services, Department of Health and Human Services, 7500 Security...

Words: 34753 - Pages: 140

Premium Essay

Financial Disclosure Management

...Financial Disclosure Management by Nonprofit Organizations1 Ranjani Krishnan, Michelle H. Yetman, Robert J. Yetman* Eli Broad College of Business, Michigan State University, East Lansing, MI 48824. Tippie College of Business, The University of Iowa, Iowa City, IA 52240 ______________________________________________________________________________ Abstract This paper examines how nonprofit organizations respond to incentives to manage their publicly available financial information. Prior research identifies two operating ratios donors commonly use to evaluate the efficiency and effectiveness of nonprofits (i.e., the program service ratio, defined as the fraction of total expenses committed to advancing the charitable mission of the organization, and the fundraising ratio, defined as the ratio of fundraising expenses to donations revenue). Nonprofit managers have an incentive to over-report the expenses classified as program services and under-report the expenses classified as administrative and fundraising in order to improve these ratios. We examine whether nonprofits respond to these incentives, and we find evidence consistent with opportunistic cost shifting to improve the program service and fundraising ratios. Additional analysis finds that smaller nonprofits that are more reliant on donations revenue manipulate their operating ratios to a greater extent. JEL classification: M4; L3 Key words: Nonprofit organizations, earnings management, disclosure, hospitals. __...

Words: 12480 - Pages: 50

Premium Essay

Aksxöm

...Centre for Economic Policy Research Center for Economic Studies Maison des Sciences de l'Homme Alternative Systems of Health Care Provision Author(s): Timothy Besley, Miguel Gouveia and Jacques Drèze Reviewed work(s): Source: Economic Policy, Vol. 9, No. 19 (Oct., 1994), pp. 199-258 Published by: Wiley on behalf of the Centre for Economic Policy Research, Center for Economic Studies, and the Maison des Sciences de l'Homme Stable URL: http://www.jstor.org/stable/1344496 . Accessed: 24/12/2012 16:11 Your use of the JSTOR archive indicates your acceptance of the Terms & Conditions of Use, available at . http://www.jstor.org/page/info/about/policies/terms.jsp . JSTOR is a not-for-profit service that helps scholars, researchers, and students discover, use, and build upon a wide range of content in a trusted digital archive. We use information technology and tools to increase productivity and facilitate new forms of scholarship. For more information about JSTOR, please contact support@jstor.org. . Wiley, Centre for Economic Policy Research, Center for Economic Studies, Maison des Sciences de l'Homme are collaborating with JSTOR to digitize, preserve and extend access to Economic Policy. http://www.jstor.org This content downloaded on Mon, 24 Dec 2012 16:11:43 PM All use subject to JSTOR Terms and Conditions Alternative systems of health care provision Timothy Besley and MiguelGouveia and of Princeton University University Pennsylvania 1. I[ntroduction Around...

Words: 27182 - Pages: 109

Premium Essay

Loma Level 1 Essays

...Prepared By: Advantage Team, Metlife 1. Amitabha Roy 2. Sandeep Shekhar 3. Sudipta Chatterjee 4. Sanjoy Dey 5. Sumantra Gupta TABLE OF CONTENTS CHAPTER 1: INTRODUCTION AND INDIVIDUAL LIFE INSURANCE 3 CHAPTER 2: REGULATION OF THE INSURANCE INDUSTRY 5 CHAPTER 3: INTRODUCTION TO RISK AND INSURANCE 9 CHAPTER 4: MEETING NEEDS FOR LIFE INSURANCE 15 CHAPTER 5: THE INSURANCE POLICY 19 CHARTER 6: PRICING LIFE INSURANCE. 22 CHAPTER 7: TERM LIFE INSURANCE 26 CHAPTER 8: PERMANENT LIFE INSURANCE AND ENDOWMENT INSURANCE 30 CHAPTER 9: SUPPLEMENTARY BENEFITS 37 CHAPTER 10: LIFE INSURANCE POLICY PROVISIONS 44 CHAPTER 11: LIFE INSURANCE BENEFICIARY POLICIES 50 CHAPTER 12: ADDITIONAL OWNERSHIP RIGHTS 52 CHAPTER 13: PAYING LIFE INSURANCE POLICY PROCEEDS. 59 CHAPTER 14: PRINCIPLES OF GROUP INSURANCE POLICY 63 CHAPTER 15: GROUP LIFE INSURANCE. 68 CHAPTER 16: ANNUITIES AND INDIVIDUAL RETIREMENT SAVINGS PLANS 73 CHAPTER 17: GROUP RETIREMENT AND SAVINGS PLAN. 84 CHAPTER 18: MEDICAL EXPENSE COVERAGE 90 CHAPTER 19: DISABILITY INCOME COVERAGE. 94 CHAPTER 20:TRADITIONAL GROUP HEALTH INSURANCE PLANS 98 CHAPTER 21: TRADITIONAL INDIVIDUAL HEALTH INSURANCE POLICIES 104 CHAPTER 22: MANAGED CARE PLANS 109 CHAPTER 23: REGULATION OF HEALTH INSURANCE 113 CHAPTER 1: INTRODUCTION AND INDIVIDUAL LIFE INSURANCE Insurance companies are organized as either • Stock Insurance...

Words: 39952 - Pages: 160

Premium Essay

Fairnees Cream for Men

...is President and CEO of Fiduciary Network, LLC. Steven E. Cortez is Executive Vice President. Christine L. Boudreaux is Director of Adviser Communications, and Benjamin J. Robins is General Counsel. Yvonne N. Kanner is Executive Vice President and COO, and Shehzad Sippy is a Research Analyst. Adam L. Bartkoski is Director of Adviser Operations and Development, and Ana M. Avila is an Intern. © Copyright Fiduciary Network, LLC, 2007 This material is for your private information, and we are not soliciting any action based upon it. Opinions expressed are our current views only, at the time of writing. The material enclosed is based upon information that we consider reliable, but we do not represent that it is accurate or complete, and it should not be relied upon as such. Acknowledgements We had three goals in writing this study. First, we wanted to provide people who work for pharmaceutical companies with a “30,000 foot” perspective on how and why their industry is...

Words: 43374 - Pages: 174

Free Essay

Test2

...62118 0/nm 1/n1 2/nm 3/nm 4/nm 5/nm 6/nm 7/nm 8/nm 9/nm 1990s 0th/pt 1st/p 1th/tc 2nd/p 2th/tc 3rd/p 3th/tc 4th/pt 5th/pt 6th/pt 7th/pt 8th/pt 9th/pt 0s/pt a A AA AAA Aachen/M aardvark/SM Aaren/M Aarhus/M Aarika/M Aaron/M AB aback abacus/SM abaft Abagael/M Abagail/M abalone/SM abandoner/M abandon/LGDRS abandonment/SM abase/LGDSR abasement/S abaser/M abashed/UY abashment/MS abash/SDLG abate/DSRLG abated/U abatement/MS abater/M abattoir/SM Abba/M Abbe/M abbé/S abbess/SM Abbey/M abbey/MS Abbie/M Abbi/M Abbot/M abbot/MS Abbott/M abbr abbrev abbreviated/UA abbreviates/A abbreviate/XDSNG abbreviating/A abbreviation/M Abbye/M Abby/M ABC/M Abdel/M abdicate/NGDSX abdication/M abdomen/SM abdominal/YS abduct/DGS abduction/SM abductor/SM Abdul/M ab/DY abeam Abelard/M Abel/M Abelson/M Abe/M Aberdeen/M Abernathy/M aberrant/YS aberrational aberration/SM abet/S abetted abetting abettor/SM Abeu/M abeyance/MS abeyant Abey/M abhorred abhorrence/MS abhorrent/Y abhorrer/M abhorring abhor/S abidance/MS abide/JGSR abider/M abiding/Y Abidjan/M Abie/M Abigael/M Abigail/M Abigale/M Abilene/M ability/IMES abjection/MS abjectness/SM abject/SGPDY abjuration/SM abjuratory abjurer/M abjure/ZGSRD ablate/VGNSDX ablation/M ablative/SY ablaze abler/E ables/E ablest able/U abloom ablution/MS Ab/M ABM/S abnegate/NGSDX abnegation/M Abner/M abnormality/SM abnormal/SY aboard ...

Words: 113589 - Pages: 455