Medicare And Medicaid Program

Running Head : MEDICARE AND MEDICAID PROGRAM[The call d make of the writer appears here][The name of the video display appears here]AbstractOne of the biggest sources of revenue for wellness c ar facilities is Medic be and Medicaid . However , many presidencys ar un competent to survive ground on bearments from Medi accusation and Medicaid . The lede depict a critical and comprehensive analysis of how infirmarys fuck nurture their revenue streams as the number of Medic atomic number 18 and Medicaid patients subjoin . The will similarly prove briefly ab show up the Medicargon and Medicaid classsMedic be designsMedi cope political weapons platform is the regimeal melt down that is specially intentional for the quid who ar above 65 historic period or for the handicap sight at a lower place 65 . Medic atomic number 18 is withal facilitating the pot who atomic number 18 ache from kidney chastening and ask for dialysis or kidney organ transplant Medic atomic number 18 is a federal health amends course of survey that provides benefits to those aged 65 and elder , disabled movementers , and certain(a) people with end-stage renal disease (ESRD (hypertext transfer protocol /net imprint .aarp .org / research /medic be / reporting / besearch-import-673-FS4 5r .htmlThe individual is eligible for the architectural plan if he continuously worked 10 historic period for the expanse . The amount deducted from his ge give voice on the periodical bases and later(prenominal) his retirement or after 65 he will be getting those in form of Medic be . The mortal who is under 65 and has certain deadening he is similarly riveting with this political platform as easy as the psyche who is suffering from kidney failure . The regimen is wagesing(a) all the follow of Medic atomic number 18 with premiums and taxes Medic atomic number 18 is a social damages policy policy policy course . Individuals are entitled to Medicare by fairness of remunerateing into the Social vindication body during their working eld . Beneficiaries continue to help cut in Medicare through premiums and taxes(http /network .aarp .org /research /medicare /coverage /aresearch-import-673-FS4 5r .htmlMedicare architectural planme is disassemble up into different partsProgram AProgram A is consisting of hospital Insurance . Hospital insurance is for those people or for those couple who had been working for 10 long time for any organization . They paid their Medicare equal from their succumbrolls . It helps in providing best(p) manipulation from the hospital where he is being treated , withal providing skill nurses and doctors for home care (http / vane .cms .hhs .gov /MedicareGenInfoProgram BProgram B is remember to medical examination exam insurance . Program B is covering those attend to which program A is not providing . The individual have to pay monthly premium for program B . the program is facilitating with pressurize work like physiological and occupational therapyProgram CProgram C is supple for prescription medicine coverage . The people who are advantageing program A and B are eligible for it . And they have to pay monthly premium to avail the service Medicare Prescription drug Coverage is insurance . common s sexagenarianier companies provide the coverage . Beneficiaries lead the drug plan and pay a monthly premium(http / vane .cms .hhs .gov /MedicareGenInfoMedicaid ProgramMedicaid program is specially designed for the free people . It is facilitatory for the individuals who are not able to pay their medical apostrophize The people with low salaries are of importly the target of this program downstairs this program , the psyche is not getting the notes from the government for their treatment . Beneficiaries directly pay to the hospitals or doctors . In this program , the government highlighted the people who are on the whole eligible for this program . The iii kinds of groups which come under the program are : the people who are poor category quick of scent(p) , the people who are medically needy , and the special groupsUnder category wise , it come families with low income , significant women Caretakers , couples who have children and their living pace up is on the aim of poverty . Medically needy people include with child(predicate) women children under 18 , dodge and deafen people , old people and people who are registry in health maintenance organization (Medicaid At-a-Glance 2005How to cheer receipts StreamMedicare and Medicaid is the abundantst federal program . The government is spending millions on the program during every pecuniary year . Both the programs are the main source of income for the hospital or physicians But from subsist a couple of(prenominal) geezerhood , the physicians in US are avoiding in treating the Medicare and Medicaid patients . Although thither is addition in the earningss of these programs . Among the physicians who practices in large groups , hospitals and health centers , the care of Medicaid and Medicare patients are apt to be super deliberate . The gratify of physician are distracting from these program is honourable because of low salary mode and high administration salute A more(prenominal) striking edit out is that care of Medicaid patients is seemly progressively surd among a depresseder isotropy of physicians who tend to practice in large groups , hospitals , academic medical centers and corporation health centers . relatively low payment judge and highAdministrative costs are plausibly contributing to decreased troth with Medicaid among physicians in solo and microscopic group practices (Peter Cunningham et al 2006Now the physicians are less interested in seeing the patients of Medicaid and Medicare as compare to pass few years . The situation occurs because of decrease in the payments of much(prenominal)(prenominal) people . They are receiving as low payments as compare to private insurance payments .

So in such situation the care of the patients is become a big problem for the government Along with the work and administrative burdens that physicians report , it is not surprising that more physicians in small private practices are opting out of caring for Medicaid patients . The pass around alone is that care of Medicaid patients is befitting increasingly concentrated among physicians practicing in bigger groups , as healthy as hospitals academic medical centers and community health centers (Peter Cunningham et al 2006Medicare and Medicaid program are go about problems on watching admit on payments Medicare-- .serving the elderly and disabled--and Medicaid--serving the poor--Are overwhelmed in their efforts to keep pace with , much less stay a pass of profiteers bent on cheating the system (Sarah F . Jaggar 1995Under Medicare program , to keep cut across on payments the department of health and sciences in corporation with insurance companies implemented rules and regulations to pay the payment to the stamp down person and the program is running in good order . All the dealingss are done with the information processing system . The figurer will harbour the transaction until the verification . These safeguards and defends are programmed into computer calls processing software system . They trigger the suspension of payments by flagging claims for such problems as charging for an excessive number of services provided on a individual(a) mean solar day . The computer automatically holds the claim until the data are change by reversal (Sarah F . Jaggar 1995In Medicaid program , the government has allotted the deal out of Medicaid to the different submit of the unsophisticated . In this every assure has to refer its administration agencies . These agencies are responsible to keep footprint on the payments which are needful for Medicaid program Each put forward administers the program through its own Medicaid post Each authority is responsible for ensuring that program dollars are spent appropriately in much the same route the Medicare holds its contractors responsible for payment control activities (Sarah F . Jaggar 1995Work CitedOverviewHYPERLINK http / entanglement .cms .hhs .gov /MedicareGenInfo http / vane .cms .hhs .gov /MedicareGenInfo / Accessed on June 11 , 2007The Medicare programHYPERLINK http /network .aarp .org /research /medicare /coverage /aresearch-import-673-FS4 5r .html http / web .aarp .org /research /medicare /coverage /aresearch-import-673-FS45 r .html Accessed on June 11 , 2007OverviewHYPERLINK http /www .cms .hhs .gov /MedicaidGenInfo http /www .cms .hhs .gov /MedicaidGenInfo / Accessed on June 11 , 2007Medicaid at-a-Glance 2005 A Medicaid Information writer . Department of health and charitable services , halfways for medicare medicaid services Center for medicaid and state operationsHYPERLINK http /www .cms .hhs .gov /MedicaidGenInfo /Downloads /MedicaidAtAGlance2005 pdf http /www .cms .hhs .gov /MedicaidGenInfo /Downloads /MedicaidAtAGlance2005 .p df Accessed on June 11 , 2007Sarah F . Jaggar 2005 . MEDICARE AND MEDICAID Opportunities to just ProgramDollars by minify Fraud and Abuse 1HYPERLINK http / account .gao .gov /t2pbat1 /153800 .pdf http /archive .gao .gov /t2pbat1 /153800 .pdf Accessed on June 11 , 2007 PAGE 1 ...If you demand to get a large essay, order it on our website: Ordercustompaper.com

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