Comparison Of Medicaid And Medicare

In many ways the Affordable Care Act helped many people in the US. Today, Medicaid provides care for poor families with children as well as many people with severe disabilities; it also provides long term care, mostly in nursing homes, for the low income elderly. Money that is saved would go to the poor/homeless people getting preventive health care rather than ending up seeking expensive emergency room treatment after long-untreated medical conditions worsened. Our group has a better idea to solve this

The Joint Commission was founded in 1951 was also went through a name change and became the Joint Commission on Accreditation. Hospital facilities are under Joint Commission of Hospitals across the US. In 1953, JCAH began accrediting hospitals. The Social Security Amendments of 1965 passed by Congress announced that hospitals accredited by JCAH were allowed to participate in the Medicaid and Medicare programs. In 1987, the name was shortened and it became the Joint Commission on Accreditation of Healthcare Organizations (JCAHO).

Another change as a result of HIPPA was that President Obama signed the American Recovery and Reinvestment Act. Revisions and provisions relating to deceased individuals health information; business associate requirements; the minimum necessary

Medicare was initially formed as a health insurance program to provide aid in medical expenses for the elderly. President Lyndon B. Johnson influenced the path of these Medicare and Medicaid programs during his term as president in 1965. During the time that Ronald Reagan was president, new Medicare cost control approaches for health care providers emerged, which aided determining reasonable charges for the services provided and payment options. Medicare and Medicaid were the establishment of a mainstream model of federal medical assistance to people who are unable to secure it for themselves. Over time, many different policies have been endorsed to provide access to health care for specific groups who may be unable to pay for their own medical

Why do LTCF/nursing homes play an important role in the continuum of care? Goldberg, T., (2014), explained how Medicare and Medicaid supports nursing homes in the continuum of care for the elderly. He stated that from their establishment in 1965 as a part of the Social Security Act both Medicare (Health Insurance for the Aged and Disabled) and Medicaid (Medical Assistance for the Poor) cover aspects of long-term care (LTC) but in different ways. He added, that Medicaid covers long-term nursing home care for those who qualify financially and medically, but generally does not cover residential care/assisted living. The coverage provided under Medicare is more complicated because of its four different parts: • Medicare Part B covers physician services and therapies, generally regardless of location (i.e. physicians bill Medicare Part B for patients seen in hospitals, outpatient or LTC settings, but using different billing codes based on setting).

Under the Balanced Budget Act (BBA), the Health Care Financing Administration (HCFA) put into effect a nationwide Prospective Payment System (PPS) within Skilled Nursing Facilities to reimburse inpatient service costs for beneficiaries covered under Medicare Part A as of July 1,1998 (Skilled Nursing facility PPS, 2013). Generally, Medicare Part A covers beneficiaries within the following inpatient settings: SNFs, hospitals, nursing homes, hospice, and home health services (What Part A Covers, n.d.). Medicare Part A uses a Prospective Payment System at a per diem rate. In other words, Medicare Part A pays SNFs pre-determined daily rates for patient care, meaning they are dictating the daily allowance of expenses used for services (Skilled Nursing

There are a variety of different ways that the Affordable Care Act has affected nursing. One specific way in which it has affected it nurses are those that work in poverty or low-income areas. Nurses that choose to work in a public health workforce. Those who can work in a public health are offered a loan repayment option. This program is to ensure that adequate health care professionals are available, in efforts to eliminate the shortage.

Healthcare insurance have developed over years since it started since 1920 and that was a route for HMO. Healthcare insurance may be private like blue cross and public like Medicare, Medicaid. Most far reaching private health insurance programs take care of the expense of standard, preventive, and crisis human services techniques, furthermore most professionally prescribed medications, yet this was not generally the situation. The ascent of private protection was joined by the slow extension of open protection programs for the individuals who couldn 't secure scope through the business sector. For example, When an injured person goes to the emergency room and receives treatment, he has to pay for the treatment even if he has an insurance the hospital bills goes to the insurance or to the center of Medicare and Medicaid services and if he does not have any insurance he has pay from his pocket and if he is not able to pay it hospitals may write off the payment or payment is paid by some charity.

Depending on your health insurance, you will receive a card similar to a debit card allowing you to pay for medical expenses. Other plans require you to submit documentation or receipts so your insurance company can reimburse you for your expense. You can use flexible spending accounts for any dependents that you claim on your taxes or any adult children in your home under the age of 26. Flexible spending accounts also allow you to use the funds for any approved medical expenses incurred by your spouse. At the end of the plan year, you will forfeit any money left in the account, although some employers provide you with a short grace period.

Families will be affected on labor supply, total savings, and expenditure. As these health issues emerge it will consume much more of Medicare 's budget. The medicare program covers nearly 50 million elderly. The aging population will also have an impact on the economy. First, more people will be claiming pension benefits.

Public health issues