The Four Components Of Medicare

Should the government play a key role in aiding the uninsured, or should market forces reign supreme?

At the beginning of my senior year in high school, I was still having trouble deciding what I wanted to do with my life. My mom, who works as a COTA in nursing homes, always pushed me towards nursing or physical therapy. Neither occupation interested me, nursing was too broad of a topic for me to handle and physical therapy seemed too difficult. A friend of mine brought up Speech-Language Pathology one day, a term I was unfamiliar with. I researched the strange word “pathology” and was surprised that I found the profession interesting. I conducted a PowerPoint on this career in my writing class, shortly after my interest in Speech-Pathology began. After I gave my presentation, there was no doubt

In the United States, Medicare is the program supports people over age 65 with medical care. It also provides support for persons with certain disabilities and people of all ages who have kidney failure. Medicaid is a state administered program that provides medical support for a broad range of people. However, each state administers Medicaid individually and this creates inconsistencies in the program across the country. There are specific rules for judging just how much money someone receiving Medicaid can make and be eligible. In addition, there are separate rules for people in nursing homes and children with disabilities who live at home. There is a long list of regulations that explain who is eligible for which services. The Patient Protection

“Saskatchewan’s favourite politician, ‘father of the Medicare’ Tommy Douglas, is among 11 Canadians who were recently inducted into the Canadian Medical Hall of Fame”(Wharry,1998,p.211). Tommy Douglas, who was known for his creation of Medicare, devoted himself into creating a promising future for Canada. There is no doubt that he is the greatest Canadian.

Medicare is a federal government administered healthcare program originally implemented on July 1, 1996. Medicare has four parts (A, B, C and D) that provide different areas and differing levels of coverage. All Medicare programs provide coverage for cover healthcare services to qualifying individuals, known as beneficiaries, which includes Social Security beneficiaries over the age 65, people under 65 with certain disabilities, and people of all ages with end-stage renal disease. Each program provides coverage for medically necessary care and services to covered beneficiaries and has deductibles or copays for covered services. Medicare Part A, Medicare Part B and Medicare Part C all provide coverage for medical services. Medicare Part C and Part D provides prescription drug coverage.

The Affordable Care Act also covers seniors on preventative services and annual wellness visits. Medicare beneficiaries are eligible to receive many preventive services with no out-of-pocket costs. These include flu shots, tobacco cessation counseling, as well as no-cost screenings for cancer, diabetes, and other chronic diseases. Seniors can also get an annual wellness visit so they can talk to their doctor about any health concerns. Because of the ACA, over 39 million seniors have received at least one of these preventive services with no out-of-pocket costs. (NCPSSM, 2015)

Explain how your changes will impact those middle income families who want and can afford premium coverage.

The part of interest groups in dealing with Medicare in any aspect is primarily negative. It all goes back to the initial implementation of Medicare. This changed over time as the interest for the necessities of the elderly changed. Medicare Part D fundamentally altered the interest groups that sustained and struggled with it. The most insightful result was the political depiction of the older generation. There were those groups that developed prior to Medicare that were relatively small in nature. The chief role of those interest groups before 1965 was to minimize coverage to older adults which was an approach to expand government control (Marmor, 1970). The American Association for Retired Persons, better known as AARP, was first created

“Healthcare Reform 101,” written by Rick Panning (2014), is a wonderful article that describes, in an easy-to-understand language, the Patient Protection and Affordable Care Act, signed into law March 23, 2010. The main goal of the Patient Protection and Affordable Care Act was to provide affordable, quality healthcare to Americans while simultaneously reducing some of the country’s economic problems. Two areas will be covered throughout this paper. The first section will include a summary of the major points and highlights of Panning’s (2014) article, including an introduction to the ACA, goals of the signed legislation, provided coverage, and downfalls of the current healthcare system. The second part will be comprised of a professional

The focus of this paper is to provide knowledge over the Medicare and its requirements. This paper explains some challenges that might occur with the choices on Traditional Medicare, with Medicare+Choice, there is usually an incentive financially or at least an encouragement for a transfer to the private sector for little to no cost. Medicare and Medicaid, two publicly funded health programs, both cover populations in need of long-term care, but they are poorly coordinated. Spending on post-acute services in Medicare and long-term care services have grown more rapidly since 1999. Although growing numbers of people receive home and community-based

On February 12, 2006, President Bush stated that competition between Medicare prescription drug plans has reduced costs for beneficiaries and taxpayers and that, on average, Medicare beneficiaries will pay about half of the amount that they paid for medications before the drug benefit was implemented. (American Health Line, Monday, February 13, 2006,

Medicare is a part of the insurance that is for people sixty-five and older. This means you have to be receiving social security or disability income. There are different parts of Medicare people qualify for including Part A, Part B, Part C, and Part D. Medicare Part A is hospitalizations and acute care, for people that would be in a skilled nursing facility. Medicare Part B is outpatient care this includes such as surgeries and doctor visits. Medicare Part C is Medicare advantage plans is an alternative way to receive Medicare benefits. Medicare Part D is most common and is the prescription drug

This is where one type of plan will explain what is to be expected for users. Explaining the benefits is practically as important as the application itself: for determining the value of the health care may be "service dependent" ("Medicaid", 2015). Another important term that should be well known is clean claims. Clean claims identify the health professional, health facility, home health care provider or durable medical equipment provider that has given service to verify affiliation status. In short, it identifies a lot of the medical information to make it more transparent. It is not to be mistaken as being part of the medical billing process like balance billing, which is the practice of a provider to bill a client the difference between what the insurance will reimburse and what the provider chooses to charge ("Medicare", 2015). While both are incredibly useful, they are indeed different (2015).

Just yesterday, the presidential candidates, Democratic Congressman Matthew Santos and Republican Senator Arnold Vinick squared off in a live debate moderated by Forrest Soyer. During Vinick’s opening statement, the candidates decide to forgo the negotiated rules in favor of a less constricting debate format. The two address multiple current topics, some of which include: gun control, illegal immigration, tax cuts, health care, and foreign debt relief.

I believe Canada is the best country to live in for numerous reasons. Canada is known for its diversity, unique culture and of course the good side of Niagara Falls. It is a beautiful and peaceful country, welcoming people with open arms. Canada offers citizens as well as newcomers many opportunities to grow, learn and live an amazing quality of life. It is the best place to live in due to many factors. Canada offers free education, healthcare and lastly, it is one of the safest and secure countries in the world.