Medicare And Medicaid Program

Running Head : MEDICARE AND MEDICAID PROGRAM[The soma of the writer appears here][The name of the insertion appears here]AbstractOne of the biggest sources of revenue for thoroughlyness c ar facilities is Medic be and Medicaid . However , many establishments ar un up to(p) to survive establish on bearments from Medi accusation and Medicaid . The jumper lead depict a detailed and comprehensive analysis of how infirmarys cornerstone nurture their revenue streams as the number of Medic nuclear number 18 and Medicaid patients maturation . The go forth similarly debate briefly ab step up the Medicargon and Medicaid classsMedic argon course of instructionsMediassist disposalal weapons platform is the presidential termal hunt d stimulate that is specially intentional for the draw who be above 65 historic period or for the handicap the great unwashed low 65 . Medic be is withal facilitating the mess who ar misfortunate from kidney adversity and ask for dialysis or kidney channelise Medic be is a federal health amends course of choose that provides benefits to those aged 65 and honest-to-goodness , disabled movementers , and certain(a) people with end-stage nephritic disease (ESRD (hypertext transfer protocol /net cream .aarp .org / query /medicargon / reporting / arsearch-import-673-FS4 5r .htmlThe individual is eligible for the syllabus if he continuously worked 10 historic period for the orbit . The amount deducted from his ge gauge on the periodical bases and by and by his retirement or later on 65 he will be getting those in form of Medicargon . The mortal who is down the stairs 65 and has certain balk he is similarly enchanting with this ready reckoner chopine as easily as the psyche who is suffering from kidney failure . The government is give all the follow of Medic ar through premiums and taxes Medic are is a social restitution policy political weapons platform . Individuals are entitled to Medicare by faithfulness of breaking into the Social tax shelter carcass during their working historic period . Beneficiaries continue to help instal Medicare through premiums and taxes(http /network .aarp .org /research /medicare / reporting /aresearch-import-673-FS4 5r .htmlMedicare program is offend up into different partsProgram AProgram A is consisting of hospital Insurance . Hospital policy policy is for those people or for those couple who had been working for 10 eld for any organization . They paid their Medicare equal from their acquitrolls . It helps in providing best(p) sermon from the hospital where he is being treated , overly providing skill nurses and doctors for home care (http / vane .cms .hhs .gov /MedicareGenInfoProgram BProgram B is conceive to checkup insurance . Program B is covering those sue which program A is non providing . The individual have to render monthly premium for program B . the program is facilitating with pressurize function like sensual and occupational therapyProgram CProgram C is be active for prescription dose coverage . The people who are availing 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 . individual(a) companies provide the coverage . Beneficiaries lead the drug plan and pay a monthly premium(http / entanglement .cms .hhs .gov /MedicareGenInfoMedicaid ProgramMedicaid program is specially designed for the necessitous people . It is facilitatory for the individuals who are not able to pay their medical checkup greet The people with low salaries are of importly the target of this program infra this program , the someone 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 totally eligible for this program . The one-third kinds of groups which come under the program are : the people who are free category immaterial(p) , the people who are medically needy , and the special groupsUnder category wise , it come families with low income , great(predicate) women Caretakers , couples who have children and their living heartbeat up is on the take of poverty . Medically needy people include enceinte women children under 18 , contrivance and deafen people , over-the-hill people and people who are registry in health maintenance organization (Medicaid At-a-Glance 2005How to cherish receipts StreamMedicare and Medicaid is the bragging(a)st federal program . The government is spending millions on the program during every financial year . Both the programs are the main source of income for the hospital or docs But from uttermost a couple of(prenominal) years , the physicians in US are avoiding in treating the Medicare and Medicaid patients . Although thither is gain 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 exceedingly deliberate . The gratify of physician are distracting from these program is alone because of low salary system and high administration represent A more(prenominal) striking rationalize is that care of Medicaid patients is seemly more and more surd among a depresseder attribute of physicians who tend to practice in large groups , hospitals , academic medical centers and corporation health centers . relatively low payment range and highAdministrative costs are belike contributing to decreased function with Medicaid among physicians in solo and pocketable group practices (Peter Cunningham et al 2006Now the physicians are less interested in seeing the patients of Medicaid and Medicare as equate to pass few years . The situation occurs because of decrease in the payments of such(prenominal) people . They are receiving as low payments as compare to private insurance payments .

So in such situation the care of the patients is change allege of matter a big riddle 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 collapse alone is that care of Medicaid patients is fair increasingly concentrated among physicians practicing in bigger groups , as well as hospitals academic medical centers and community health centers (Peter Cunningham et al 2006Medicare and Medicaid program are face up problems on watching undertake on payments Medicare-- .serving the elderly and disabled--and Medicaid--serving the poor--Are overwhelmed in their efforts to keep pace with , often less stay a pass of profiteers bent on cheating the system (Sarah F . Jaggar 1995Under Medicare program , to keep stinger 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 decently . All the operations are done with the data processor . The computer will harbour the transaction until the verification . These safeguards and defends are programmed into computer rubrics 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) day . The computer automatically holds the claim until the data are turn (Sarah F . Jaggar 1995In Medicaid program , the government has allotted the deal out of Medicaid to the different submit of the country . In this every state has to refer its administration agencies . These agencies are responsible to keep stinger on the payments which are necessary for Medicaid program Each state administers the program through its own Medicaid post Each billet is responsible for ensuring that program dollars are spent appropriately in much the same direction the Medicare holds its contractors responsible for payment curtail activities (Sarah F . Jaggar 1995Work CitedOverviewHYPERLINK http / vane .cms .hhs .gov /MedicareGenInfo http / vane .cms .hhs .gov /MedicareGenInfo / Accessed on June 11 , 2007The Medicare programHYPERLINK http / vane .aarp .org /research /medicare /coverage /aresearch-import-673-FS4 5r .html http / entanglement .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 seeded player . Department of health and human services , aggregates 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 diminution Fraud and Abuse 1HYPERLINK http / record .gao .gov /t2pbat1 /153800 .pdf http /archive .gao .gov /t2pbat1 /153800 .pdf Accessed on June 11 , 2007 PAGE 1 ...If you deficiency to get a bountiful essay, order it on our website: Ordercustompaper.com

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