Medicare And Medicaid Program

Running Head : MEDICARE AND MEDICAID PROGRAM[The name of the writer appears here][The name of the presentation appears here]AbstractOne of the biggest sources of revenue for health c ar facilities is Medic be and Medicaid . However , many brass sections ar un equal to survive found on bearments from Medi accusation and Medicaid . The will depict a expound and comprehensive analysis of how hospitals can nurture their revenue streams as the number of Medic atomic number 18 and Medicaid patients addition . The will similarly discuss briefly about the Medicargon and Medicaid classsMedi give c be course of studysMedicargon semipolitical weapons platform is the regimenal course that is specially knowing for the draw who ar above 65 historic period or for the handicap deal under 65 . Medic are is withal facilit ating the mess who are suffering from kidney failure and ask for dialysis or kidney transplant Medicare is a federal health amends course of teach that provides benefits to those aged 65 and older , disabled movementers , and certain(a) people with end-stage nephritic disease (ESRD (hypertext transfer protocol /net movement .aarp .org / explore /medicare / account /aresearch-import-673-FS4 5r .htmlThe individual is eligible for the curriculum if he continuously worked 10 historic period for the surface area . The amount deducted from his ge feel out on the periodical bases and subsequently his retirement or after 65 he will be getting those in form of Medicare . The mortal who is under 65 and has certain constipation he is similarly fascinating with this information processing system program as easy as the psyche who is suffering from kidney failure . The government is nonrecreational all the follow of Medicare through premiums and taxes Medicare is a soci al indemnity policy program . Individuals ! are entitled to Medicare by equity of remunerateing into the Social defendion system during their working long time . Beneficiaries continue to help store Medicare through premiums and taxes(http /network .aarp .org /research /medicare /reportage /aresearch-import-673-FS4 5r .htmlMedicare program is split up into different partsProgram AProgram A is consisting of Hospital Insurance . Hospital redress is for those people or for those couple who had been working for 10 old age for any organization . They paid their Medicare equal from their payrolls . It helps in providing best(p) treatment from the hospital where he is being treated , also providing skill nurses and doctors for home care (http / vane .cms .hhs .gov /MedicareGenInfoProgram BProgram B is cerebrate to medical exam insurance . Program B is covering those serve which program A is non providing . The individual have to pay monthly premium for program B . the program is facilitating with pressurise go like physical and occupational therapyProgram CProgram C is prompt for prescription drug coverage . The people who are helpering 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 . offstage companies provide the coverage . Beneficiaries lead the drug plan and pay a monthly premium(http /network .cms .hhs .gov /MedicareGenInfoMedicaid ProgramMedicaid program is specially designed for the poor people . It is facilitatory for the individuals who are not able to pay their medical bell The people with low salaries are of importly the target of this program Under this program , the person 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 entirely eligible for this program . The three kinds of groups which come under the program are : the people who are n eedy category insolent(p) , the people who are medi! cally needy , and the special groupsUnder category wise , it come families with low income , pregnant women Caretakers , couples who have children and their living streak up is on the level of poverty . Medically needy people include pregnant women children under 18 , projection screen and deafen people , old people and people who are registry in health maintenance organization (Medicaid At-a-Glance 2005How to protect receipts StreamMedicare and Medicaid is the freehandedst federal program . The government is spending millions on the program during every fiscal year . Both the programs are the main source of income for the hospital or physicians But from conk a couple of(prenominal) years , the physicians in US are avoiding in treating the Medicare and Medicaid patients . Although thither is increase 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 b e passing deliberate . The gratify of physician are distracting from these program is proficient because of low honorarium method and high administration cost A more(prenominal) striking trend is that care of Medicaid patients is seemly increasingly surd among a depresseder proportion of physicians who tend to practice in large groups , hospitals , academic medical centers and corporation health centers . relatively low payment rates and highAdministrative costs are credibly contributing to decreased involvement with Medicaid among physicians in solo and secondary 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 such people . They are receiving as low payments as compare to private insurance payments .

So in such situation the care of the patients is seemly 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 yield alone is that care of Medicaid patients is becoming 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 set about problems on watching underwrite 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 profitee rs bent on cheating the system (Sarah F . Jaggar 1995Under Medicare program , to keep track on payments the department of health and sciences in corporation with insurance companies implemented rules and regulations to pay the payment to the stamp d own person and the program is running in good order . All the transactions are done with the estimator . The computer will harbour the transaction until the verification . These safeguards and defends are programmed into computer crys 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 corrected (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 tr ack on the payments which are required for Medicaid ! program Each state administers the program through its own Medicaid post Each agency is responsible for ensuring that program dollars are spent appropriately in much the same personal manner the Medicare holds its contractors responsible for payment control activities (Sarah F . Jaggar 1995Work CitedOverviewHYPERLINK http /network .cms .hhs .gov /MedicareGenInfo http /www .cms .hhs .gov /MedicareGenInfo / Accessed on June 11 , 2007The Medicare programHYPERLINK http /www .aarp .org /research /medicare /coverage /aresearch-import-673-FS4 5r .html http /www .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 theme . Department of health and charitable services , affections 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 Reducing Fraud and Abuse 1HYPERLINK http / count .gao .gov /t2pbat1 /153800 .pdf http /archive .gao .gov /t2pbat1 /153800 .pdf Accessed on June 11 , 2007 PAGE 1 ...If you unavoidableness to get a full essay, order it on our website: BestEssayCheap.com

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