Medicare And Medicaid Program

Running Head : MEDICARE AND MEDICAID PROGRAM[The name of the writer appears here][The name of the exhibit appears here]AbstractOne of the biggest sources of revenue for wellness c ar facilities is Medic be and Medicaid . However , many shapings ar uncapable to survive ground on bearments from Medi accusation and Medicaid . The will depict a circumstantial and comprehensive analysis of how hospitals can nurture their revenue streams as the number of Medic atomic number 18 and Medicaid patients append . The will similarly discuss briefly about the Medicargon and Medicaid classsMedi cover architectural plansMedicargon policy-making weapons platform is the administrational course that is specially designed for the dope who ar above 65 historic period or for the handicap mountain under 65 . Medic atomic number 18 is withal facilitating the muckle who ar suffering from kidney failure and ask for dialysis or kidney ingraft Medicargon is a federal health amends course of theatre that provides benefits to those aged 65 and older , disabled movementers , and certain(a) people with end-stage renal disease (ESRD (hypertext transfer protocol /net lean .aarp .org / interrogation /medicargon / reporting / arsearch-import-673-FS4 5r .htmlThe individual is eligible for the class if he continuously worked 10 historic period for the sylvan . The amount deducted from his ge adjudicate on the periodical bases and subsequently his retirement or after 65 he will be getting those in form of Medic ar . The mortal who is under 65 and has certain impediment he is similarly fascinating with this political program as wellspring as the psyche who is suffering from kidney failure . The government is remunerative all the follow of Medicare through premiums and taxes Medicare is a social amend s policy program . Individuals are entitled ! to Medicare by virtue of pay offing into the Social hold dearion system during their working geezerhood . Beneficiaries continue to help store Medicare through premiums and taxes(http /network .aarp .org /research /medicare / coverage /aresearch-import-673-FS4 5r .htmlMedicare program is split up into different partsProgram AProgram A is consisting of Hospital Insurance . Hospital restitution is for those people or for those couple who had been working for 10 geezerhood 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 /network .cms .hhs .gov /MedicareGenInfoProgram BProgram B is cerebrate to checkup 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 serve like forc ible and occupational therapyProgram CProgram C is prompt for prescription drug coverage . The people who are employing 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 . buck private 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 impoverished people . It is facilitatory for the individuals who are not able to pay their medical equal 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 completely eligible for this program . The three kinds of groups which come under the program are : the people w ho are needy category extraneous(p) , the people wh! o are medically needy , and the special groupsUnder category wise , it come families with low income , pregnant women Caretakers , couples who have children and their living banknote up is on the level of poverty . Medically needy people include pregnant women children under 18 , covert 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 broadst 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 kick the bucket 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 a pt to be exceedingly deliberate . The gratify of physician are distracting from these program is comely because of low recompense 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 believably contributing to decreased involvement with Medicaid among physicians in solo and venial 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 turn 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 run 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 veneer 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 profiteers 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 hold person and the program is running mighty . All the transactions are done with the computing device . The electronic computer will harbour the transaction until the verification . These safeguards and defends are programmed into computer hires 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 responsib le to keep track on the payments which are unavoidab! le 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 musical mode the Medicare holds its contractors responsible for payment control activities (Sarah F . Jaggar 1995Work CitedOverviewHYPERLINK http / vane .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 stock . Department of health and charitable services , condenses for medicare medicaid services Center for medicaid and state operatio nsHYPERLINK 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 / register .gao .gov /t2pbat1 /153800 .pdf http /archive .gao .gov /t2pbat1 /153800 .pdf Accessed on June 11 , 2007 PAGE 1 ...If you indispensability to get a full essay, order it on our website: BestEssayCheap.com

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