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Comparison Of Medicaid And Medicare

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In the United States, many people are without health care insurance due to having a financial crisis. Most elderly, the disabled, and lower-income families can contest to being without health care coverage at all. Not being able to afford or have healthcare insurance occurs because medical insurance is very costly. Selecting the right health care insurance can greatly impact a person life expectancy. With the help of government support programs, many people can have the choice of healthcare insurance. The goal of this essay paper is to explain the differences and similarities in healthcare insurance programs. Two types of healthcare insurance Medicaid and Medicare Medicaid and Medicare are two major government-sponsored health care programs that enacted in 1965. Harrison and Harrison (2013) define that Medicare provides healthcare benefits to those generally over age 65, and Medicaid a companion program establishing government reimbursement for healthcare cost for the indigent were authorized in Social Security. The two programs were part of President Lyndon B. Johnson “Great Society”, program that addresses health insurance for the elderly and the poor. The intentions of the plan were to help meet the need of people who needed healthcare. …show more content…

Medicaid assist to the low to no income individuals and families. The Medicaid insurance cover adults but children are more likely to be eligible for

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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.

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The life expectancy rate in another country has decreased compared to the United States because of different methods that use such as, social support and social services. The welfare of an individual is important, but we’re constantly spending more on health care due to fact, individuals can’t afford health insurance. This issue has been a problem for decades now and it appears to be that America is ignoring the fact, which something drastically needs to change, in order to get better results. In this book review, I will discuss the differences between social supports and social services, how America health care system is different from other countries and what kind of changes should be made in order to have a much and improved health care

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Epstein, Saif S. Rathore, Caleb Alexander, and Jonathan D. Ketcham has given the view of the physicians on Part D of Medicare. In this peer reviewed article the authors also has done some research to examine the attitude of physicians about the impact of Medicare Part D. The authors tried to research on how Medicare Part D varied among the senior citizen specially the citizen has Medicare and Medicaid dual eligibility. For the study they have designed a web based survey in four states North Carolina, Florida, Texas and Massachusetts. However, the researchers mainly focused of the differences in result of North Carolina from the other states.

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The government primarily provides Heath insurance for the public Spector, as 60-65% of healthcare spending comes from insurance program coverage such as Medicare, Medicaid, CHIP, or Military/Veterans coverage. Those who are eligible to be covered under public insurance, which is roughly 21.1%, are covered under programs such as "Obamacare" named after the current president of the United States, Barack Obama. Even though Obamacare is a huge step in the right direction for healthcare coverage, families are still paying out-of-pocket monthly for health coverage. If you do not fall under the eligibility for any kind of healthcare insurance, you will be left

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Medicare Kelsey Reinholt SOC 400 10/22/2015 Les Lazarevic ABSTRACT 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.

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Many of these consumers, just buying the very basic of plans, would not have all of their health care expenses covered. Since the 1960’s, the United States has spent more on health care than any

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Eligibility is based on peoples’ income which is calculated related to a percentage of the Federal Poverty Level. Also, there are other non-financial eligibility criteria for example; individuals need to satisfy federal and state requirements regarding residency, immigration status, and documentation of U.S. citizenship. Medical bills are paid from federal, state and local tax funds. The federal government funds up to fifty percent of the cost of each state's Medicaid program, with more rich states receiving less funding than less affluent states. Because of this federal/state corporation each state has its own rules and regulations about who is eligible and who is covered.

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Examples include programs to reduce unnecessary hospital readmissions by coordinating care and services for patients when they leave the hospital. Other provisions provide for the development of Accountable Care Organizations, bundled payments, and medical homes all of which are intended to provider higher-quality, coordinated care for beneficiaries. 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.

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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.

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It can be quite prevailing for individuals to have financial problems towards health coverage. Based on the Health Affairs reference, “In the last decade, health insurance premiums costs have increased by 80%... whereas 58% of Americans report they are not able to seek medical attention due to high costs” (Gary Claxton, Matthew Rae, and Nirmita Panchal, et al). Statistics also present many factors exhibiting millions of individuals facing the risk of losing their insurance. Above all, health insurance is a basic health necessity. Medical services being available to everyone will benefit the public health not only with quality, but along with quantity.

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Health Care in the US is arguably available to all who seek it but not everybody has had the same experience and treatment when walking through the doors of a healthcare facility. In many cases, people are discriminated against due to their gender, race/ethnicity, age, and income and are often provided with minimal service. Differences between groups in health coverage, access to care, and quality of care is majorly affected through these disparities. Income is a major factor and can cause groups of people to experience higher burden of illness, injury, disability, or mortality relative to another group.

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For both the uninsured group and those who are eligible for government assistance because of their low economic position, access to health is limited by the number of private providers willing to treat them. In many cases private providers are linked to particular private health insurance companies and won 't accept patients outside their network. These people must then rely on the overburdened public health system for care, and as such usually only seek treatment in emergencies. The public health system, while filled with competent staff, is nevertheless restricted by its funding and can therefore not always provide all these patients with the best quality of care. The inequality in health care access is a continuing issue in America and as such it is important for future consumers and workers on the Foothill College campus to have a thorough understanding of the issue so they can move to improve the problem in the

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Health care should not be considered a political argument in America; it is a matter of basic human rights. Something that many people seem to forget is that the US is the only industrialized western nation that lacks a universal health care system. The National Health Care Disparities Report, as well as author and health care worker Nicholas Conley and Physicians for a National Health Program (PNHP), strongly suggest that the US needs a universal health care system. The most secure solution for many problems in America, such as wasted spending on a flawed non-universal health care system and 46.8 million Americans being uninsured, is to organize a national health care program in the US that covers all citizens for medical necessities.

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Medicaid covers prenatal and maternity care to ensure that healthy babies are being born, mental health care, necessary medications, and vision and dental care for children (Medicaid. Gov 2017). Medicaid provides a package only for children known as the Early and Periodic Screening, Diagnostic, and Treatment (EPSDT). This package includes screenings, preventive and early intervention services, and any necessary treatment to improve children’s acute and physical and mental health conditions (Kaisser Commission 2017). The EPSDT package is a great way to teach children early how to take care of themselves and maintaining to be health throughout their life.

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The majority of American healthcare are the low income consumers, is a total of 55% who receive health insurance are through their employers and 32% receive health insurance through a government programs. Some of the Federal health care officers were aiming low-income consumers with new advertisements. For most of the

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