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Medicare Legislative Change

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The Medicare and Medicaid programs were signed into law on July 30, 1965. President LBJ is pictured at the signing ceremony in Independence. The most significant legislative change to Medicare--called the Medicare Modernization Act or MMA--was signed into law by another George W. Bush, on December 8, 2003. This historic legislation adds an outpatient prescription drug benefit to Medicare and makes many other important changes. Since 1965, a number of changes have been made to CMS programs. A more detailed listing of those changes is at CMS milestones. Moreover, the agencies charged with implementing the programs have changed as well. Medicare is typically used by people who are at least 65 years old. In 1972, Medicare eligibility was also extended to individuals under age 65 with long-term disabilities and to individuals with end-stage renal disease (ESRD). Then in 1985 The Emergency Medical Treatment and Labor Act (EMTALA) required hospitals participating in Medicare that operated active emergency rooms to provide appropriate medical screenings and stabilizing treatments. Demographic changes contribute to this health care fiscal challenge. America's population is aging, and the aged use greater health care services. Not only are the baby boomers aging, but they are living longer, which …show more content…

For the past 40 years health care spending has consistently grown faster than the economy. The reasons for the higher levels of spending on health care in America are not totally understood but include higher costs of treatment in the U.S. health care system, including rates of reimbursement for doctors and other health care providers; higher prices for hospital stays and prescription drugs; increased use of medical technology; a lack of reliable comparative information on medical outcomes, quality of care, and cost; and increased prevalence of risk factors such as obesity that can lead to expensive chronic

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In hopes of having a successful health care system, the United States spends the most on health care but the quality of medical treatment and success is inferior to other countries. Although other countries provide health care at a reasonable cost to their citizens, challenges are still prevalent in their system. Challenges arise when medical treatment is provided to all citizens regardless if the patient has the means to pay for their care. From a humanity perspective, health care is a basic human right, but from an economic and business perspective it is impossible to provide care to

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Tyler Joseph 6/11/15 A Primer on Medicare Summary As the Medicare program approaches its 50th anniversary, it continues to provide health and financial security for people ages 65 and older and younger people with permanent disabilities. This health insurance covers over 55 million people, helping individuals to pay for many vital health care services, preventive services, and post-acute care. Though this program offers a lot, it did not begin like this. Numerous changes have been made over time in order to expand benefits, strengthen quality, and improve access and coverage for low-income individuals, giving this program the prestigious name it holds today.

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About the Law. Retrieved from http://www.hhs.gov/healthcare/about-the-law/index.html The ACA reduced the Medicare provider reimbursements for Medicare patients, what are your thoughts on this? I think it will affect the new Medicare patient more than the Medicare patients that are already established with a provider, I think you will find more and more providers stating they are not accepting new patients to get around accepting a new Medicare patient.

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There is an increase in healthcare spending in the United States. In 2014, about one of every five dollars or nearly $3 trillion dollars was spent on health. At the current rate, it is estimated that in 2020, the US will spend $13,710 per person and 20% of GDP on healthcare. In efforts to provide greater health care coverage, recent healthcare legislation (Affordable Care Act) guidelines changes insurance reimbursement for providers.

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He signed the Social Security Act of 1965, which established Medicare under the Title XVIII clause. Medicare is essentially government funded health care for senior citizens. He also established Medicare’s “half sibling”, Medicaid in 1965. Again under the Social Security Act of 1965, this time in section Title XIX. Medicaid is health care for the poor and underprivileged.

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The annual cost of healthcare in the United States of America in the year of 2015 was 3.2 trillion, or 9,990 per person, however, 1 billion from the total National Healthcare Expenditure was towards hospitals, Medicaid, and approximately 2 billion on Medicare. (www.cms.gov.) There are healthcare policies in place and being formulated to adhere to the issue of the continuous growth of the National HealthCare, but, there are some that add onto the issue. For example, The Affordable Care Act(ACA), signed by president Barack Obama on march 3, 2010 has been perceived in two different lights, one being that the ACA is the reason why the National Healthcare expenditure has increased. One of the primary goals of the ACA is to “Make affordable health insurance available to more people” (Healthcare.gov).

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The main effect of the Affordable Care Act is that it extended coverage to a large sum of uninsured Americans. Within the last five years there has been an increase in health care expenses. However, these expenses have been rising at one of history’s lowest paces (Custer,37). Although this has been a huge improvement for America's health insurance, the costs are still rising which puts families at risk of not being able to afford health insurance. Some of the main reasons behind the increase in costs of health care within

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First, the ACA has brought about considerable improvements in access to affordable health insurance in the United States. On the basis of their own reports, newly insured Americans are also able to see physicians within reasonable periods of time, and anecdotal reports about restricted access to out-of-network providers, although a concern, have not yet caused a major backlash. Second, the implementation of the ACA has coincided with another important development — a slowdown in the rate of increase in national health care spending. From 2010 through 2013, per capita U.S. health care expenditures increased at the historically low rate of 3.2% annually, as compared with 5.6% annually over the previous 10 years. As a percentage of the gross domestic product, health spending has stabilized at approximately 17%.

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The Modernization Act supporters and critics. 2. The benefits of the Medicare Prescription Drug, Improvement and Modernization Act of 2003 (MMA) A. How will the seniors benefit from this Modernization Act? (i) Is the cost of Prescription Drug lower of higher? (ii) Is the basic Medicare Part D coverage plan better?

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(For those who are retired, unemployed, or in poverty, other plans are designed to offer coverage, such as Medicare and Medicaid.) It is not clear that this is an ideal, or even efficient way to offer health care. Because it is illegal for a hospital to turn away someone in need of health care, many who are not insured receive their health care at emergency rooms, which is the most expensive form of treatment. In short, the American health care system is one of the most expensive in the world, yet it achieves outcomes that are regarded by many as substandard. (Thus, according to the National Center for Health Statistics, the United States spends twice as much on health care per capita [$7,129] as any other country, yet ranks 30th in infant mortality and 50th in life expectancy [ http://www.cdc.gov/nchs/]).

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1293 Words | 6 Pages

The Patient Protection and Affordable Care Act was signed law March 23rd 2010 by President Obama. The Affordable Care Act is a health care reform that provides Americans with insurance and makes it more affordable as well as giving the recipient more options for places to go. An example of this would be able to choose between four doctors instead of two. The Affordable Care Act also provides people of a wide age range with better options for health insurance. As a results of the Affordable Care Act many uninsured people are receiving medical attention, young adults can stay on their parents insurance plans longer and Medicare and Medicaid have improved plans.

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(Elmendorf, 2013) By only increasing the eligibility age by 2 years we would see a 19 billion dollar savings in our government’s spending. Many will argue that this new age will increase the amount of uninsured Americans in our population; however, the CBO stated “95% of those who would otherwise have been covered by Medicare will instead obtain coverage from employers, the ACA's Medicaid expansion or the health-insurance exchanges scheduled to be up and running in 2014.” (Elmendorf,

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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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1757 Words | 8 Pages

(Senger 2). With all the benefits that Obamacare introduced, it also took

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1162 Words | 5 Pages

America is not the country it use to be, no more are the days of simplicity. In recent years, Obama has changed many different aspects of this country. In fact, Obama has had an impact on health care, education, and war in both negative and positive ways. On March 23, 2010, Obama signed the Patient Protection and Affordable Care Act, also known as Obamacare, into law.

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