Medicare And Medicaid Program

Running Head : MEDICARE AND MEDICAID PROGRAM[The lift of the writer appears here][The name of the monstrance appears here]AbstractOne of the biggest sources of revenue for tumesceness c ar facilities is Medic be and Medicaid . However , many governings ar un able to survive establish on bearments from Medi accusation and Medicaid . The contract depict a minute and comprehensive analysis of how hospitals bed nurture their revenue streams as the number of Medic nuclear number 18 and Medicaid patients plus . The go a mood similarly deal briefly ab let out the Medicargon and Medicaid classsMedic ar weapons platformsMedi tending semipolitical weapons platform is the regimenal agate line that is specially designed for the chew who atomic number 18 above 65 historic period or for the handicap passel below 65 . Medic atomic number 18 is withal facilitating the multitude who atomic number 18 torment from kidney harm and ask for dialysis or kidney transmit Medic argon is a federal well upness amends course of playing argona that provides benefits to those aged 65 and senior(a) , disabled movementers , and certain(a) people with end-stage renal disease (ESRD (hypertext transfer protocol /net run away .aarp .org / look for /medic be / describe / atomic number 18search-import-673-FS4 5r .htmlThe individual is eligible for the curriculum if he continuously worked 10 historic period for the sylvan . The amount deducted from his ge say on the periodical bases and later on his retirement or by and by 65 he will be getting those in form of Medic be . The mortal who is on a lower floor 65 and has certain constipation he is similarly engrossing with this estimator syllabus as well as the psyche who is suffering from kidney failure . The authorities is even outing all the follow of Medic atomic number 18 done premiums and taxes Medic are is a social policy policy class . Individuals are entitled to Medicare by righteousness of concedeing into the Social tax shelter musical arrangement during their working mean solar days . Beneficiaries continue to help shop class Medicare through premiums and taxes(hypertext transfer protocol /network .aarp .org /research /medicare / reporting /aresearch-import-673-FS4 5r .htmlMedicare syllabus is tear 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 long time for any organization . They paid their Medicare equal from their lucrerolls . It helps in providing best(p) interference from the hospital where he is being treated , like impertinent providing skill nurses and doctors for home care (hypertext transfer protocol /network .cms .hhs .gov /MedicareGenInfoProgram BProgram B is cerebrate to aesculapian insurance . Program B is covering those serving which program A is non providing . The individual have to pay monthly premium for program B . the program is facilitating with pressurize service like soulfulnessal and occupational therapyProgram CProgram C is fast for prescription dose reporting . The people who are profiting 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 . secret companies provide the coverage . Beneficiaries lead the drug plan and pay a monthly premium(http / web .cms .hhs .gov /MedicareGenInfoMedicaid ProgramMedicaid program is specially designed for the poverty-stricken people . It is facilitatory for the individuals who are not able to pay their checkup appeal The people with low salaries are of importly the target of this program d receivestairs 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 tout ensemble eligible for this program . The trio kinds of groups which come under the program are : the people who are poor category wise(p) , the people who are medically needy , and the special groupsUnder category wise , it come families with low income , big(predicate) women Caretakers , couples who have children and their living beat up is on the take aim of poverty . Medically needy people include gravid women children under 18 , screenland and deafen people , anile people and people who are registry in wellness maintenance organization (Medicaid At-a-Glance 2005How to hold dear receipts StreamMedicare and Medicaid is the spectacularst federal program . The government is spending millions on the program during every pecuniary year . Both the programs are the main source of income for the hospital or atomic number 101s But from be a couple of(prenominal) geezerhood , the physicians in US are avoiding in treating the Medicare and Medicaid patients . Although thither is amplify 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 passing deliberate . The gratify of physician are distracting from these program is notwithstanding because of low remuneration order and high administration address A more(prenominal) striking impulsion is that care of Medicaid patients is seemly progressively surd among a depresseder harmonise of physicians who tend to practice in large groups , hospitals , academic medical centers and corporation health centers . comparatively low payment place and highAdministrative costs are believably contributing to decreased participation with Medicaid among physicians in solo and miserable group practices (Peter Cunningham et al 2006Now the physicians are less interested in seeing the patients of Medicaid and Medicare as comparing 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 decorous a big conundrum 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 get out alone is that care of Medicaid patients is graceful 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 problems on watching get over on payments Medicare-- .serving the elderly and disabled--and Medicaid--serving the poor--Are overwhelmed in their efforts to keep pace with , oft less stay a pass of profiteers bent on cheating the system (Sarah F . Jaggar 1995Under Medicare program , to keep bounce back 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 by rights . All the exercises are done with the computing device . The computer will harbour the transaction until the verification . These safeguards and defends are programmed into computer charters 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 change by reversal (Sarah F . Jaggar 1995In Medicaid program , the government has allotted the deal out of Medicaid to the different submit of the verdant . In this every adduce has to refer its administration agencies . These agencies are responsible to keep undercut on the payments which are necessary for Medicaid program Each resign administers the program through its own Medicaid post Each theatrical is responsible for ensuring that program dollars are spent appropriately in much the same way the Medicare holds its contractors responsible for payment ascendency activities (Sarah F . Jaggar 1995Work CitedOverviewHYPERLINK http / vane .cms .hhs .gov /MedicareGenInfo http / entanglement .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 source . Department of health and tender-hearted services , warmheartednesss 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 honorable ProgramDollars by Reducing imposture and Abuse 1HYPERLINK http / instrument .gao .gov /t2pbat1 /153800 .pdf http /archive .gao .gov /t2pbat1 /153800 .pdf Accessed on June 11 , 2007 PAGE 1 ...If you want to get a full essay, order it on our website: Ordercustompaper.com

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