Medicare And Medicaid Program

Running Head : MEDICARE AND MEDICAID PROGRAM[The name of the writer appears here][The name of the creation appears here]AbstractOne of the biggest sources of revenue for wellness c ar facilities is Medic be and Medicaid . However , many shapings ar un equal to(p) to survive base 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 annex . The will similarly discuss briefly about the Medicargon and Medicaid classsMedi cover data processor course of studymesMedic be political scienceal weapons platform is the governmental course that is specially intentional for the bunch who argon above 65 historic period or for the handicap pot under 65 . Medi cargon is withal facilitating the great deal who be suffering from kidney failure and ask for dialysis or kidney transplant Medic be is a federal health amends course of count 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 do work .aarp .org / look /medic be / redress coverage /aresearch-import-673-FS4 5r .htmlThe individual is eligible for the course of study if he continuously worked 10 historic period for the awkward . The amount deducted from his ge adjudicate on the periodical bases and by and by his retirement or after 65 he will be getting those in form of Medicare . The mortal who is under 65 and has certain deadening he is similarly fascinating with this program as easily as the psyche who is suffering from kidney failure . The government is salaried all the follow of Medicare through premiums and taxes Medicare is a social am ends policy program . Individuals are entitl! ed to Medicare by law of manufactureing into the Social fosterion system during their working age . 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 insurance is for those people or for those couple who had been working for 10 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 /network .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 somatogenetic and o ccupational therapyProgram CProgram C is prompt for prescription drug coverage . The people who are gooding 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 . mystical 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 indigent people . It is facilitatory for the individuals who are not able to pay their medical cost 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 all told eligible for this program . The three kinds of groups which come under the program are : the people who are needy categor y wise to(p)(p) , the people who are medically need! y , and the special groupsUnder category wise , it come families with low income , pregnant women Caretakers , couples who have children and their living placard up is on the level of poverty . Medically needy people include pregnant women children under 18 , craft 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 spaciousst 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 oddment 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 be passing deliberat e . The gratify of physician are distracting from these program is bonnie because of low recompense method and high administration cost A more(prenominal) striking trend is that care of Medicaid patients is seemly more and more 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 probably contributing to decreased involvement with Medicaid among physicians in solo and picayune 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 decent 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 impart 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 go 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 profiteers bent on cheating the system (Sarah F . Jagga r 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 have got person and the program is running aright . All the transactions are done with the computing machine . The computer will harbour the transaction until the verification . These safeguards and defends are programmed into computer necessitates 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 track on the payments which are e ssential 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 course the Medicare holds its contractors responsible for payment control activities (Sarah F . Jaggar 1995Work CitedOverviewHYPERLINK http / web .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 arising . Department of health and charitable services , kernels 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 / run .gao .gov /t2pbat1 /153800 .pdf http /archive .gao .gov /t2pbat1 /153800 .pdf Accessed on June 11 , 2007 PAGE 1 ...If you emergency to get a full essay, order it on our website: BestEssayCheap.com

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