Assignment: Medicare And Medicaid Essay Paper Assignment: Medicare And Medicaid Essay Paper Get your 100% original paper on any topic done in as little as 3 hours Consider how people qualify to receive Medicare and/or Medicaid and write a paper that addresses the bullets below. There should be four (4) sections in your paper; one for each bullet below. Separate each section in your paper with a clear brief heading that allows your professor to know which bullet you are addressing in that section of your paper. Start your paper with an introduction and include a ?Conclusion? section that summarizes all topics. This paper should consist of at least 1750 words and no more than 2000. This week reflect upon the Medicare and Medicaid programs to address the following: Describe the Quality Improvement Organization (QIO) and explain how the QIO improves policies and healthcare for Medicare beneficiaries. Briefly define the qualifications for Medicare and Medicaid benefits. How can qualifications be modified to serve more people who are considered a vulnerable population? Discuss the impact (including at least two positive and two negative aspects) that the ACA has had on benefits and coverage for Medicare and Medicaid recipients. Describe your role(s) as a healthcare leader as it applies to the practice of advocating for cost effective care for vulnerable populations. ORDER Assignment: Medicare And Medicaid Essay Paper. Assignment Expectations Length: 1750-2000 words in length Structure: Include a title page and reference page in APA format. These do not count towards the minimal word amount for this assignment. Your essay must include an introduction and a conclusion. References: Use the appropriate APA style in-text citations and references for all resources utilized to answer the questions. A minimum of two (2) scholarly sources are required for this assignment. Format: Save your assignment as a Microsoft Word document (.doc or .docx). Medicare and Medicaid are programs that have been developed to assist Americans in attainment of quality health care. Both programs were established in 1965 and are federally supported to provide health care coverage to vulnerable populations such as the elderly, the disabled, and people with low incomes. Both Medicare and Medicaid are federally mandated and determine coverage under each program; both are run by the Centers for Medicare & Medicaid Services, a federal agency (?What is Medicare? What is Medicaid?? 2008). Assignment: Medicare And Medicaid Essay Paper. Distinguishing between Medicare and Medicaid Medicare is a federally governed insurance program, primarily serving Americans over the age of 65, younger disabled meeting specific disability criteria, and dialysis?show more content? The Evolution of Medicare based on the Needs of Society Since its establishment in 1965 we have seen Medicare change as peoples needs change however being a federal program these changes do have an incredible amount of lag time. One of the first major changes to Medicare occurred in 1972 when President Nixon signed the Social Security Amendments of 1972 which extended coverage to individuals under age 65 with long-term disabilities, expanded benefits to include some chiropractic services and speech and physical therapy. During this time we see the American public growing tired of the Vietnam Conflict and lack of support and care for those returning Marines and soldiers with severe disabilities. As the protests escalate and the peace initiatives fail a key piece of legislation is signed showing government support and a willingness to extend health care benefits to this growing and vocal population of veterans (The Vietnam War, 1999). Medicare and Medicaid are two of the United States largest broken systems, which must sustain themselves in order to provide care to their beneficiaries. Both Medicare and Medicaid are funding by a joint effort between the federal government and the local state government. If and when these governments choose to cut funding or reduce spending, Medicare and Medicaid take the biggest hit. Most people see these two benefits as one in the same, two benefits the government takes out of their pay check to help fund health care. While the government does deduct a sum from paychecks everywhere, Medicare and Medicaid are very two very different programs. Medicare was designed for beneficiaries sixty five years . Assignment: Medicare And Medicaid Essay Paper. Medicare and Medicaids sustainability relies greatly on funding in order to provide health care. Managed care has been adopted into the government funded care organizations. Medicare managed care plans provide all coverage themselves, including basic Medicare coverage. Managed care plans cover above and beyond the basic benefits of Medicare, the size of premiums and copayments, and the decisions about paying for treatment are controlled by the managed care plan. The basic premise of managed care is that the member/patient agrees to receive care from only a specific doctors and hospitals, in exchange for reduced healthcare costs. Medicare, like other insurance companies offer plans that give Medicare beneficiaries more choices in coverage, like HMO or PPO. Managed care has been used since the mid 1990s in order to provide healthcare to beneficiaries with serious or life long illnesses. Today, managed care has become a way for states to provide quality care to both Medicaid and Medicare patients. The need to get better health care services is a mandatory requirement by all citizens irrespective of their age, race, tribe or political affiliations. Nations have developed their health institutions to ensure everybody gets quality health services that are also affordable. The state of California and other states have programs that ensure all people get health services without struggling. They have established the Medicaid and Medicare services that ensure all citizens are guaranteed proper medical services. This essay explores how these programs have been incorporated in Californias healthcare systems to ensure people get quality services. Medicaid This program was established to ensure all people who have financial difficulties access medical services without constraining their budgets. This means that this program offers subsidized services for all poor people and those that are disadvantaged in the society. It is crucial to state that this program is not offered to everybody except those that have limited sources of income and are low income earners. This means that people earning above the average pay are not allowed to subscribe to this program. This program gives direct qualification to anyone who receives CalWORKs, foster care assistants and those that are entitled to receive Supplementary Security Income. Another group of people who can get this service includes those that have physical disabilities like the blind, pregnant, people aged less than 21 and those aged more than 65 years. People operating child care centers and nursing homes are eligible to this program since they take care of children aged 21 years. This favor is also given to foster parents and those living and taking care of children aged below 21 years. The California Department of Health Care Services (CDHCS) administers this program by offering an identification card that contains all the details of the beneficiary and the provisions under this program. The following are also observed before consent is granted to a person to enroll in this program. A person must have assets not exceeding $2000 or if the person is married their total should not be more than $3000. Assignment: Medicare And Medicaid Essay Paper. Medicare This program exists to take care of the old people in California. This means they must have attained 65 years of age or more to qualify for it. It ensures that all old and retired people continue to get quality medical services through subsidizing their health expenses. They are allowed various privileges provided they have their membership cards. The federal government offers this insurance scheme to ensure that all young people with various physical disabilities. This provision favors most people who already have disability insurance benefits and social security retirement advantages. In California this service is offered by the Centers for Medicare and Medicaid Services. They ensure they have all the details of their clients concerning their hospital and medical insurances and when they began. ORDER Assignment: Medicare And Medicaid Essay Paper. Learn More Most people have both Medicaid and Medicare and use them to help pay for their health care needs. In this case Medicare precedes Medicaid since it has more rooms to accommodate various conditions. Beneficiaries are always advised to present both cards when seeking medical services to ensure they get maximum services. There are various health insurance providers and people are advised to seek services from providers that accept these two cards. This ensures that there will never be delays or useless expenses when seeking medical assistance.? Assignment: Medicare And Medicaid Essay Paper. Order Now

ADDITIONAL DETAILS 

Medicare And Medicaid

Introduction

The Medicare and Medicaid programs have a long history, but they haven’t always been like they are now. For many people, these government-run health insurance plans are the only way to access health care coverage. But there’s more to these programs than just getting paid for being sick. In this article, we’ll explore what Medicare and Medicaid are and how they work together to help Americans with limited incomes get the medical care they need.

Understanding Medicare

Medicare is a federal health insurance program for people 65 and older, or those with certain disabilities. Medicare provides health insurance coverage to nearly 50 million Americans who are over age 65.

Medicare’s four parts are Part A (hospital), Part B (medical services), Part C (physician services) and D (dental services). Each part of Medicare has its own rules and requirements that must be met in order to receive benefits.

Types of Medicare coverage

Medicare beneficiaries have three different types of coverage options:

• Medicare Advantage (MOA) – A managed care program that provides you with health insurance, typically at a lower cost than traditional fee-for-service Medicare. You pay monthly premiums to your MOA provider, but the federal government covers most or all of the costs on your behalf. You can choose which doctors and hospitals you want covered by your plan and whether or not you want extras like vision care or dental care.

• Supplement Insurance – If you’re already enrolled in another type of health plan like Medicaid or TRICARE, then it’s possible for them to cover some parts of what would otherwise be covered by Medicare Part B: hospital visits (including emergency services), surgery procedures (such as hip replacements), emergency nursing home stays, durable medical equipment purchases(i.e., wheelchairs), laboratory services including blood draws/samples taken during diagnosis/treatment process(which may include x-rays). This type will also provide prescriptions drug coverage at no additional cost!

The most common type available today is called “Medicare Part D,” which stands for “Drug Eligible.” It extends prescription drug coverage through both inpatient and outpatient hospitalization periods without being subjectto any copayments when used within several days after purchase date.”

How to apply for Medicare

To apply for Medicare, you must be 65 or older and have worked enough hours to qualify. If you are not yet eligible for Social Security benefits, but want to apply for Medicare, contact the Social Security Administration at 1-800-772-1213.

If your eligibility has been denied by the Social Security Administration (or if this happens after you’ve already applied), there are other options available:

• You can appeal the denial through an independent review agent at no cost to yourself. An independent review agent will help ensure that your application is processed correctly and efficiently by providing assistance with completing paperwork and talking through any questions that may arise during this process.* *The service provided by an independent review agent is free of charge.*

Understanding Medicaid

Medicaid is a government program that helps pay for health care costs related to low income and resources. It’s administered by the state, not by the federal government.

Medicaid is a health insurance program for people with low incomes and resources who don’t have access to other types of health insurance or enough money to cover their medical bills. The law requires states to provide this coverage, but some states have opted out of this requirement over time; others have expanded their programs significantly since its passage in 1965.[1]

How to apply for Medicaid

There are two ways to apply for Medicaid: online and by phone. To start your application, go to www.medicaid.gov and click on “Apply Online.” You can also call the Medicaid application center at 1-800-318-2596 (TTY: 1-800-320-8477) Monday through Friday from 8 a.m.-8 p.m., Eastern Time; Saturday from 9:00 a.m.-5 p.m., Central Time; or Sunday from noon–5 p..m., Eastern Time (all calls will be answered in English).

If you don’t have access to the internet or do not want to use an electronic device such as a computer or smartphone, there are several other options available depending on where you live:

• Local offices provide walk-in services at their local locations throughout each state; however, these offices may not be open when someone visits them so plan accordingly!

Takeaway:

Medicare and Medicaid are government programs that provide health insurance for seniors and low-income people. Medicare is a federal program that provides health insurance to people who are 65 or older, certain younger people with disabilities, and people with permanent kidney failure. Medicaid is a state-funded program that provides health care coverage to low-income individuals who do not qualify for Medicare (i.e., they’re not yet 65 years old).

Conclusion

In this blog post, we have looked at how to apply for Medicare and Medicaid. We’ve learned about the different types of coverage and how to apply for them—and why you might want to do so.

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