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Medicare and Medicaid, 2002.
An analysis of the government funded healthcare programs, Medicare and Medicaid, focusing on the elderly population.
2,272 words (approx. 9.1 pages), 5 sources, MLA, £ 49.95
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Abstract
This paper provides a lengthy argument concerning the implementation of a national prescription drug plan for elderly persons that are dependent upon Medicare and Medicaid for their medical insurance needs. The paper claims that since prescription drugs are costly and vital to the improvement of the overall health and well-being of elderly persons, they should be the key characteristic involved in Medicare and Medicaid reform. The paper examines the importance of Americans becoming aware of government initiatives such as Medicare and Medicaid.
Introduction
A Brief History of Medicare in the United States
Problems that Medicare Faces
Medicare and the Prescription Drug Quandary
Medicaid Participation by Elderly Residents
History and Background of Medicaid
Research Methods and Resources
Conclusions and Recommendations
Works Cited
From the Paper
"Medicare and Medicaid are government-sponsored programs whose objective is to provide patients with health assistance upon meeting specific criteria. Medicare is the federal program that provides insurance for elderly patients aged 65 and over, and approximately 40 million people are enrolled in this program. Medicaid is an insurance program that is available for disadvantaged persons, including the elderly, who cannot afford health benefits because of low incomes or other factors. Both programs are subsidized by government funds and in many instances, will cover the costs of basic medical care as well as specialized testing and supplies."
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Medicare and Medicaid Programs, 2008.
This paper discusses the two health care programs, Medicare and Medicaid.
954 words (approx. 3.8 pages), 1 source, APA, £ 23.95
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Abstract
In this article, the writer notes that Franklin D. Roosevelt's financially recuperative "New Deal" and the Sheppard-Towner Act of 1921 during the Great Depression helped the American public back on the road to health. The writer points out that the Social Security Act of 1935 was sadly Roosevelt's last efforts to establish universal financial and health security. The writer discusses that another try at providing universal health came in 1965 with Medicare/Medicaid, but by this time until the present, however, history, economics and politics would be complicit in impeding a utopian vision of "affordable health care for all." This paper describes each program in terms of eligibility criteria, funding approval process, appeal procedures and scope of devices and services funded.
Outline:
Medicaid
Medicare
Medicare vs. Medicaid
From the Paper
"Franklin D. Roosevelt's financially recuperative "New Deal" and the Sheppard-Towner Act of 1921 during the Great Depression helped the American public back on the road to health. The Social Security Act of 1935 was sadly Roosevelt's (and all those who succeeded him) last efforts to establish universal financial and health security. Another try at providing universal health came in 1965 with Medicare/Medicaid; by this time until the present, however, history, economics and politics would be complicit in impeding a utopian vision of "affordable health care for all." This paper will describe each program in terms of eligibility criteria, funding approval process, appeal procedures and scope of devices and services funded.
"Medicaid is a federal program administered at the state level that aids individuals with low-income, insufficient or no health insurance. Health care needs are paid directly to care providers, in whole or partially subsidized."
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Medicare and Medicaid Fraud, 2007.
This paper discusses the fraud and financial crisis facing the US Medicare and Medicaid healthcare programs.
2,009 words (approx. 8.0 pages), 4 sources, MLA, £ 44.95
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Abstract
The paper reveals that an increasing amount of fraudulent claims have been detected in the Medicare and Medicaid programs, raising concerns among taxpayers, the elderly, government agencies and police authorities alike. The paper provides an overview of the fraud that occurs in the Medicare and Medicaid programs and concludes with recommendations for the future of these programs. The paper maintains that if nothing is done, American citizens will be denied the health benefits for which they have worked all their lives.
Outline:
Introduction
Federal and State Statutes
Analysis and Recommendations
Conclusion
From the Paper
"After working their entire lives, elderly people look forward to many relaxing years ahead with a little medical care and a few prescription drugs. However, the majority of this population do not have any way of paying for healthcare, and soon, neither will the government. This once unimaginable scene is very close to becoming a reality in just a few years time, an atrocity attributable to the high volume of abusers of the government-assistance programs. The national government insurance program that covers nearly 41 million seniors and disabled citizens, Medicare, has raised many substantial concerns concerning its' state of financial crisis. The National Center for policy Analysis (2001) has reported that fraud and abuse cost Medicare and Medicaid about $33 billion each year."
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Medicare and Medicaid, 2008.
This paper looks at the Centers for Medicare and Medicaid (CMS), the largest health care service provider in the United States.
1,239 words (approx. 5.0 pages), 5 sources, APA, £ 29.95
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Abstract
The paper discusses the beginnings of the Centers for Medicare and Medicaid (CMS). The paper describes the agencies' significant role and function in relation to public health. The paper discusses how every citizen of the United States has the right to apply for Medicare or Medicaid. The paper looks at the structure of the organization and provides a breakdown of the financial disbursement of funds in the CMS. The paper also offers a diagram that represents the communication between federal, state and local levels of the government in connection with the CMS.
From the Paper
"The Centers for Medicare and Medicaid (CMS) is the largest health care service provider in the United States. Since its beginnings the reliance on CMS by the American public has continued to grow, especially since the majority of Americans do not possess health insurance in the country. As the President and Congress continue to add programs to the CMS the significance of the agency continues to impact American society. Because of its multifunctional nature there are many throughout the United States that believe that the CMS should evolve into a national health care program, ending the concern for a national health care system in the country. However, the structure of the organization has suggested that there is not sufficient control of accountability and that the CMS would have to be restructured in order for it to meet the demands of such an alteration in its existence."
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Medicare vs. Medicaid, 2005.
This paper discusses two U.S. government-sponsored health care programs: Medicare and Medicaid.
1,200 words (approx. 4.8 pages), 3 sources, MLA, £ 29.95
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Abstract
This paper explains that Medicare is a federal insurance which provides persons over the age of 65 with coverage for many health conditions and treatment with no regard to their income level; whereas, Medicaid is both a federal and state program, which provides health assistance to people of low income groups with little regard for their age. The author points out that, even though Medicare is a successful program, it comes with gaps especially in the areas of prescription drugs and long-term, non-professional nursing care. The paper relates that to help with Medicare's gaps, most have some form of supplemental insurance; the elderly spend an estimated 22% of their income, on average, for health care services and premiums.
From the Paper
"Compared to Medicaid which is viewed as a comprehension program for low income groups, Medicare has certainly outperformed Medicaid in many ways. In 1998, when 88 percent of older people were covered by Medicare, 73 percent of low income groups did not have proper insurance. This means that an overwhelming majority of people (around 44 million) were left uninsured. Even employer-based insurance programs have not been able to perform well. Most workers are poorly covered under these programs and premiums have gone up from 12 to 22 percent."
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Medicare and Medicaid, 1995.
A statement of problems and analysis of Medicare and Medicaid systems.
2,925 words (approx. 11.7 pages), 9 sources, £ 73.95
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From the Paper
"The elderly population in the United States is growing in number as people live longer and as the baby-boom generation reaches old age. Yet this older generation may have a more precarious existence than has been true in recent decades for that population. There has been much rightful concern about the elderly in America in an era in which the extended family no longer holds sway so that the elderly are more often completely on their own. Another concern has been related to the so-called entitlements in the federal budget--Social Security, Medicare, Medicaid, and welfare--and the impact a reduction, either by design or because the system is not secure, will have on the elderly.
Medicare is a federal health insurance program for people 65 and older and for certain disabled people. Medicare was enacted in ..."
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Medicare and Medicaid., 2002.
1,400 words (approx. 5.6 pages), 6 sources, £ 37.95
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Abstract
This is a 6-page paper on the impact of Medicare and Medicaid in the field of nursing. 6 pgs. Bibliography lists 6 sources.
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Medicare/Medicaid Reimbursement, 2006.
A discussion regarding the unfair position of nurse anesthetists in-training.
675 words (approx. 2.7 pages), 3 sources, £ 18.95
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Abstract
This paper discusses the recent controversy surrounding the passage of the Medicare Teaching Anesthesiology Funding Restoration Act of 2006, which puts nurse anesthetists in-training at a funding disadvantage compared to anesthesiology physician residents. The paper briefly provides an historical and legal background of the current situation, discusses the consequences of such a bill on the specialty and outlines measures that must be taken to avert this.
From the Paper
"The gradual overlap of some medical and nursing professions has sparked some controversies regarding professional boundaries, respective duties and responsibilities and their places in the health care system. In particular, Medicare/Medicaid reimbursement for students - nurse anesthetists and anesthesiologists in-training - has become a bone of contention for several reasons. Recently, the introduction of H.R. 5246 and 5348 in Congress and S. 2990 in the Senate (Medical Teaching Anesthesiology Funding Restoration Act of 2006) aims to address the inadequate compensation and funding of anesthesiology trainee programs in order to bolster the decreasing ranks of anesthesiologists (U.S. Congress, 2006; U.S. Senate, 2006)."
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Medicare Part D, 2005.
This paper discusses Part D of the Medicare and the power given the regulatory agencies under this law.
1,280 words (approx. 5.1 pages), 6 sources, APA, £ 30.95
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Abstract
This paper explains that Medicare, which is the health insurance program by the United States Federal government, provides medical treatment to qualified recipients and is run by The Centers for Medicare and Medicaid Services (CMS). Part D is the new outpatient prescription drug benefit. The author points out that, because the enactment of Medicare Part D makes the United States Federal Government the biggest client of pharmaceuticals in the U.S. and possibly the world, drug development and approval process will be notably affected by this law through the direct involvement of CMS in application reviews. The paper stresses that, by using a system of risk corridors, which compares actual incurred drug benefit costs to estimated costs submitted in bids, Medicare limits the profits and losses of Part D drug plans.
Table of Contents
What is Medicare?
The Centers for Medicare and Medicaid Services (CMS) and Its Influence on the Health Care Industry
Economics
How CMS Affects the Operation and Finance of Medicare Part D
From the Paper
"CMS is also working with other health agencies such as the National Cancer Institute with regards to research and development of drugs. A new policy gives them additional powers to pay for off-label uses of a new drug or device, so long as patients are in involve in studies to gather new data that may be beneficial to future patients. This policy however raised certain concerns from industry players as to fears the agency will reject compensation of new cures or procedures unless the post-approval studies are paid for by sponsors. Nonetheless, guidelines have already been drafted to address this concern."
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Revenue Healthcare, 2008.
A research analysis to discover which tools healthcare organizations and practitioners may use to increase revenue streams while facing rising costs and an increasingly aging population relying on Medicare and Medicaid.
2,013 words (approx. 8.1 pages), 8 sources, APA, £ 44.95
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Abstract
The paper reviews the trends, innovations and future of finances, revenue streams and investments in the healthcare industry. In doing so the paper proposes several choices or alternative sources of revenues for hospitals treating an ever-increasing number of patients that rely on Medicare and Medicaid for insurance. The paper comments that at the time of this study, most hospitals fell short of revenue goals because Medicare and Medicaid did not provide adequate compensation to meet the needs of the aging population.
Outline:
Introduction
Purpose of the Study
Overview Medicare & Medicaid
Background and Review of the Problem
Tools Used in the Past to Generate Revenue
Tools That May Save Money
Other Sources of Funding
How to Protect Revenue Streams
From the Paper
"Unfortunately, while these programs offer some assistance to patients, Medicare and Medicaid often fall far short of need when the time comes to pay for lengthy hospital stays. Legislation in recent years has proposed cutting the budget for Medicare and Medicaid in the past, something that would only increase the problem hospitals and other healthcare facilities have when collecting revenues for treatments offered to the Medicare and Medicaid population (AHA, 2006). Many hospitals and other facilities have gone as far as denying treatment because they cannot keep up with costs associated with caring for those without secondary insurance."
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American Healthcare, 2007.
An analysis of the effect of Medicare and Medicaid on hospital revenue.
1,876 words (approx. 7.5 pages), 8 sources, MLA, £ 42.95
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Abstract
This paper provides a detailed and comprehensive analysis of how hospitals in the United States can protect their revenue streams as the number of Medicare and Medicaid patients increase. The paper begins with a brief discussion of both Medicare and Medicaid programs. It then goes on to detail initiatives that would be an effective way of protecting hospital revenue.
Table of Contents:
Introduction
Medicaid and Medicare Programs
Hospitals Revenue Streams
Reform Long-Term Care
Focus on the Sickest Individuals
Encourage Prevention
Investigate Fraud and Abuse
Use of Electronic Records
From the Paper
"the authors explain that states and hospitals that invest in keeping people healthy are able to avoid having to treat serious problems in the long run (Gordon & King 2004). Encouraging prevention includes well child visits, immunizations and prenatal care (Gordon & King 2004). For instance, in North Carolina's Pit County the Community Care plan was able to raise preventive health check-ups by 330 percent (Gordon & King 2004). The plan also increased sick visits by 60 percent between 2000 and 2001. In addition hospitals and other healthcare providers participated by focusing on health and safety related to wearing bicycle helmets, locking cabinets, and car seats. In addition the county provided a 24 hour nursing line which was provided by a local hospital."
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Health Insurance Fraud, 2002.
An examination of government efforts to curb Medicare and Medicaid insurance fraud.
7,463 words (approx. 29.9 pages), 21 sources, APA, £ 116.95
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Abstract
This paper critically evaluates the statutes purposely passed to tackle Medicare and Medicaid insurance fraud. It evaluates the fundamentals, penalties, defenses, and safe harbor provisions for each and every statute, and concludes with a discussion of accessible legal safe harbor provisions. It discusses the wide-ranging federal statutes employed to impeach health care fraud, together with the False Claims, False Statements, and Mail and Wire Fraud Acts and explains the basics of the offenses, accessible defenses, and penalties valid under each statute. It also gives an indication of federal and state government agencies' pains to examine and take legal action against health care fraud.
Outline
Introduction
Statutes and Provisions Specifically Enacted to Address Medicare and Medicaid Fraud
Sale of Physician Practices, Practitioner Recruitment and Obstetrical Malpractice Insurance Subsidies
Contracts for Space, Equipment, Personal Services and Employment
Advertisements and Promotions
Referral Services
Relationships Between Providers
Arrangements Between Providers and Health Plans
Relationships Between Providers and Suppliers
Prosecuting Health Care Fraud with General Federal Statutes
Conclusion
From the Paper
"Individuals and organizations licensed by Department of Health and Human Services ("HHS") to accept imbursement under the Social Security Act may focus on Medicare and Medicaid fraud examinations (7). Persons, as well as organizations comprise nursing and rehabilitation centers, hospitals, Health Maintenance Organizations ("HMOs"), intermediate carriers for example private and public clinics, private insurance companies, durable medical equipment ("DME") providers, medical laboratories, physician practice groups, physicians, as well as other certified health care organizations (7)."
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Student Nurse Anesthetists vs. Anesthesiology Residents, 2007.
This paper looks at the Medicare/Medicaid Reimbursement Difference Bill for student nurse anesthetists versus anesthesiology residents.
1,185 words (approx. 4.7 pages), 0 sources, MLA, £ 28.95
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Abstract
In this article, the writer points out that in the U.S.A., anesthesiology or anesthesia care is generally provided by two specialized groups of people: certified registered nurse anesthetists, or CRNA, and anesthesiologists, or physicians. The writer then discusses the issue of Medicare reimbursement for student nurse anesthetists and anesthesiology residents. The writer mentions that one of the foremost problems is the failure to fund health care adequately, and the fact that Medicare and Medicaid have not kept up with the escalating costs and the rate of inflation. The writer concludes that no one knows today what the future direction of the Medicare or Medicaid Reimbursement Difference Bill for student nurse anesthetists vs. anesthesiology residents will take, and one can only hope that it does not exacerbate and aggravate the already existing nursing shortage in the country.
From the Paper
"It is not surprising, said Hinchey, that there is a nursing shortage in the United States. New York would have a shortage of 12,640 RNs within a period of two years, and by the year 2010, according to the U.S. Bureau of Labor Statistics the nursing shortage would most probably grow to one million nurses in the United States of America. One of the foremost problems is the failure to adequately fund health care, and the fact that Medicare and Medicaid have not kept up with the escalating costs, and the rate of inflation. For example, when statistics reveal that the costs of providing health care has increased by about 22.4 percent over the past few years, the Medicare reimbursements for nurses at one hospital had only increased by 7.2%, and this gap has serious consequences indeed for the nursing community. It must be stated that the health care system, therefore, needs an increased funding for Medicare and Medicaid from Washington, but the Republican leadership in Congress has not made any efforts to implement this."
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Health Insurance Fraud, 2004.
A look at the growing problem of medicare and medicaid insurance fraud and what can be done to prevent it.
7,463 words (approx. 29.9 pages), 21 sources, MLA, £ 116.95
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Abstract
This paper critically evaluates the statutes purposely passed to tackle medicare and medicaid insurance fraud. It also examines the fundamentals, penalties, defenses, and safe harbor provisions for each and every statute, as well as concludes with a discussion of accessible legal safe harbor provisions. It discusses the wide-ranging federal statutes employed to impeach health care fraud, together with the False Claims, False Statements, and the Mail and Wire Fraud Acts, and explains the basics of the offenses, accessible defenses, and penalties valid under each statute. It also gives an indication of federal and state government agencies' pains to examine and take legal action against health care fraud.
Outline
Introduction
Statutes and Provisions Specifically Enacted to Address Medicare and Medicaid Fraud
Medicaid False Claims Statute
Penalties
Medicaid Anti-Kickback Statute
Sale of Physician Practices, Practitioner Recruitment and Obstetrical Malpractice Insurance Subsidies
Contracts for Space, Equipment, Personal Services and Employment
Advertisements and Promotions
Referral Services
Relationships Between Providers
Arrangements Between Providers and Health Plans
Relationships Between Providers and Suppliers
Prosecuting Health Care Fraud With General Federal Statutes
False Claims Act
False Statements
Mail and Wire Fraud
Conclusion
From the Paper
"An added safe harbor permits health plans with accords with CMS or a state health care program to give care for beneficiaries to augment coverage, decrease cost sharing amounts, or decrease premium amounts for enrollees under particular conditions. If the proposal is a competitive medical plan, health maintenance organization plan, prepaid health plan or any other plan with a contract with CMS or a state health care program, it has got to offer identical augmented coverage or reduced cost-sharing or payments to all Medicare or state health program enrollees unless CMS or the state endorses otherwise."
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