| Papers [1-14] of 100 :: [Page 1 of 8] | | Go to page : 1 2 3 4 5 6 7 8 —> | Search results on "MEDICARE PAYMENT SYSTEMS": |
|
|
Medicare Payment Systems, 2005.
An article review of on Medicare's payment systems.
675 words (approx. 2.7 pages), 1 source, £ 18.95
»
Click here to show/hide summary
Abstract
This is a short paper reviewing the June 2005 web posting to the Guidant.com website highlighting Medicare's payment system to hospitals for inpatient and outpatient services and Medicare's Resource Based Relative Value Unit payment system to physicians. The article is divided into 5 major sections plus a well designed diagram and the paper follows the same topical outline.
From the Paper
"Medicare, Medicaid and various governmental or public health insurances are continually under scrutiny and revision with current plans for revision looking at the Japanese model of paying a physician: paying physicians and hospitals based on keeping individuals well. Medicare is one of the most widely discussed and most frequently revised plans. "
| |
|
The Prospective Payment System, 2004.
This paper examines the prospective payment system and its impact on the nursing home industry.
2,755 words (approx. 11.0 pages), 20 sources, MLA, £ 58.95
»
Click here to show/hide summary
Abstract
This paper explains that the prospective payment system has been used to offset the cost of care and to alleviate the complications faced by those who enter the nursing homes. The author points out that the prospective payment system has undergone criticism and scrutiny since its inception, but is still considered the most viable plan for the financial responsibility of those entering nursing homes. The paper states that the foundational objective of the prospective payment system is to reduce the rates of increase when it comes to Medicare inpatient payments.
From the Paper
"The Prospective Payment System has changed the way the practice admissions in 70 percent of the nursing homes across the nation. According to nursing home administrators the patient?s medical history is scrutinized at a much more close range than they were before the implementation of the Prospective Payment System. ?Most administrators state that they scrutinize patients? medical status to a greater extent than they did prior to the implementation of the prospective payment system. Medical condition has become more important in nursing home admissions decisions. Seventy-four percent of nursing home administrators report that a patient?s medical condition has become a more important factor in admissions decisions under the new reimbursement system.""
| |
|
Prospective Payments by Medicare, 2004.
A discussion on the rationale of reimbursement systems with respect to prospective payments in the Medicare system.
811 words (approx. 3.2 pages), 6 sources, APA, £ 20.95
»
Click here to show/hide summary
Abstract
The paper discusses the prospective payment system developed as a quality comparison tool in order to address the increasing costs generated from the Medicare system. The paper relates that the federal government introduced the prospective payment plan into the Medicare system and that under this system, hospitals are paid a pre-determined rate for each Medicare admission.The paper then discusses the effectiveness of the payment system and highlights the strengths and weaknesses. The paper concludes that the prospective payment system has withstood the test of 22 years and its strengths and weaknesses will continue to be debated but according to government standards, it has been an effective system.
Outline:
Introduction
Effectiveness of Prospective Payment
Strengths
Weaknesses
Conclusion
From the Paper
"The Prospective Payment System is a way for spending to be curbed within the private sector (Tieman, 2003). Hospitals and healthcare facilities are given incentive to be efficient and cost-effective (Coulam and Gaumer, 1991). When the Prospective Payment System was implemented, there were strongly held expectations among promoters and skeptics (Coulam and Gaumer, 1991). Promoters of the policy hoped that payment reduction would be matched by lower levels of spending through a reduction in lengths of stay, a reduction in the intensity of care, and therefore, more efficient hospital operations. "
| |
|
Rationale of Reimbursement Systems, 2005.
An overview of the reimbursement system of Medicare.
1,125 words (approx. 4.5 pages), 5 sources, £ 31.95
»
Click here to show/hide summary
Abstract
This paper examines the reimbursement choices for Medicare, centering on cost-based reimbursements. The system most used has changed over the last few years, largely to reduce costs, though costs continue to rise. Many states now use a managed care system for payment, with mixed results. The paper shows that Medicare payments are handled by private insurance companies called intermediaries and carries, and they have contracts with the government.
From the Paper
"Different methods of reimbursement have been developed for the Medicare system, with different features and different problems. The system most used has changed over the last few years, largely to reduce costs, though costs continue to rise. Medicare is a federal health insurance program. It is intended to provide health insurance for persons 65 and older as well as for certain disabled people. Medicare was created in 1965 as part of Title 18 of the Social Security Act. The system is managed by the Health Care Financing Administration, a federal agency, and by local Social Security Administration offices across the country, which takes applications for Medicare and provides basic eligibility information to applicants."
| |
|
The Medicare Crisis, 2005.
A paper discussing the future of Medicare in relation to the increasing costs of Medicare in the healthcare system.
4,200 words (approx. 16.8 pages), 25 sources, APA, £ 79.95
»
Click here to show/hide summary
Abstract
This report takes a look at how Medicare impacts the American healthcare system and attempts to answer questions about the future of Medicare. The paper also touches upon issues affecting the elderly regarding present problems in Medicare and future problems that are foreseen. In addition, this report looks at both present and future possibilities with regard to Medicare by looking at present risks and then makes conclusions and recommendations for both future research and for programmatic change and advocacy in healthcare.
Table of Contents
Introduction
Issues Under Investigation
Research Questions
Literature Review
Analysis
Recommendations
Conclusion
From the Paper
"Another issue associated with this topic is that one of the reasons that many older individuals are not prepared to face the costs of long-term care is because they think it is already fully covered by Medicare. Public education needs to be an important part of the insurance process, but often older individuals are confused by the plethora of insurance options and split coverage that are offered to them. Adding to this confusion, many older individuals assume that Medicare is prepared to give them long-term care allowances over sixty days. "A major obstacle to the development of long-term care insurance is the widespread misperception that Medicare and private health insurance policies that supplement Medicare cover long-term care, when in fact they do not...People must be educated concerning their need for private long-term care insurance" (Atchley, 2000, p. 367). Long-term care can be very expensive for those individuals who are not prepared to face these costs."
| |
|
Medicare: The Good and Bad of Senior Health Care, 2003.
An in-depth examination of whether Medicare is the best system for providing health coverage for an aging population.
18,105 words (approx. 72.4 pages), 10 sources, MLA, £ 176.95
»
Click here to show/hide summary
Abstract
This paper discusses Medicare and the problems that it has faced recently. It deals with why this has become such a problem and whether there is anything that can be done to fix the failing Medicare system. Beginning with the statement of the problem and the rationale for studying it, the paper then moves on to discuss a review of the literature on Medicare and what kind of reform is occurring now, as well as what kind of reform has been suggested as being needed if Medicare is going to continue to help individuals. Right now, Medicare is experiencing some changes, but many do not feel that enough changes are being made. There are many seniors that are still struggling, and these people need help now. This is one of the chief problems of Medicare, as there are no easy solutions, and it is assumed that it will be some time before answers to its difficulties are found. Nevertheless, this paper is also concerned with the information collected in regards to the problems that Medicare faces, and it moves on to an analysis of the data that has been collected. This is followed up by the recommendations and conclusions that can safely be made and drawn about Medicare and where it is going from here.
Table of Contents
Introduction
Statement of the Problem
Rationale for the Study
Purpose of the Study
Importance of the Study
Scope of Study
Definition of Terms
Overview of Study
Review of the Related Literature
Methodology
Data-Gathering Method
Database for Information
Approach to the Information
Validity of the Data
Originality of the Data
Limitations of the Data
Summary of the Information
Data Analysis
Summary and Conclusions
Works Cited
From the Paper
"Studies are important for many reasons, and one of the main reasons for any study is to look at something that desperately needs attention and determine what should be done with it. The Medicare system is such an issue. Attention is needed, because the system that people have relied on for years will soon begin to fail them. There is really no money left for Medicare to do anything more than what it is doing now, which is not enough. Until it finds a way to reform itself, many elderly people will go without adequate medical care, and these people were used to getting the care that they needed.
Now that Medicare has joined forces with managed care, it would seem that things would be improved, but the opposite has occurred and most people are not sure what they can do to correct this problem before it gets worse. There are those that said that managed care should never have a place in Medicare, and that would be one of the wrong ways to reform the system. That may be, but the managed care system and Medicare are together now, and that must be dealt with. There are clearly issues that must be addressed if Medicare is to be corrected, and the hope is that it can be accomplished before the system collapses entirely and causes more damage than has already been done."
| |
|
The Future Direction of PPS Systems in Healthcare, 2005.
A review of Medicare's PPS system in relation to patient convenience and office efficiency.
1,125 words (approx. 4.5 pages), 23 sources, £ 31.95
»
Click here to show/hide summary
Abstract
This paper focuses on issues surrounding Medicare's PPS system. Topics covered in this paper are: medical economics and finances, and regulatory problems. The focus of this paper is on the excessively frequent regulatory changes in addition to the numerous structural overhauls to the system and the corresponding issues that providers have to deal with, usually just opting to write off limited claim amounts as opposed to spend time and energy on resolving them.
From the Paper
"Medicare's Prospect Payment System (PPS) is a system established by Medicare to pre-authorize services based on service and provider type in order to expedite services to Medicare recipients, negating the need for approval for services and ostensibly increasing delivery time to the patient. PPS has been around for inpatient services since the 1980s; however, the Out-Patient Prospect Payment System (OPPS) has only been active for five years and is modified on a continual basis. All services paid under this system are classified into groups called APCs (Crishock, 2005). The services provided in each APC are similar clinically and in terms of the required resources. A payment rate is established for each APC."
| |
|
Medicare Reforms and Health Care Costs, 2004.
This paper is a research proposal to examine Medicare reform and determine whether it will actually end up costing taxpayers more money than the previous system did.
5,355 words (approx. 21.4 pages), 8 sources, APA, £ 93.95
»
Click here to show/hide summary
Abstract
This paper relates that, with the proposed reforms of the Medicare system, most people will not be able to use it because it would actually cost them more to do so than it would to simply not have insurance at all. The author feels that one of the biggest problems is that seniors who have Medicare do not have any coverage for prescription drugs, and because of this, they have to pay a large amount of money out of pocket., The paper stresses that the study, designed to be more of a subjective rather than an objective study, is based on the review of the available literature and the opinions and beliefs of those that make up this literature group because it does not appear that statistical research would be helpful.
Table of Contents
Introduction
Statement of the Problem
Overview of the Study
Significance of the Study
Rationale of the Study
Scope of the Study
Review of Related Literature
Description of Sources Used
Positive Aspects
Negative Aspects
Literature Review
Methodology
Research Design and Approach
Procedures Used and Data Analysis
Research Considerations and Limitations
Validity and Uniqueness of the Data
Summary
From the Paper
"The sources used for this particular literature review did not come from the expected peer reviewed journals and magazines. This is largely because the Medicare reforms have not officially been enacted, and therefore studies into how they are impacting individuals who use the Medicare system have not been conducted. Because of this, there are few sources that can actually be found that deal with the Medicare reforms and how they are going to affect the elderly. At least, this is true of professional journals and official sources."
| |
|
Medicare Stakeholders, 2007.
A look at how the reduction of available Medicare funds will impact Medicare stakeholders.
1,387 words (approx. 5.5 pages), 5 sources, MLA, £ 32.95
»
Click here to show/hide summary
Abstract
This paper examines how the growth of both life expectancy and the cost of medical care has resulted in a noticeable reduction of available Medicare funds for use in the near future. It looks at how this rapidly growing reduction of available Medicare funds has emerged as a significant concern for Medicare stakeholders such as the American Associationof Retire Persons (AARP), drug companies, insurance companies and healthcare providers alike. As a result, Medicare has often been a target for reformers in the past few years, as each of these stakeholders has a distinct role in the Medicare system from either a financial or funding standpoint.
Outline:
Introduction
Stakeholders
Conclusion
From the Paper
"The AARP, formerly called the American Association of Retired Persons, is a U.S. based non-profit organization, with the mission of enhancing quality of life for people over age 50 by providing a wide range of unique benefits, special products, and services for members. The AARP operates as a non-profit advocate for its members, and sells life insurance, investment funds and other financial products. The organization claims over 35 million members and membership is expected to grow significantly as baby boomers age. The AARP plays a role in Medicare from a financial standpoint in that the organization offers products to its members. This is different from the past when social security and pension plans were devised at a time when relatively few people reached the age of sixty-five, and these plans covered their support. "
| |
|
Regulating Medicare, 2005.
A look at the health care regulatory agencies in the United States in relation to Medicare.
900 words (approx. 3.6 pages), 4 sources, £ 24.95
»
Click here to show/hide summary
Abstract
This paper focuses on the United States health care system and Medicare. It further discusses the regulatory agencies within the country that directly affect Medicare, the systems, and the patients.
From the Paper
"Health care regulatory agencies within the United States have a significant impact on Medicare services. These agencies affect accreditation of health care providers that is necessary to treat Medicare patients. The agencies further stipulate rules that must be followed by providers in order for Medicaid services to be reimbursed by the Federal government. While Federal agencies are closely connected to the United States Congress as regulations are considered, the inclusion of State regulatory agencies in the Medicare structure adds to guidelines that many in health care believe are currently out of control. In 2001 the Health Care Financing Administration was renamed, and reorganized as the Centers for Medicare and Medicaid Services. It was contended by many in the United States that HCFA had become too bogged down by Federal regulations that were directly related to congressional decisions, and was, therefore, controlled by the United States Senate."
| |
|
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
»
Click here to show/hide summary
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."
| |
|
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
»
Click here to show/hide summary
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."
| |
|
Medicare, 2002.
An overview of this main source of healthcare for the elderly.
2,859 words (approx. 11.4 pages), 10 sources, APA, £ 59.95
»
Click here to show/hide summary
Abstract
This paper details how the American healthcare system, Medicare, plays an important role in the protection of the elderly. The paper shows the flaws in Medicare's system but argues that its goals to meet the health needs of all America's elderly are being attempted to be met. The paper discusses how Medicare is discarding its original plans and striving to meet the challenges of today's rising costs and changing populations. The paper also looks at the impact of managed care, the similarities between Medicare and Medicaid and the future of Medicare.
From the Paper
"One way that Medicare is thinking of cutting costs is by shifting the risk of cost increases to beneficiaries. This is used to stimulate competition and to also change the way that Medicare services are organized. Allegedly, it would deliver the same high level of care but at a lower cost. The two main options for this service are offering vouchers for beneficiaries so that they can purchase the care of their choice, and requiring that beneficiaries enroll in managed care plans. These could potentially be combined with each other, or they may be treated as separate approaches. There are, naturally, both right and wrong ways to reform the Medicare system, and even the definition of right and wrong can vary, depending on who is being asked the question".
| |
|
Medicare Part D, 2007.
This paper studies the US Medicare Part D program that provides insurance coverage for prescription drugs.
1,403 words (approx. 5.6 pages), 4 sources, MLA, £ 32.95
»
Click here to show/hide summary
Abstract
In this article, the writer notes that in the past few decades, the reduction of available Medicare funds in the US has emerged as a significant concern for taxpayers, elderly individuals, and government agencies alike. The writer points out that as a result, Medicare has often been a target for reformers in the past few years; however, as the aging population increases, so does a greater sense of urgency. In response to this growing crisis, the Medicare Prescription Drug Improvement and Modernization Act of 2003 created a new and complex universal prescription drug entitlement, called Medicare Part D. This paper analyzes the basic contents of the Medicare Part D legislation, including the role of private groups and the implications of the drug subsidy for the nursing practice.
Outline:
Introduction
Overview and Content of the Legislation
The Role of Private Groups in the Drug Subsidy
Nursing Implications of Medicare Part D
Conclusion
From the Paper
"The benefits of Catastrophic Coverage vary depending on income levels, and extra-help programs are available based on financial need. Medicare Part D has been considered a complex plan for seniors as a result of the manner in which it works and the gap in coverage. This is complex for seniors because research indicates that the majority of needed prescription drugs by seniors fall into the gap in coverage bracket. Therefore, the major criticism of the drug subsidy is that it only truly assist seniors that either do not need very many prescription drugs, or those that are considered catastrophic coverage insured's. As a result, the bulk of this population is left to deal with paying out-of-pocket expenses for prescription drugs. Additionally, the plan is complex for seniors because the true cost of the drug entitlement expansion is unknown, and estimates could be understating the real cost."
|
|
|
