| Papers [1-16] of 100 :: [Page 1 of 7] | | Go to page : 1 2 3 4 5 6 7 —> | Search results on "MEDICARE MEDICAID REIMBURSEMENT": |
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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, AU$ 38.95
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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 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, AU$ 101.95
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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, AU$ 48.95
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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, AU$ 91.95
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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 $33 billion each year."
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Medicare and Medicaid, 2008.
This paper looks at the Centers for Medicare and Medicaid (CMS), the largest health care service provider in the United States.
1,239 words (approx. 5.0 pages), 5 sources, APA, AU$ 61.95
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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, AU$ 60.95
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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, AU$ 149.95
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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, AU$ 76.95
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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 Reimbursement Caps, 1999.
Examines the reasons for Congress' 1997 imposition of caps for outpatient rehabilitation services and pressures for repeal.
1,575 words (approx. 6.3 pages), 12 sources, AU$ 80.95
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Abstract
This research paper explores the reasons why Congress imposed in 1997 caps on reimbursement under the Medicare program of charges for various types of outpatient rehabilitation services, the specific content of such caps, proposals for removing such caps and the rationales therefor.
From the Paper
"MEDICARE CAP ON REHABILITATION SERVICES
This research paper explores the reasons why Congress imposed in 1997 caps on reimbursement under the Medicare program of charges for various types of outpatient rehabilitation services, the specific content of such caps, proposals for removing such caps and the rationales therefor.
Caps Imposed by the Balanced Budget Act of 1997
Under Part B of the Medicare program, full reimbursement was available, subject to a 20 percent coinsurance payment by the beneficiary and a $100 annual deductible, for rehabilitation services provided to eligible patients on an outpatient patient by qualified medical service providers. To be eligible for home health care generally under Medicare, the beneficiary would have to show that they were homebound and needed intermittent care."
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Student Nurse Anesthetists vs. Anesthesiology Residents, 2007.
This paper looks at the Medicare/Medicaid Reimbursement Difference Bill for student nurse anesthetists versus anesthesiology residents.
1,185 words (approx. 4.7 pages), 0 sources, MLA, AU$ 58.95
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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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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, AU$ 62.95
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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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Rationale of Reimbursement Systems, 2005.
An overview of the reimbursement system of Medicare.
1,125 words (approx. 4.5 pages), 5 sources, AU$ 64.95
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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."
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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, AU$ 41.95
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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. "
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Medicare, 2002.
An overview of this main source of healthcare for the elderly.
2,859 words (approx. 11.4 pages), 10 sources, APA, AU$ 122.95
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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".
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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, AU$ 67.95
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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. "
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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, AU$ 162.95
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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."
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