Impact Of Medicare On Healthcare

Improved Essays
A. Analyze one federal government payer program for healthcare services making an impact on today’s healthcare ecosystem.

“The United States has a unique system of health care delivery and it is unlike any other system in the world” (Ch. 1, n.d.). Most other countries around the world have a form of health care that is run by the government and paid for through taxes. In the U.S., one must enroll through an employer, agent, etc., and most pay monthly premiums to be able to have access to healthcare through their insurance. As the population ages in the U.S., there is need for medical care among our elderly citizens. Most elderly citizens over the age of 65 have Medicare for their insurance coverage. Citizens can also be approved for Medicare benefits should they be disabled or have end-stage renal disease. So, the question becomes, how is Medicare making an impact on our healthcare ecosystem of today?
…show more content…
Stewart, M.D. states, “the greatest problem we face today in the field of health care are the rising costs of health care…” (Stewart, 1967) As Medicare was only 18 months old back in July 1967, Dr. Stewart seemed to hit the nail on the head with his statement. With this being said, Medicare over the years has made a great impact and helped give coverage for the elderly, disabled, or those with ESRD – End-stage renal disease. Medicare is one of the largest, if not the largest, healthcare plans in the country and over the years since its inception there have been changes along to the way. To give an example, Medicare implemented a program known as IPPS, which stands for inpatient acute hospital Prospective Payment System, which was adopted in 1983 and payments were based on patient diagnoses not cost-based payments (CMS.gov,

Related Documents

  • Superior Essays

    The idea that the authors have to educate the general public is exceptional. The authors only want to inform others on how medicare can be sustained and what people can do to ensure it is. Issues like medicare and politics can be horrifying for someone to attempt to interpret but Duckett and Peetoom make it simpler and help people understand the aspects of medicare as well as how to make arguments about it. The book allows individuals to form ideas around aspects of medicare that require change and how they can get…

    • 1252 Words
    • 6 Pages
    Superior Essays
  • Decent Essays

    The Aging Network is a federal program that inquires the diverse needs of the aging community. The Older Americans Act established a national network of federal, state, and local agencies to plan and offer services that assist older adults to live independently in their homes and community. These unified organizations of agencies are known as the National Aging Network. The Older Americans Act sponsors the Aging Network that has resources in other agencies, programs and activities. Medicare is a part of the Aging Network.…

    • 141 Words
    • 1 Pages
    Decent Essays
  • Improved Essays

    Recent Changes in Medicare Medicare is federal health insurance program that helps 65 and older patients or younger adults with disabilities and anyone with certain diseases. Medicare is always changing and sometimes those changes can affect you with more severe changes to the program. If you are eligible for Medicare your enrollment period will begin 3 months before your 65th birthday and applying online will save you time and money so it is best to apply online. There are different types of Medicare plans there is part A, B, and D. Every year Medicare cost can go up and also the coverage options can change as well, which those are the important parts of having healthcare insurance. In this year of 2017 costs for the max premium of part A…

    • 339 Words
    • 2 Pages
    Improved Essays
  • Improved Essays

    Managed Care Roles

    • 419 Words
    • 2 Pages

    The shared savings for Medicare is a collection of data which allows the program to have an insight annually into its payments characteristics and risk profiles regarding the program. Managed Care organizations has several different plans under their groups that several people could choose from and can control the cost of the hospital visits, premiums, per which plan has been selected. “Marilyn Moon (2015) reports While the debate over health care reforms for those under the age of 65 has been a major source of discord and confusion, the Medicare program has retained its strong support from both beneficiaries and the public at large. Yet it too is likely to face potential changes as faith in government and willingness to support the revenues necessary to sustain Medicare and the related Medicaid program once again receive scrutiny. The aging of the Baby Boom population will continue to keep financing concerns near the forefront of debates over the federal budget even though some slowdown in growth has been achieved in recent years.”…

    • 419 Words
    • 2 Pages
    Improved Essays
  • Improved Essays

    Affordable Care Failure

    • 754 Words
    • 4 Pages

    The United States - The Patient Protection and Affordable Care Act (ACA) of 2010 established “shared responsibility” between the government, employers, and individuals for ensuring that all Americans have access to affordable and quality health insurance. However, health insurance coverage remains fragmented, with numerous private and public sources as well as wide gaps in coverage rates across the U.S. population. The Centers for Medicare and Medicaid Services (CMS) administers the Medicare program (a federal program for those age 65 and older and the disabled, including those with end-stage renal disease) and works in partnership with state governments to administer Medicaid and the Children’s Health Insurance Program (a conglomeration of…

    • 754 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    Medicare Benefits

    • 1287 Words
    • 6 Pages

    On December 8, 2003 began a historical day for which President George W. Bush signed the Medicare Prescription Drug, Improvement, and Modernization Act. The main provision of this legislative act was allowing Medicare coverage for outpatient prescription drugs. This was a well overdue benefit for Senior’s who spend an average of $2,322 per year on prescription drugs. President Bush proposal was to initiate private sector’s capacity to expand health care coverage while delivering quality medical services. Some Medicare beneficiaries felt this Act still didn’t bring value as 14 million low-income beneficiaries benefited from the changes; as the remaining face significant gaps in coverage and were still liable up to 3,600 in annual expenses.…

    • 1287 Words
    • 6 Pages
    Improved Essays
  • Improved Essays

    After a twenty-year debate on whether Medicare should be enacted, it was finally chosen to be passed to support the people of our nation in a just manner. The implement of Medicare in the lives of the elderly has given them a significant support system for the years to come without the worry of paying for expensive medical procedures. As their bodies begins to wear, they’ll have the ability to be caught by the safety net of…

    • 576 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    There are many key factors to consider when juxtaposing the ideas of a national Medicaid program and 56 different state and territorial programs. These include the role of government, the effectiveness in meeting local needs and financial obligations, flexibility in seeking innovative resolutions, the impacts on healthcare providers and access to care, the improvements in service quality, and the ability to overcome resistance to change, among many others. The first consideration is the role of the government in the distribution of care. The federal and state governments have a shared responsibility to ensure that people are provided with appropriate healthcare services and insured against catastrophic incidents.…

    • 1044 Words
    • 5 Pages
    Improved Essays
  • Improved Essays

    Medicare and Medicaid are both key programs in the social insurance program. However, they are different from each other and they are indeed vulnerable in different ways. Medicare originally served as an insurance for the old people just like Social Security. People would see it as an entitlement as they would think it would be great if we can get health care in exchange for the service we provide for the country. There are two parts of the Medicare at the beginning, part A which is hospital insurance and part B which is medical insurance.…

    • 556 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    Healthcare to U.S Citizens In the USA there are a variety of organizations provided to our citizens. Healthcare plays an important role in our society in general because it factors into our production. Programs, Production of Resources, Delivery of Services, Economic Support, and even Management organize our National Health System; we use this particular system because it shows how health needs or problems can produce health results or outcomes. Not only does it provide a systematic way of examining any one system but it also is a method for comparing health services around the world (Barton, 2009).…

    • 707 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    In taking an in-depth look on the market power of Medicaid, you can clearly see they make up more than half of the payer market. With Medicare being one of the primary payers in the healthcare industry it drastically affects providers in either positively or negatively based on the changes. Pre Affordable care act post-acute care services, skilled nursing services, inpatient rehabilitation services, long-term care services, home care services, and hospice services were growing at an astonishing rate. Year over year Medicare spending rose on average 6-8 percent and seemed to be the future of Medicare expenditures. In 2012, fee-for-service Medicare spending on skilled nursing, rehabilitation facilities, long-term care hospitals and home…

    • 181 Words
    • 1 Pages
    Improved Essays
  • Improved Essays

    Baby Boomer Generation

    • 1586 Words
    • 7 Pages

    The baby Boomers are the longest living generation due to them being considered trend setters that structured the modern-day economy as it pertains to retirement. This population has forced the healthcare industry to be reformed, especially when it comes to the aging populous, persons 65 and over, the initial retirement age was 65 and now has been reformed to 67 years of age. In 2012 Medicare spent 377 billion dollars on inpatient hospital stays. Due to the increase in inpatient hospital stays, by the baby boomer generation, the modern-economy has experienced positive and negative outcomes.…

    • 1586 Words
    • 7 Pages
    Improved Essays
  • Improved Essays

    Medicare Case Study

    • 766 Words
    • 4 Pages

    (3) A very controversial recommendation is for indexing the Medicare retirement age to the average age of life expectancy. This can protected the program from unforeseen rise of life expectancy by varying the program from a relation of age dependency to the count of retirees per worker. Changes in the retirement age will meet strong opposition and better results will be from enticing more middle-aged workers to stay employed longer before entering the program. (4) One of the most important areas that need massive attention is outrageous fraud of Medicare. (5)…

    • 766 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    What is Medicare? Medicare is federal health insurance for people 65 and older individuals 65 and under with certain disabilities, and any person with End Stage Renal Disease (ESRD) and Lou Gehrig’s disease also known as Amyotrophic Lateral Sclerosis (ALS) (Medicare Matters, n.d.). Medicare is one of the largest federal government programs that provide health care benefits to the elderly. The Centers for Medicare & Medicaid Services is the organization in control of the Medicare program. Three parts of Medicare discussed is how Medicare is financed, those who are eligible for Medicare and the benefits such as differences in premiums and covered services.…

    • 897 Words
    • 4 Pages
    Improved Essays
  • Decent Essays

    Health care reform is one of the major issues facing the nation today. The number of people without health insurance is on the rise. Medicare, a major part of the health care system is heavily underfunded that in 2012, the Medicare trustees reported that the Medicare trust would run out in 2024. Many analysis say that projection is based on some false assumptions and that the trust will actually run out much sooner (Dobias, 2015). Choosing health care should be a freedom.…

    • 167 Words
    • 1 Pages
    Decent Essays