Medicare: Health Care and Affordable Care Act Essay

1273 Words Jan 24th, 2011 6 Pages
Medicare/Medicaid

Kleta Shinn

HCS 310

December 6, 2010
Professor Jones

Medicare and Medicaid

Medicaid and Medicare was created and called the Social Security Act of 1965 to provide coverage for medical treatment for qualified individuals and their families. Medicaid is a program that is jointly funded and managed by the federal and state governments that reimburse hospital and physician for providing care to qualified patients who cannot afford medical expense. To qualify for Medicaid he or she must be a United States or resident citizen which, includes low income adults and their children, people with certain disabilities and senior citizens. “Medicaid and Medicare is overlooked by the Center for Medicare and Medicaid,
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The states can vary the cost for the premiums, what type of services the patient can receive and can categorize prescription drugs as “optional.” For example, states are required to cover hospital and physician appointments, they can limit his or hers stay at the hospital or how many times a patient can see his or hers doctor. Then the patients are only covered for medical necessities. DRA also changed long-term care services, anyone who applies for Medicaid is to reveal all assets more than $2,000 and DRA can look back for the past five years of applying and see if the applicant has transferred any assets below fair market valve. The applicant needs to convert his or hers assets to exempt assets and keeping the applicant’s house from foreclosed, should give a lien to Medicaid to provide health care coverage for the applicant. If the applicant has transferred assets below fair market valve, the DRA can penalize the applicant and even postpone the applicant eligibility to receive Medicaid or Medicare. “Moving the start of penalty period from the date of the assets transfer to the date of application” (Kaiser Commission, 2006 pg 1) causing an increase in funding for Medicaid and Medicare. Hospital Consumer Assessment of Healthcare Providers and System (HCAHPS) is a measurable and publicly reporting on patient’s perspectives of the medical treatment. “HCAHPS will provide a national standard for collecting and

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