Health care delivery system
The health care delivery system is the organization, which provides health care benefit resources as a delivery system. There are many health care delivery systems in the United States and people receive benefits based on their eligibilities and preferences. Examples f health care delivery systems include Medicare, Medicaid, children’s health insurance program (CHIP), Health Maintainance Organization (HMO), Preferred Provider Organization (PPO) and others (Medicare. gov, n. d). This paper will provide a description regarding the Medicare and Medicaid program, which are the major health care delivery systems in the united states. Also, a paper will demonstrate the similarities and differences between Medicare and …show more content…
Both programs are run by the government. Medicare is an insurance program in which medical bills are paid from trust funds and it is specially designed for the people of 65 years old or over. On the other hand, Medicaid is an assistant program, which is designed to serve the low-income people of all ages. Medicare is a federal program while Medicaid is governed by state and local government (U.S Department of Health & Human Services[HHS], 2015). In medicare, health care consumers have to pay small monthly premiums and it is same in all states while Medicaid consumers may need to pay small co-payments, which depends on up on the type of services. Medicaid program is not similar in all states because it is a state program(HHS, 2015).Also, medicare doesn’t cover the long- term care services while Medicaid cover the costs of health care services received in long- term care centers. In addition, eligibility to receive medicare benefits includes age 65 or over, U. S citizen or legal resident, young people with disabilities and people with ESRD while Medicaid beneficiaries should have low income based on modified adjusted gross income (MAGI), children, qualified pregnant women and others )9HHS, …show more content…
Following are the philosophy statements of medicare and Medicaid program;
Promote the health status of people Medicare and Medicaid program aims to promote the health status of people by encouraging them to receive preventive health care services such as diabetes screening, cancer screening, glaucoma screening, cardiovascular disease screening and others. Also, flu shot, hepatitis B shot, pneumococcal shots are covered by medicare program, which prevents many diseases (CMS, 2016).
Improve the quality of health care Center for Medicare and Medicaid program’s decision to penalize the hospitals for having worst performance and health care associated adverse effects encourages them to provide better health care to the patients. Also, health care workers are paid based on the quality, which will improve the quality of health care outcomes(CMS,
The health care delivery system is the organization, which provides health care benefit resources as a delivery system. There are many health care delivery systems in the United States and people receive benefits based on their eligibilities and preferences. Examples f health care delivery systems include Medicare, Medicaid, children’s health insurance program (CHIP), Health Maintainance Organization (HMO), Preferred Provider Organization (PPO) and others (Medicare. gov, n. d). This paper will provide a description regarding the Medicare and Medicaid program, which are the major health care delivery systems in the united states. Also, a paper will demonstrate the similarities and differences between Medicare and …show more content…
Both programs are run by the government. Medicare is an insurance program in which medical bills are paid from trust funds and it is specially designed for the people of 65 years old or over. On the other hand, Medicaid is an assistant program, which is designed to serve the low-income people of all ages. Medicare is a federal program while Medicaid is governed by state and local government (U.S Department of Health & Human Services[HHS], 2015). In medicare, health care consumers have to pay small monthly premiums and it is same in all states while Medicaid consumers may need to pay small co-payments, which depends on up on the type of services. Medicaid program is not similar in all states because it is a state program(HHS, 2015).Also, medicare doesn’t cover the long- term care services while Medicaid cover the costs of health care services received in long- term care centers. In addition, eligibility to receive medicare benefits includes age 65 or over, U. S citizen or legal resident, young people with disabilities and people with ESRD while Medicaid beneficiaries should have low income based on modified adjusted gross income (MAGI), children, qualified pregnant women and others )9HHS, …show more content…
Following are the philosophy statements of medicare and Medicaid program;
Promote the health status of people Medicare and Medicaid program aims to promote the health status of people by encouraging them to receive preventive health care services such as diabetes screening, cancer screening, glaucoma screening, cardiovascular disease screening and others. Also, flu shot, hepatitis B shot, pneumococcal shots are covered by medicare program, which prevents many diseases (CMS, 2016).
Improve the quality of health care Center for Medicare and Medicaid program’s decision to penalize the hospitals for having worst performance and health care associated adverse effects encourages them to provide better health care to the patients. Also, health care workers are paid based on the quality, which will improve the quality of health care outcomes(CMS,