Summary: Healthcare Transformation

Good Essays
CMS facilitates healthcare transformation by creating new ways to pay for and deliver care, while lowering costs and improving care. CMS strives to improve individual patient care by following along with the Institute of Medicine’s six areas of quality: Equity, Effectiveness, Safety, Patient-Centeredness, Timeliness, and Efficiency. The organization encourages better health by addressing underlying causes of poor health, such as behavioral risk factors, lack of preventative care, and physical inactivity. It also works to lower the total cost of care resulting I reduced monthly expenditures with Medicare, Medicaid, and CHIP by improving care. Overall, CMS works to improve healthcare for the population.
About:
The Centers for Medicare and Medicaid
…show more content…
Department of Health Education, and Welfare issued a report in 1959 that said the elderly faced uneven risk of illness, yet had less means because of fixed incomes-to afford medical care. The 1963 Survey of the Aged showed that seniors were paying especially high medical costs because they needed more care. This was life before Medicare. Now, Medicare Part A is hospital insurance. Medicare Part B is medical insurance. Medicare Part C, or Medicare Advantage, insurance often includes every type of Medicare coverage in one health plan. Medicare Part D is optional prescription drug coverage. With this many sections of Medicare, CMS works to promote minority health and preventative care. Recently under the Affordable Care Act (ACA), preventative health services were …show more content…
Today, Medicare is the largest health insurance program in the country, providing coverage for more than 71 million low-income people. Changes in the programs over the years have resulted in a significant shift for public insurance. Medicare or Medicaid covers one in three Americans. The programs did more than cover millions of Americans. They removed the racial segregation that was being practiced by hospitals and other health care facilities, and in many ways they helped better the quality of health services being delivered. By ensuring access to care, Medicare has added to a life expectancy that is five years higher than it was when the program went into effect. Children who are on Medicaid grow into healthier teenagers and adults, according to the Center for Children and Families at Georgetown

Related Documents

  • Decent Essays

    Pavmed Case Study

    • 770 Words
    • 4 Pages

    offering chronic condition management and wellness coaching to reduce health risks and lower health care costs. improving the health of communities. among the public, engaging with the public health community, investing in solutions that increase access to coverage, and expanding accessibility to all vaccines. Increasing access to care through convenient health care about clinics using technology to promote better care coordination. Services help to improves health outcomes and lower costs for payers including employers, employee needs and expand their choices, continue the customer path of health care innovation is managed care organizations, health systems, pharmacy benefit managers, and the public sector.…

    • 770 Words
    • 4 Pages
    Decent Essays
  • Decent Essays

    It could help provide access to a larger variety of health services such as medicines and specified treatments improving overall public health, especially in those who live below the poverty line. Allowing the access to proper health care could also help those who want to work but cannot due to certain illness and afflictions, the ability to do just that. By being able to correctly manage medical problems people may be more inclined to work. Therefore reducing tax money being used to pay disability and other government funded programs used by those who are unable to…

    • 1004 Words
    • 4 Pages
    Decent Essays
  • Decent Essays

    Healthcare Expensive Essay

    • 1122 Words
    • 5 Pages

    Prescriptions drugs in the United States are the most expensive almost double what they are in other countries (US Spends More). On a typical annual cost for cancer prescription drugs increased from around ten-thousand dollars to over one-hundred thousand dollars by 2012 (Islam, Ifrad). Innovations that technology are making are new vaccines that may cost more up front, but could lead to savings in the future for the vaccines results (Snapshots). Technology gives us the fundaments we need for American medicine, it being in our industrial sector (Callahan, Daniel). With these expensive machinery being used raising the cost for health care, there are people that can not afford the tremendous health care prices.…

    • 1122 Words
    • 5 Pages
    Decent Essays
  • Decent Essays

    ACOs play an integral part in the massive healthcare reform law. They are conceived as a model for streamlining and improving health services. ACOs are paid to take care of the overall health of a population. The more proactive and capable of delivering a higher quality of care, the more overall cost savings (Goedert, 2013). HIEs provide the foundation for ACOs to coordinate care and manage the involved risk.…

    • 1231 Words
    • 5 Pages
    Decent Essays
  • Decent Essays

    Benefits of patient education include improved patient physician relationship, more realistic approach to outcome of the illness, patient involvement in decision-making process, and patient preferred choices. Capitation model establishes a patient centered, coordinated, and community based care with more emphasis on preventive care. “Health plans participating in Medicare and Medicaid capitated model will have incentives to modify contracting and coordinating efforts with the facilities to reduce patient admission from the facilities” (Brandal and Cook, 2013). Medicare and Medicaid managed care program with a capitation model of reimbursement delay an enrollee’s nursing home admission by increasing use of home and community waiver services, discouraging unnecessary inpatient hospital admissions (Brandal and Cook,…

    • 1250 Words
    • 5 Pages
    Decent Essays
  • Decent Essays

    Not coincidentally, we also spend substantially more for health care than any other developed nation. Health insurance profits are a huge burden on our economy. One health insurer alone, UnitedHealthcare, reported profits of more than $ten billion dollars in 2014. The average per-person cost of healthcare in the United States is $9,146 per person. The profits of this one corporation alone could therefore provide medical coverage to more than one million people, even at our country’s excessive rates (Eskow).…

    • 1505 Words
    • 6 Pages
    Decent Essays
  • Decent Essays

    Significant Healthcare Event Eric Marshall HCM500 – The U.S. Healthcare System Dr. David Meckstroth June 28, 2015 Significant Healthcare Event The Medicare and Medicaid programs have played a very essential role on the U.S. healthcare system since the 1960’s. It was the biggest change in health care that the citizens of the U.S. have ever seen. Medicare was designed While the union between short term exposure to PM2.5 and mortality was higher among Medicare enrollees that had a previous allowance for diabetes and neurological tumult than among Medicare enrollees that did not had a anterior admission for these diseases, the effect modification was not statistically significant. While there are costs associated with technology,…

    • 1556 Words
    • 7 Pages
    Decent Essays
  • Decent Essays

    This proves that having preventive health care services in America can drastically reduce the rising costs by billions of dollars. Furthermore, the Robert Wood Foundation conducted a study on preventive health care in medical centers, and researchers concluded that services such as immunizations and disease screenings can not only help prevent illness, but help save money on medical spending (Bristol 6). This shows that there is a positive outcome for patients using preventive health care, and the resulting economic gain. Applying preventive healthcare can additionally help individuals avoid illness directly. According to the article “ Cost-effectiveness and economic benefits of vaccines in low- and middle-income countries: A systematic…

    • 760 Words
    • 4 Pages
    Decent Essays
  • Decent Essays

    By focusing on priority making care safer by reducing the harm caused in the delivery of care pharmaceutical companies can curb death and injury with safer medications. As ISO is updating and expanding its key Identification of Medication products (IDMP) standards which will help to stop global toll of death and injuries caused by medication errors can make care safer by reducing the harm caused in the delivery of care. This will encourage the leaders to commit to quality, and be more concerned with the overall performance of the industry as well as the process and efficacy of the entire quality…

    • 1001 Words
    • 5 Pages
    Decent Essays
  • Decent Essays

    Triple Aim Analysis

    • 1254 Words
    • 6 Pages

    Triple Aim In order to improve the United States health care system, we need to aim towards improving the experience of care, improving the health of the population, and reducing the per capita costs of health care (Berwick, 2008). These three aims are known as the “Triple Aim”. According to McCarthy (2010), the Triple Aim initiative was launched by the Institute for Healthcare Improvement (IHI) in October of 2007. It was designed to help the health care organizations improve the health of the populations while lowering the cost of care (McCarthy, 2010, p. 1). The Triple Aim also assists in many other aspects of healthcare like reducing medical errors (Coyne, 2010, p. 88).…

    • 1254 Words
    • 6 Pages
    Decent Essays