Centers for Medicare and Medicaid Services

The Center for Medicare and Medicaid Services (CMS, 2012) a subsidiary of the Department of Health and Human Services which is a federal agency of the United States of America that operate and monitor the states Medicare and Medicaid programs which was establish in 1965. According to King (2011) the intension of the Affordable Care Act is to increase accessible to insurance, increase growth of the buyer securities, emphasize prevention and health improvements, expand quality and system performance, growth of the health workforce, and control increasing expense of health care. The Affordable Care Act was establish in 2010 as reported by King (2011). A comparison and contrast of the requirements, funding and prevention of the two programs will…

receive payments for services provided to a patient. Before CMS -1500 was formed according to In 1975 the American Medical Association (AMA) approved a universal claim form called Health care financing Administration also known as HCFA-1500. During the transition of HCFA-1500 AMA joined forces with the Centers for Medicare and Medicaid Services (CMS) to form a Uniform Claim Task Force to promote and standardize the use of the universal health claim form, which was later replaced by the…

Medicare is an insurance plan that is geared into providing health support and care to individuals living in the United States without paying any attention to their income level or their health status. The federal health insurance program caters a number of expenses that concern Medicare. These expenses are catered for by an external body, Centers for Medicare & Medicaid Services (CMS), which happens to be an affiliate of the United States department of Health and Human Services. Citizens who…

American History our government has done their best to provide adequate health care coverage to all Americans. The focus of this paper is to explain the history Medicare, Medicaid and evaluate the role of the Centers for Medicare & Medicaid Services in healthcare and to provide insight on the socioeconomic drivers. The Centers for Medicare and Medicaid Services a Division of Health and Human Services and previously known as the Health Care Financing Administration was established to oversee…

age 65, when we become eligible for Medicare. According to the Centers for Medicare and Medicaid Services [CMS] (n.d.), Medicare is defined as, “the federal health insurance program for people who are 65 or older, certain younger people with disabilities, and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD).” The following will focus on the Medicare decision-making experience, including a general overview of benefits, the…

about patients requiring long term care? Are they protected by this Act? According to the Centers for Disease Control(CDC), in 2012, about 58,500 of long term care facilities are regulated, these served about 8 million people throughout the USA. One of the problems that the United States healthcare system is facing in regard to…

Medicare Coverage: A Case Study Heidi is a 72 year-old female who is hospitalized for 70-days after experiencing a stroke and further complications of a deep vein thrombosis of the leg and pulmonary embolus. Her current insurance includes Medicare Part A and B without Medicaid or a Medigap policy. While in the hospital she is treated by both a hospitalist and neurologist. Following her hospitalization stay, she is transferred to a skilled nursing facility (SNF) for rehabilitation. After a…

Clinton, the Balanced Budget Act of 1997 signed into law. The Balanced Budget Act of 1997 was thought to be the solution to decrease federal Medicaid spending. “The legislation projected to achieve gross federal Medicaid savings of $17 billion over the first five years and $61.4 billion over the following ten years” (Schneider, 1997). The goal of the Balanced Budget Act of 1997 was to assist in the reduction of the federal budget by 2002. Accompanying these spending reductions, the Balanced…

Option 1- Quality Assurance Nursing home patients deserve the best quality service possible. How this quality is maintained is where Continuous Quality Assurance (CQA) comes into play. CQA sets the standard for an organization and seeks to maintain that level of quality. It is ongoing and uses past experiences as well as future variables to identify how the facility is doing in order to locate where a facility has the potential to or has already failed to maintain standards (Centers for…

Pasadena Adult Day Health Care Center is a for profit organization that was founded on October 9, 2014. The location of our facility is within a banquet hall of a Western Dioceses Church of Northern America, known as St. Gregory Church. On the same property of our facility is a grade school, known as St. Gregory School. Our ADHC will have a religious emphasis and will have multigenerational communication with the grade school. The address of our Adult Day Health Care Center is 2215 East Colorado…