Centers for Medicare and Medicaid Services

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  • Healthcare Vs Medicare

    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…

    Words: 722 - Pages: 3
  • The Balanced Budget Act Of 1997

    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…

    Words: 2205 - Pages: 9
  • Nurse Case Management Model

    The Pros of MLTC is to provide long-term care service to keep enrollees at home and community as long as possible. Also, MLTC program is cost and effective to manage Medicaid. All durable medical equipment’s applications need to send to plan that consumers have enrolled to get approval so that every dollar will be spent on the items that consumers really need. According to “The Long term Care Community Coalition(2013), “Care for nursing home residents, among our most vulnerable New Yorkers,…

    Words: 1293 - Pages: 5
  • The CMS 1500: Health Care Advantage

    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…

    Words: 961 - Pages: 4
  • Essay On Medicare

    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…

    Words: 2002 - Pages: 9
  • Medicare Coverage Case Study Examples

    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…

    Words: 973 - Pages: 4
  • Pros And Cons Of Affordable Care Act

    major goal that Act achieves is reducing the number of children that are without insurance (Nordrum). Numbers of uninsured have already declined since the act’s inception in 2010. It will also greatly improve the numbers of those with insurance in the Latino demographic (The Reaction). Josephine Mercado, executive director of the Hispanic Health Initiatives, agrees that the terms of the Affordable Care Act will greatly improve the health insurance for the Latino community (The Reaction). The…

    Words: 1673 - Pages: 7
  • Medicare Plan Analysis

    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…

    Words: 838 - Pages: 4
  • Essay On Physical Restraint

    Use of Physical Restraints in 4 East A Microsystem Plan Essay Background The St. Joseph Medical Center 4 East Department consists of 30 beds, specializing in patients with respiratory issues. The patients are adults, mostly geriatric with comorbid conditions such as Congestive Heart Failure (CHF), sleep apnea, Diabetes Mellitus (DM), and many more. The patients come from home, Skilled Nursing Facility (SNF), assisted living, board and care, and a locked down unit. The patients are monitored…

    Words: 1149 - Pages: 5
  • Hospital Acquired Pressure Ulcer Case Study

    acquired pressure ulcer, thus the healthcare facility is responsible for the extended costs of stay and treatment. HAPUs are considered a never event for healthcare facilities. Depending on the healthcare facility, incidence of pressure ulcers acquired in a hospital setting can vary. According to Stephanie Smith Jackson, the incidence of pressure ulcers at an acute care facility in a given year was approximately 8.8 per 1000, and there was no significance in race or gender (Jackson, 2011).…

    Words: 762 - Pages: 4
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