Centers for Medicare and Medicaid Services

conditions has increased the United States from $75 billion in 1970, $2.6 trillion in 2010, and is expected to reach $4.8 trillion in 2021. 75% of these costs is because of unhealthy lifestyles that lead to chronic conditions (Centers for Medicare and Medicaid Services, 2011). General practitioners and insurance companies must focus more on educational resources related to preventative medicine and care to ensure citizens lead healthier lifestyles that will lead to longevity of life. This…

advantage of this policy is that more than half of the uninsured individuals are able to receive health insurance either at a low cost or no cost through the State 's Health Insurance Marketplace. Some other benefits of the ACA include the expansion of Medicaid providing coverage to nearly 15.9 million women, men, and children with a poverty level less than 138%; expansion of Children 's Health Insurance Program (CHIP)…

of the program, the service area of the program should also expand. The PACE program is limited in which location it is allowed to serve in. The programs geographic proximity should expand, allowing the program to expand. Within California there is a need for this program, therefore the program should be extended to care for those in need. Another way to enlarge the program is to allow for-profit organizations to operate. Recently, the Centers for Medicare and Medicaid Services did a study of…

reimbursed for the services, their methods of funding and any research issues. The quality and ethics portion will discuss the facility 's accreditation, awards, regulation and any ethical issues regarding who receives care at the organization. An analysis of the reimbursement status of the state of Washington and the federal government programs such as the Medicare and Medicaid services. In Washington there was a legislation procedure that allowed for an increase in Medicaid payments for…

THE EFFECTIVENESS OF FEDERAL BUREAUCRACY The term bureaucracy has been defined as "a body of non-elective government officials" and/or "an administrative policy-making group". Historically, bureaucracy was government administration managed by departments staffed with non-elected officials. Today, bureaucracy is the administrative system governing any large institution1. Bureaucracy encompasses both public and private sector organizations that are large, hierarchically organized and highly…

There are many key factors to consider when juxtaposing the ideas of a national Medicaid program and 56 different state and territorial programs. These include the role of government, the effectiveness in meeting local needs and financial obligations, flexibility in seeking innovative resolutions, the impacts on healthcare providers and access to care, the improvements in service quality, and the ability to overcome resistance to change, among many others. The first consideration is the role of…

Health Care Financing Administration (HCFA) which is now known as Centers for Medicare and Medicaid Services (CMS) developed a methodology Diagnosis Related Groups (DRGs) under the Inpatient Prospective Payment System (IPPS) to describe all kinds of patient services provided in an acute care hospital. Later, in 1987 3M developed an all patient DRG (AP-DRG) system based on a New York’s hospital reimbursement program for non-Medicare discharges. In 1989, Yale University came up with Refined DRG…

the country needs specialties to treat an aging population that will live with chronic disease growingly. As we know many Americans have insufficient access to primary care, so the federal agency is responsible for improving access to health care services for people who are uninsured or medically vulnerable. Besides, the full implement of the Patient Protection of Affordable Care Act (PPACA)…

Running head: NURSING INFORMATICS 1 Electronic Health Record: The Impact on Nursing Informatics Peta-Gay Pinnock Dr. Gwen Morse November 26, 2016 NURSING INFORMATICS 2 Abstract One of the goals of the field of nursing informatics is working to improve the electronic health record system. Electronic Health Record (EHR) is simply just what the name implies. Patient health information that is stored electronically. Instead of a paper filing system, everything is located on an electronic database.…

skewed left. The younger 44% of beneficiaries use only 37% of the $375 billion that goes towards Medicare annually. People over 80 account for 24% of all Medicare beneficiaries and also consume 33% of Medicare’s budget. It is estimated that by the year 2050, the population of people over 80 will triple, from 13 million to 39 million. This is a huge problem for the Center for Medicare and Medicaid Services, and will only get worse in the future. The surge in elderly population in the next few…