Centers for Medicare and Medicaid Services

focus on residents' rights, quality of care, quality of life, and the services provided to residents, while also conducting more targeted surveys, or complaint investigations, in response to complaints against nursing homes (American Association of Retired Persons, 2001). If the survey reveals that a nursing home is out of compliance, sanctions including, but not limited to civil monetary penalties, denial of Medicare and Medicaid payment, and termination of provider agreement may be imposed…

The Older Americans Act (OAA) was enacted by congress in 1965 and was signed into law by former President Lynden Johnson. OAA generated the groundwork to coordinate and provide community-based services and supports for older adults and their families. Its mission is extensive: “to help older people maintain maximum independence in their homes and communities and to promote a continuum of care for the vulnerable elderly” (nhpf, 2012). Aging is an uncontrollable process in life. It is defined as…

The Centers for Medicare & Medicaid Services (CMS), helps public and private providers work on building a better way to deliver health care for Medicare Beneficiaries through accountability and public disclosure. The system helps deliver improved care, while helping to reduce health care spending. CMS aims to deliver consistent high-quality care, promote efficient outcomes in the health care system, and ensure that health insurance remains affordable for the millions of Americans seeking and…

the service to patients who absolutely need it. It is crucial to realize that further federal authority would deteriorate the effectiveness of healthcare. Not only the current healthcare policies will adversely impact the benefits patients could receive, but also they will impede the productivity of medical staffs. With proper incentives and reliable information, consumers will be able to treat their healthcare purchases the way they manage other expenditures: searching for the best service at…

costs will be reduced by sharing tests results that were previously done and, therefore, will not need to be repeated. ACOs were started to manage health care needs as part of Affordable Care Act (ACA) of 2010 and are controlled in the Center for Medicare and Medicaid…

(2013). Training providers: Beyond the basics of electronic health records. BMC Health Services Research 13(503), 1-13. doi:101186/1472-6963-13-503 Chute, C. G [Johns Hopkins University School of Nursing]. (2015, November 4). Nursing outlook: Nursing informatics [Video file]. Retrieved from https://www.youtube.com/watch?v=cW745NZON5Y Cook,…

Individuals newly eligible for Medicaid will include the minimum essential benefits provided in the Affordable Insurance Exchange. Programs and funding improvements will be implemented to ensure seniors will receive long term care services which support their home care or community living. Programs will be implemented to improve the quality and the manner in which care is delivered while…

approaches. Improvements in socioeconomic status along with physical environment have the tendency of substantially contributing to reducing health care disparities (Brach and Fraserirector , 2010). Essentially, interventions related to health care services can greatly reduce these inequalities and…

What is Medicare? Medicare is federal health insurance for people 65 and older individuals 65 and under with certain disabilities, and any person with End Stage Renal Disease (ESRD) and Lou Gehrig’s disease also known as Amyotrophic Lateral Sclerosis (ALS) (Medicare Matters, n.d.). Medicare is one of the largest federal government programs that provide health care benefits to the elderly. The Centers for Medicare & Medicaid Services is the organization in control of the Medicare program.…

Part 1B: Based on the physician reimbursements for several CPT codes on physician lookup function on CMS, there is a variation in Medicare payments that are provided at facility setting (inpatient, outpatient or ambulatory) to that of a non-facility setting (physician’s office). In most cases, the Medicare’s non-facility pricing is higher than the facility pricing; this difference in payments accounts for three aspects which are categorized into Relative Value Units (RVUs) under physician’s…