Centers for Medicare and Medicaid Services

In 2013, different study showed that the federal and state government paid about $10.7 billion dollars in emergency Medicaid for undocumented individuals (Mukherjee, S., 2013). In 2015, New York provided emergency Medicaid to an estimated 208,000 undocumented individuals with an estimated cost of $400 million dollars (Radnofsky, L., 2016). In 2008, the Journal of the American Heart Association published an article that…

government agencies and private organizations assess, monitor, and oversee the quality of healthcare delivered by health plans, facilities, integrated delivery systems, and individual practitioners” (p. 121). One such agency is the Center for Medicare and Medicaid Services (CMS). In order for an organization to receive reimbursement from CMS, it must meet certain standards set by the federal government (Kelly, 2014). CMS outlined the federal government’s quality measures and expectations on a…

The Health and Human Services (HHS) reported the recent numbers of enrollment data and claimed is "a success" and on target to defeat the reduced estimates of 10 million individuals that will have purchased healthcare plans by the end of year 2016. Since the enactment of ACA…

utilize preventive services that could potentially delay or prevent onset chronic diseases. Actions to improve healthcare quality should begin with Medicare payments as the initial impact geared toward implementing change in care which includes (1) changing the infrastructure of HIT (2) combining primary care and preventive care together (3) devising a new payment system to reduce cost growth and quality improvements. These changes along with the encouragement of Medicare, Medicaid and private…

question was Universal Health Services v. United States ex rel. Escobar. The case involved a teenage female whose name was Yarushka Rivera. Ms. Rivera, who resided in Massachusetts, was a recipient of Medicaid and died as a result of an adverse reaction to medication she had been given to treat bipolar disorder. The facility treating Ms. Rivera is at the center of the family’s litigation. The parents of Ms. Rivera uncovered shortly after her death that Arbour Counseling Services turned out to be…

Competencies The Clinical Informatics Registered Nurse (CI) responsible for the implementation of the tele-psychiatry program should demonstrate Quality and Safety Education for Nurses (QSEN) graduate-level competencies to assure a successful implementation that improves quality and safety. The QSEN graduate-level competencies were developed to assure graduate-level nurses are able to demonstrate the skills and attitudes required to improve quality and safety in their workplace. In 2012, the…

Over the past several years, Foley catheters have become the most frequently used implantable medical device (Stickler, 2014). A Foley catheter is simply an indwelling urinary catheter. These catheters are necessary for a broad variety of conditions including, patients with acute urinary retention or bladder outlet obstruction, patients undergoing surgical repair of the genitourinary tract, critically ill patients requiring frequent and urgent measurements of urinary output, incontinent patients…

and smartphones, and digital hackers becoming more sophisticated in their techniques to steal patient health information/record, and caused hospitals to face many cybersecurity challenges with new healthcare technology. According to center for Medicare and Medicaid service (CMS), U.S. hospitals have spent $1.6 billion each year for healthcare security system. Breaking it down by incident, hospitals have spent on average $810,000 per security breach, which occurs at nearly one in five healthcare…

Currently, the nursing community is experiencing revolutionary changes, which have been facilitated by the recent government’s efforts on establishing comprehensive reforms on the country’s healthcare system through different legislations and amendments. These policies have largely increased the number of insured and non-insured patients’ able to receive better health care. The rapid growth in patients’ number with access to healthcare has almost crippled an already challenged system, forcing…

surveyors during the inspection survey, that is conducted at specific nursing facilities. The data is collected from nursing facilities, for the purpose of certification for participation in the Medicare and Medicaid programs. OCSCARs’ data network is essentially supported by the Centers for Medicare and Medicaid Services (CMS). (Book) The OSCAR database generally includes the operational characteristics of nursing facilities, and also aggregate patient characteristics/ patient census. The…