Medicaid

When a nursing home files claims for payment to Medicaid and/or Medicare, they are held to requirements seen under 42 U.S.C. §1396r – Requirement for Nursing Facilities. The plaintiff’s estate claims that the nursing home operated by Kane’s Center failed to provide proper care resulting in decubitus ulcers…

social needs such as housing, hunger, violence, transportation and more are correlated to quality and affordability in Medicare and Medicaid. The program will provide up to $157 million to test this theory. The program spans over five years and is called the Accountable Health Communities model. The model focuses on the social needs related to health of Medicare and Medicaid recipients and connecting clinics and communities. Often, overlooked by regular health checkups, the goal of the…

People have found their way around Medicaid while the government has lost money to Medicaid just as bad as back in 1997 when the Hospital Corporation of America created one of the worse Medicare fraud cases (Eichenwald, 2000). The Hospital Corporation of America is a healthcare company that gladly accepts people with Medicaid or Medicare for health insurance. One of the founders, Rick Scott, was found taking money from the company…

know healthcare in and out so we can implement and decide what direction we need to direct our staff everyday.. We need to understand the impact modern medicine has, why healthcare cost is rising, what major issues we are facing, understanding Medicaid and Medicare and the current state of national health policy. If we were to change one thing it would have to be that there would be a cap on how things are charged so that people were not overcharged for something just because the…

help of Title X and Medicaid and other health providers, Family Planning has the nation’s only program solely focused on making family planning available to all. They help prevent or provide care for millions of unintended pregnancies, unintended births, abortions, sexually transmitted infections, and cervical…

Healthcare Finance: Ongoing Change Healthcare in the United States (US) is a progressive movement that is constantly changing. Some may say these changes occur in hopes of providing the highest quality of care without causing undue financial burden to the largest group of citizens. Unfortunately, potential changes brought on by the American Health Care Act (AHCA) may be a step backwards when considering financial hardship to the most vulnerable of society. When comparing the Affordable Care Act…

Medicare part A and B recipient and also receive full Medicaid benefits. There are an estimated 9 million people in the United Sates that receive this dual benefits. Medicare is the primary payer for most services, but Medicaid covers benefits not offered by Medicare such as payment for all or part of Medicare copayment, coinsurance, and deductibles. Dual-eligibles are often in poorer health and require more care compared with other Medicare and Medicaid beneficiaries. However, where it gets…

There are many differences in access to healthcare for different demographics. For example, many of those differences are based on age, occupation status, pre-existing conditions, military statuses, income, and an individual’s health status or any health issues that they are faced with. Some healthcare is even determined on the types of medication that an individual or groups of individuals may need on a month to month basis. All of these factors play a role and determine the type of healthcare…

anti poverty programs like: “ Medicaid, the Supplemental Nutrition Assistance Program (SNAP, often called food stamps) and other safety-net programs,” serves a serious role for the economy. Rubin, furthermore supports his claim by writing, “They improve productivity and reduce social costs caused by crime, malnutrition and poor health.” On medicare.gov it states that, “Even if your income exceeds Medicaid income levels in your state, you may be eligible under Medicaid spend down rules,” which…

into a community-based program, it gradually integrated into the mainstream health system of the US. Now Medicaid and other mainstream programs controlled the mental health dollars, and were in charge of eligibility for who could be covered. With tight state budgets and increasing Medicaid costs, many states tried to contain costs through reduction of eligibility requirements, lower Medicaid reimbursements as well as increasing cost sharing and restrictions…