Medicare and Medicaid

strategic efforts involves the collection of data and assigning key performance indicators to each strategic objective (Walston, 2014). Currently, Lake County Medical Practice (LCMP) have to tackle the challenges of reducing Medicare reimbursements and increasing the volume of new Medicare beneficiaries. These factors should be addressed during the strategic planning process and involve all levels of management and stakeholders. The balanced scoreboard is one tool that can used to monitor…

Is this a condition that has lasted or is expected to last for at least 12 months? Definition of Insurance Type This study sought to specifically compare children with public insurance to those with private insurance. Medicaid was defined as Medicaid alone or dual Medicaid/Medicare coverage. Private insurance was defined as job-based, other directly purchased, or exchange coverage. Definition of Care Consistent with the Patient-Centered Medical Home The OMAS survey did not explicitly ask…

Jeff Bauer, a health futurist and medical economist, believes that the future for healthcare could possibly have lesser healthcare groups that are more tech savvy. Also, Bauer thinks that doctor-owned medical groups will influence the change from “acute care to disease management that emphasizes the role of the physicians and their partners.” The partners within the groups will have to create a new coalition to gather and study the patient’s information in a variety of ways. Committee members…

After doing some research on articles of HIPAA violations I found a few stories that caught my attention. The first story is about An Alabama woman that has been charged with violation of the HIPAA privacy rule for stealing paper surgery schedules about 4,500 patients from Trinity Medical Center in Birmingham. She was then using the names of these patients as well as their date of birth and social security numbers to commit identity theft. By Law this is HIPAA violation of privacy the lady…

least 50% are readmitted within six months (Cost considerations in the treatment of heart failure). The intensity of the disease process poses a financial strain on both the patient and the payers, especially Medicare, as 3.6 million of these patients are 60 years or older and therefore a Medicare beneficiary. Consequently, in order to gain control over this chronic disease and its cost burden, the government…

In the United States, a large number of people rely heavily on a federally provided healthcare system of insurance coverage known as Medicare. This program is available for people with disabilities as well as those of age sixty-five and up, with the huge majority of those enrolled in the program being part of the latter group. This means that a lot of the United States’ aging population is very dependent on this federal program as their main source of healthcare coverage. This reliance is…

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…

One of the most influential and historically significant decades in American history occurred during the 1960s when Presidents John F. Kennedy and Lyndon B. Johnson held office. These presidents’ domestic reform goals reflected more similarities than differences. Most of the domestic reform legislation enacted by Johnson originated with the Kennedy administration. Kennedy’s legislative agenda, known as the “New Frontier” included increased federal aid for education, reduced taxes in an effort to…

of the nations can run the program in an assortment of ways. Every one of these frameworks has its own advantages and disadvantages. In America, the elderly are regularly secured by the administration's Medicare program, and low-wage people are secured through the administration's Medicaid program. Most other individuals depend on their manager…

In today’s economy, there is an outrageous demand for health insurance. President Obama has signed a reform for citizens without medical health insurance. Since the reform has been passed, controversy has been split into those who support it and those who don’t. Others believe that it will worsen the economy and the opposing side will argue that those who don’t have coverage may now benefit from it. Even though citizens should have a choice to a health coverage rather than being forced to have…