Medicare and Medicaid

This organizations come together to establish what is called Assisted Living Sector Healthcare Policy Research Fund. This essential project put more services in the senior living that would lower the need for Medicare services (Brookdale, 2015). The main goal is to affect the senior community socially, politically, economically, and clinically. If such collaboration become and stay successful, it may influence policy makers to become more assertive in preventative…

facing a new challenge with the looming retirement of the Baby Boomer generation. As this generation approaches retirement, the United States will have to overcome many factors to align the financial cost of providing SSI benefits, Medicare and Medicaid. The grown in Medicare eligible individuals is projected to out- number to projected workforce of individuals between the ages of 16-65 by 33 %( Wiener & Tilly, 2002). In addition this will result in fewer individuals paying taxes to support…

nursing home, seeks information on current practices and systems, and addresses problems in systems or processes. Federal law requires skilled nursing facilities implement process improvement plans to correct deficient practices (Centers for Medicare & Medicaid Services, 2014). According to data gathered during the Minimum Data Set (MDS) process, Lone Tree Convalescent Hospital has a high prevalence of short-stay residents that self-reported moderate to severe pain. The author gathered data…

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)…

How Can Hospital Acquired Pressure Ulcers be Prevented? Jamie R. Stumph University of South Alabama How Can Hospital Acquired Pressure Ulcers be Prevented? Hospital acquired pressure ulcers are a concern all across the nation. A pressure ulcer is considered an injury to the skin as well as some of the underlying tissue. Pressure ulcers can be problems for patients not only because of the price, but because of the possible infection and pain that they cause. The cost from pressure ulcers…

negative shadow that is cast upon the Medicaid program. Medicaid is the healthcare system that individual receives when their income falls below the new standard of 133% of the federal poverty level (CMS.gov, 2013). The new federal poverty level is beneficial is the sense that it is covering a wider population of uninsured throughout the nation. This would be perfect if the nation accepted this as a creditable and honorable insurance to partake in. Medicaid users have been treated poorly and…

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 leading…

Medicare and Medicaid are two programs funded by the federal government that provide health insurance benefits to people 65 or older, individuals with certain specific disabilities, and people with extremely low incomes. Income requirements for the program can vary from state to state, but most of them are based on federal poverty guidelines. Because they cover some vision expenses, these programs fall under vision insurance plans. In 2010, the maximum annual income for an individual to qualify…

Healthcare fraud is becoming an immense problem in today’s society. When a health care provider, health suppliers, and private health companies purposely bill Medicare or Medicaid for supplies or services that were not given it is considered healthcare fraud. For example another form of fraud is when a person uses another person’s Medicare/Medicaid card…

Medicare is a federal health insurance for people over 65 years. It also covers people under 65 with certain disabilities and Kidney failure, and it covers 55 million older people and young people with disabilities. Medicare accounts for 14 percent of federal spending which amounts to 505$ Billion in 2014 while the Social Security accounts for 24 percent of federal spending (The facts on Medicare spending and financing, Kaiser family foundation, 2015). The Social security is pension provided to…