The Medicare Part D, also known as the Medicare Prescription Drug Coverage, was designed to cover the existing gap (the donut hole), between individual’s prescription drug needs and Original Medicare (Original Medicare is characterized in parts A and B). The Original Medicare Plans includes basic drug coverage but unfortunately, many medicare beneficiaries require specific prescription drug needs that do not fall under the qualifications of parts A and B coverage. Medicare Part D is additional coverage associated with parts A and B so you are required to be enrolled in Original Medicare in order to qualify for enrollment. Medicare Part D can not under state law count as essential coverage. Only part A, which is hospital insurance and part…
Johnson. CMS consists of both hospital insurance (Part A) and medical insurance (Part B) of the Medicare program. Together, these two insurances are referred to as the “Original Medicare”. In 1972, the Medicare program expanded to allow more people to become eligible such as people who are disabled, over sixty-five, and those suffering from end-stage renal disease. Those who only received cash assistance from the government received coverage through the Medicaid program but, eventually…
system for people who are age 65 or older or under the age of 65 that meet certain disabilities and/or other requirements known as Medicare. The United States is currently experiencing an exploding population known as "baby boomers"; these individuals were born between 1946 and 1964. This segment of the population is the largest and fastest growing segment within the United States currently. As of the last census in 2010 there were 41 million Americans on Medicare by 2026 the will be more than…
behavioral risk factors, lack of preventative care, and physical inactivity. It also works to lower the total cost of care resulting I reduced monthly expenditures with Medicare, Medicaid, and CHIP by improving care. Overall, CMS works to improve healthcare for the population. About: The Centers for Medicare and Medicaid…
There are so many aspects to the healthcare field that affect the “Iron Triangle”. It is up to us as healthcare manager to 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…
In 1997, Children’s Health Insurance Coverage (CHIP) was created to cover children and make sure that they had the ability to receive care in all 50 states. The Medicare program moved forward in 2003 with Part D, The Medicare Prescription Drug Improvement and Modernization Act (MMA). Starting in 2010, the long hall forward to have a more universal healthcare system was passed as most would know as The Obamacare and to others know it in the form of the Affordable Care Act (ACA). The goal of ACA…
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.…
to 11 million non-elderly low-income parents, other caretaker relatives, pregnant women, and other non-disabled adults (PSYC 418, Paul Bennett, personal communication, 02/04/15). Medicaid also covers additional services beyond those provided under Medicare, including nursing facility care beyond the 100-day limit or skilled nursing facility care that Medicare covers, prescription drugs, eyeglasses, and hearing aids. States provide coverage to parents/caretaker relatives who are in mandatory…
In 1965, in the presence of President Harry S. Truman considered to be the real Father of Medicare, President Lyndon B. Johnson signed Medicare into law as part of the Social Security Amendments of 1965. The intent of this national health insurance program was to provide health insurance to Americans over the age of 65 and to younger persons with certain disabilities. According to Wager, Lee and Glaser (2013), in 1972, another historical piece of federal legislation was passed that required…
The Medicare program was established in 1965 as a national health insurance to assist the elderly in receiving medical care and services as they age regardless of health status and income. There were several reasons that led to the creation of the program as stated by Patel & Rushefsky (2016): most elderly were retirees and not eligible for health insurance coverage through an employer, they could not afford individual insurance coverage, and the elderly are more at risk of needing medical care…