The paper below discusses what Medicare and Medicaid are. It also talks about who is eligible for these two programs, and what they consist of. Medicare offers 4 different parts of health care. Part A, B, C, &D. These parts focus on hospital and medical insurance, as well as prescription drug coverage. Medicaid offers many different programs, such as programs for children, long term care facilities, and community and home-based patient’s. The program that they offer for children is called CHIP,…
years now, drug makers have been operating on the dark side, financially incentivizing doctors and health care providers to promote their drugs, and compensating pharmaceutical sales reps based on the number of prescriptions written by the doctors they call on” (Archer 2013). The Huffington Post cites how “Big Pharma has been systematically price-gouging the Medicare program for seniors and people with disabilities -- and raking in billions in excessive profits. The 11 largest global drug…
We thank the Centers for Medicare and Medicaid Services (CMS) for the opportunity to provide comments on the proposed rule Medicare Program: Part B Drug Payment Model (CMS-1670-P) published in the Federal Register on March 11, 2016. Under the proposed rule, CMS would implement a two-phase model to test whether alternative drug payment designs will lead to a reduction in Medicare expenditures, while preserving or enhancing the quality of care provided to Medicare beneficiaries. The first phase…
challenges that affect the direction of health care today. Proposed health care reform and legislation, accreditation, quality of healthcare, and organizational compliance, economics, including third party payers, future funding, rising costs, the Medicare and Medicaid programs, access to health care including the uninsured and those in poverty and the elderly, and maintaining a skilled workforce have created many obstacles for providers (Ashford, 2016). Healthcare reform and legislation are…
Imagine not having worrying about getting sick and the expenses of going to the doctor. This is a reality in many major counties throughout the world. Most major industrialized countries have universal affordable healthcare guaranteed to every citizen as a right. Citizens in these countries do not have to worry about getting sick and not being able to afford to go to the doctor. However, this is not the case in the United States. Just seven years ago, citizens in the United States would be…
Plan J is no longer offered to new Medicare beneficiaries. But what if you already have a Plan J? Should you change it? Why was was Medigap Plan J removed? When Congress passed the Medicare Prescription Drug, Improvement, and Modernization Act of 2003, the structure of Medicare was forever altered. Among other things, this act signaled the beginning of Medicare Part D prescription drug coverage. This meant that Plan J’s prescription coverage was now duplicated and that Plan J as a whole…
Retired Persons is concerned with the welfare of individuals at are above 50 years old, Health Insurance (Medicare), and Social Security. Examples of legislation that the AARP supported was the Medicare Prescription Drug, Improvement, and Modernization Act, which established Medicare Part D, in 2003, which offers a subsidy for big companies to discourage them from removing private prescription coverage to retired employees, and the healthcare reform bill in Congress. An example of legislation…
$3billion to resolve the criminal and civil liability brought against it. This lawsuit was brought about by the unlawful promotion of a prescription drug the company engaged in, and because the company failed to report the safety data of “Avandia” – a diabetic drug, and also false price reporting. Till date it has remained the largest payment ever made by a drug company (CITATION). GlaxoSmithKline paid for making false and misleading reports about Avandia’s safety. • Johnson & Johnson – this…
expanding Medicare to offer Dental, vision and listening to Care Medicare’s achievement almost 52 years in the past Medicare - one among our country's most popular and a success programs - turned into signed into regulation by President Lyndon Johnson. considering the fact that then, Medicare has helped carry generations of American citizens out of poverty. earlier than the enactment of Medicare in 1965, most effective 50 percent of seniors had health insurance and 35 percentage lived in poverty…
Compare and contrast Medicare and Medicaid; including funding sources, fraud and/or abuse, and eligibility requirements for recipients: Medicare: A federal health insurance program for people who are 65 or older. Under 65 with certain / of any age and have End Stage Renal Disease (ESRD) or ALS. It is governed by the Federal Government and depending on the coverage you choose and may include: Care and services received as an inpatient in a hospital or skilled nursing facility (Part A) Doctor…