Medicare

Summary: 1. After days into the government shutdown in January of 2018, congress at last agreed on a deal to reopen and fund the Children’s Health Insurance Program (CHIP)- which expired more than 100 days prior (Quinn, 2018). CHIP currently serves more than 9 million low-income children in addition to pregnant women who do not have employer-based insurance, but also who do not qualify for Medicaid (Quinn, 2018). CHIP is funded by the federal government (80%)- but also by the states as well;…

Does Value Options Health Insurance Cover Drug And Alcohol Rehab? Value Options health insurance will cover the costs associated with outpatient and inpatient drug and alcohol rehab. The Affordable Care Act, which is also known as the ACA, requires health insurance companies cover the cost of addiction treatment. However, the amount of coverage that one can get for addiction treatment can vary from plan to plan. There are some health insurance plans that will cover all of the costs of…

Healthcare: Medicare, Medicaid, Social Security insurance Elder adults how are lucky enough to have money saved to their account or through a pension fund to become retired. Many people have money placed for Medicaid, Medicare, or a social security income. The top two are Medicare and Medicaid which were originally funding by the government as a means of assistance. Medicaid is a state and federal program that provides health coverage if you have a very low income (Crosta, p. 6). In order to…

expanded Medicare healthcare coverage for preventative services, which are covered under the part B benefits. Prior to the ACA, Medicare beneficiaries with traditional Medicare were required to pay 20 percent of the cost of most preventive services out of pocket. Medicare Advantage plans could charge what they wanted for preventive services. In the past Medicare part b benefits covered a one-time, welcome to Medicare visit during the first 12 months of Medicare enrollment. The ACA Medicare…

Medicare is one of the many social welfare programs that was created by the federal government for the people; it is also one of the most significant ones that came to be. It developed in the 1960’s, and has been growing ever since. Around 1965, the debate regarding medicare began with the association of assistance in the medical fields for those who needed help. The legislation to begin the Medicare program was passed in 1965 by the government while President Lyndon Johnson was in office. The…

cost-efficient services. Medicare is a government-funded program that provides a significant impact on today's healthcare ecosystem. It provides health coverage for adults who are 65 years or older, people with disabilities of no specific age, and people suffering from permanent kidney failure that requires dialysis or a renal transplant (“What's Medicare?” n.d.). Various components of Medicare cover specific services. Medicare Part A pays for hospital stays, hospice and nursing care. Medicare…

unable to afford private insurance due to the slow economy recovery. The recession has caused more people to turn to public health support through Medicaid. (Cuts on the Rise, Health on Decline, 2011) At the same time change in payment rates under Medicare are expected to bring new pressures on hospital operating…

and has been on Medicare for almost three years. Medicare is a federal health program that is for U.S. citizens that have a low income and is 65 years-old and older. The Medicare program has been inseparably connected with the federal health care system in America for over 50 years, which means that new legislation affects it just as it affects every other piece of present medical care. In the case of the Affordable Care Act new protocols and financial methods have placed Medicare under a mainly…

like many Americans that have a contribution towards the Medicare program. I have a right to know where funds go and how they are disbursed. The reason I chose this particular regulation because there was a similar case of an Optometrist submitted fraudulent claims to Medicare. Dr. Sponseller was sentenced to Federal Prison for 33 months for committing Medicare fraud. He willingly admits his partake in billing falsified claims to Medicare and other related government programs for nursing home…

We've had some major news stories about Medicare Advantage Plans overcharging lately. What exactly are they about? In May, we heard about a couple of Florida MAPD insurers that agreed to pay almost $32 million to settle a lawsuit that said they made patients seem sicker than they really were so that they could get larger payments from Medicare. Dr. Darren Sewell filed the lawsuit in 2009. He actually worked at both plans, Freedom Health and Optimum HealthCare. These plans were both based in…