State Children's Health Insurance Program

increase, the hardship on the low income aged would be minimized by a greater use of income related premiums. Equity would be improved and the deficit reduced if subsidies to higher income aged were eventually completely phased out. According to United States Renal Data System, “as a result of the Medicare Modernization Act of 2003, the Medicare Part B premium became income related;…

Florida passed its Certificate of Need (CON) process in 1973, it requires healthcare facilities to apply for approval from the state to expand existing facilities and to build new facilities. The emphasis is placed and making healthcare more affordable. According to Florida Hospital Association “process is to avoid the duplication of costly medical services.” (FHA, n.d.) Focusing my attention to acute care facilities specifically in south Florida CON does not allow for the consumer to received…

able to afford health care under the new healthcare reform law and its benefits and rights would protect your family and businesses. Some of the benefits were: Letting young adults (Links to an external site.)Links to an external site. stay on their parents’ plan until the age of 26 Not letting the insurance companies from deny you coverage or charging you more money based on health s (Links to an external site.)Links to an external site.ituation Not letting insurance companies…

The Medicare community has oversight by the Center for Medicare and Medicaid Services, (CMS). Healthcare organizations are contracted to provide quality healthcare options for consumers by CMS however; each plan has limitations in those plan that prevent the consumer from obtaining that quality care they expect. Some of the main concerns that prohibit streamlining the process are plans dropping doctor’s mid-year without sufficient notice to members, coverage problems not clearly identified in…

goals are to expand patient protections, make health insurance more affordable, improve the quality of health insurance and healthcare, and to curb costs. Its target is middle-class consumers that have pre-existing conditions or setting limits on care. Majority of people feel that Obama care is collapsing according to sources but those who surveyed have agreed that their premiums are lower this year. So this means that people will continue to buy insurance even though congress had eliminated…

Application: Give an example either real life, metaphor, poem, analogy that exemplifies the consequences of the population trends for healthcare including how healthcare is financed. I believe that the Medicaid programs are necessary in many cases to provide support to those that are eligible for the coverage. Medicaid pays for care rendered in governmental hospitals, clinics, and emergency rooms (Williams & Torrens, 2008). This is a great benefit to those that truly need the coverage. I…

Health care costs in the U.S. are continuously increasing. Some people believe that having a universal care system would be beneficial because it will result in decreased costs and increase everyone's admission to care. There are some people who disagree with that idea, as they believe that having a universal care system would be too expensive, and the quality of care wouldn't be substantial. It is also stated in the article that medical expenses are the cause of 50% of bankruptcy filings.…

MACRA tried to align various previous performances programs, consolidating aspects of the PQRS, Value-Based Payment Modifier Program, and the Meaningful Use initiatives. MACRA defines two approaches of payment to enable the change towards the goal of paying for better care value; Alternative Payment Models (APMs), and the Merit-Based Incentives Payment System (MIPS). APMs offers novel alternatives to pay health care providers for the care they give Medicare beneficiaries and incorporate…

Madison Collins Managed care is a health insurance structure. It dominates the United States. Managed care organizations offer incentives to provide fewer services and less expensive care while maintaining quality. This along with MCOs control over delivery, use, quality, and cost of services make managed care favored over FFS. PPOs are the most popular form of managed care. To reduce the unnecessary costs of these plans, managed care uses three utilization control tools. I discuss managed care…

The act was introduced to Congress on March 2, 2017. The purpose of the bill is to stop federal involvement of regulating stop-loss insurance, used by self-insured employers. Employer who self-covers the employee medical bills is allowed to cover the medical cost directly or paying the employee after the claim, instant of paying a monthly insurance premium. Furthermore, employers are fully responsible for the coverage of employees medical cost and the plans are customized according to the…