CMS is an important entity to US healthcare, without it, the medical coverage for children whose parents do not have the luxury of commercial coverage and the elderly who have reached the age of retirement would not have health benefits. Medicare and Medicaid do not only supply benefits to children and the elderly but there are those citizens who are considered disable in some way, shape, fashion or form.…
Children’s health care coverage has a long history in the United States. During the Depression-era certain health care programs were set up for children. This program would be the foundation of Medicaid which was established in 1965. The expansions in Medicaid coverage continues throughout four decades. With the help of the State Children’s Health Insurance Program (SCHIP), federal financing was able to expand in order for low-income children to have coverage. Through an analysis of the article written by Mann, Rowland, and Garfield (2003) titled, “Historical Overview of Children’s Health Care Coverage,” three objectives will be reflected upon. The objectives are the evolution of publically sponsored coverage, the raising of health care costs, lessons learned throughout history.…
The sales are made directly by the online agency in which they allow the customers to apply, buy and print the bonds on their own. The second method of sales involves an agent that partners with the agency. The agent partners' web space offers automated bond application, underwriting, and…
Although your Original Medicare will not cover everything, Medicare Part B covers both installments of the pneumonia vaccine. To attain benefits that are not included in your Original Medicare Plans, you may want to purchase a Medicare Advantage Plan (Medicare Part C).…
Medicaid helps millions of older adults pay for long-term medical and health care needs. The government-sponsored program helps low-income seniors pay for doctor visits, hospitalizations, home health care and nursing home facilities.…
The Clinton Administration has dedicated to strengthening and improving Medicaid so that it can fulfill the promise of our nation to millions of children, elderly, and disabled Americans and their families. To achieve this goal, this Administration has worked vigorously in partnership with the states to test innovative new approaches to delivering and financing care for Medicaid patients. During our first 3 years in office, this Administration approved 91 major Freedom of Choice waivers and waiver renewals, which allow states to enroll beneficiaries in managed care plans. We have also approved 163 new and renewed Home and Community-Based Services waivers, which enable states to use home care as an alternative to costly nursing home care, and…
These forms of enrollment have been a major transformation from the previous processes to enroll for Medicaid. The Modified Adjusted Gross Income (MAGI) is the process that states will need to shift to maintain a uniform income eligibility. A “no wrong door” enrollment policy will help eliminate a person’s entry either through a Medicaid agency or an exchange. Even if a state chooses not to expand their Medicaid program they must meet the…
The Center for Medicare and Medicaid Services provides Medicare, Medicaid, and related quality assurance programs. The most important aspect of the CMS is the center provides regulations for Medicare and Medicaid to the people…
Huntington, J., (Jan. 6, 1997) "Health Care in Chaos: Will We Ever See Real Managed Care?" Online Journal of Issues in Nursing Vol. 2, No. 1, Manuscript 1.…
The Balance Budget Act of 1997 created the Children’s Health Care Program (SCHIP). This program is also known as the State Children’s Health Insurance Program. Over 10 years, the program allocated around $20 billion for assisting low-income children who were ineligible for Medicaid and could not afford private insurance. The program was enacted by Title XXI of the Social Security Act. SCHIP was developed in order to make coverage of health care accessible to-low income uninsured children who family income is more than state Medicaid income standards for eligibility. The outcomes of state-by-state and national mismatching together with the federal funding unpredictability…
The new health care reform has brought up many questions and concerns among the American people. The health care reform was signed into act 2010 by president Obama. The health care act was put into place because of the ongoing health care crisis in the United States. Later the health care reform act was updated and the new laws were put into place in January of 2014. In this paper I plan to address issues on the new healthcare reform act. Addressing weather the reform act has expanded or inhibited access to health care. How the changes have influenced utilization of care. Give an explanation of…
An emergency manager’s meeting was called this morning to announce the 2009 fiscal budget cut’s starting June 1, 2009. The North Carolina Department of Health and Hospitals has cut Medicaid payments for hospital services by 15 % to reduce the state 's budget deficit.These budget changes will directly affect private insurers with significant focus on the Medicaid recipients in the rural low income population located in Eastern North Carolina. During this called meeting a manager mentioned the Informed Decision Toolbox, she read about in an article for her graduate program. This article mentions steps or processes to help decide which services could be eliminated or introduced to continue to provide quality care on a reduced budget. The Informed Decision Toolbox (IDT) is an integrated set of tools that offer assistance to managers and policymakers in order to find best practice research supported by evidence- based models; and apply to healthcare organizational management structures.…
It is estimated that 72.5% of U.S citizens are covered by federally funded medicaid.Medicaid is health care coverage for low-income.elderly,disabled and pregnant women and children. “Medicaid is the single largest source of health care coverage in the U.S” and eligibility is dependent on income.…
There have been numerous failed attempts to reform the United States healthcare system over the years. However, the most recent attempt that has been implemented is the Affordable Care Act, under the Obama Administration. As a result, since 2010 changes have been implemented to reform the United States healthcare industry, which affects the insurers, providers, and the subscribers in different ways. Consequently, the Affordable Care Act does not have full support from everyone and it faces numerous challenges (Bodenheimer & Grumbach, 2012). Overall, it is estimated that 2.6 trillion dollars is spent on healthcare in the United States each year (Van Gorder & Topol, 2012). Therefore, it is essential to acknowledge the inflation in healthcare…
5. Unknown Author. “Medicaid and the Affordable Care Act.” States Implement Health Reform. March 6th, 2013.…