and Selection Stephanie Bennett HCS/455 December 28‚ 2012 Jonathan Bibb Medicare Medicare is a federal insurance program that was created to aid the elderly with their medical bills. The Medicare program was created 40 years ago. The original benefits under Medicare did not include drug coverage. Medicare has since added drug coverage to bridge the gap under the original available benefits. The Medicare program is facing serious financial challenges. The projected expense for medical
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MEDICARE Prior to 1965‚ it was almost impossible for people 65 years and older to get a private health insurance. Medicare was enacted in 1965 to counter the growing health care costs and provide access to the elderly‚ making health care a universal right for all Americans 65 years and older. (Medicare & You‚ 2013) The rapid growth in the baby boomers population that began in 2011 caused a burden on the government by adding to the already high deficits. Medicare enrollment is expected to double
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All-Out Push to Combat Medicare Fraud WASHINGTON‚ DC - As law enforcement announced a nationwide sting against Medicare fraudsters today‚ a bipartisan group of lawmakers in Washington was putting the finishing touches on legislation aimed at making a significant dent in the problem. Federal law enforcement officials in Miami today announced the details of a multiagency strike force operation that resulted in the arrest of 90 people nationwide for defrauding Medicare out of some $260 million
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Corporation of America (HCA) Staff Analysis Statement of Problem HCA‚ after following a conservative financial policy since its establishment‚ has entered the new decade preparing to make some changes in order to realign their financial strategy and capital structure. Since establishment‚ HCA has often been used as a measure for the entire proprietary hospital industry. Is it now time for the market to realign their expectations for the industry as a whole? HCA has target goals which need
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HealthSouth Corporation Case Study By Robert H. Barr‚ Jr. - © 2012 In 2002‚ HealthSouth Corporation was one of North America’s largest outpatient surgery‚ rehabilitation and diagnostic imaging companies. HealthSouth had over 1800 facilities in all 50 states plus the United Kingdom‚ Australia‚ Puerto Rico‚ Canada and Saudi Arabia. In 2002 HealthSouth had over 50‚000 people on staff in sales revenues in excess of $4 billion per year. HealthSouth worked with more than 85‚000 referring physicians
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Introduction 3 II. About Medicare 4 III. About Medicaid 5 III. Fraud & Abuse of Medicare 7 IV. Fraud & Abuse of Medicaid 8 V. Prevention Program Methods/Reform for Medicare & Medicaid 9 VI. Conclusion 12 References 13 Executive Summary With the ever-changing difficulties of our health insurance landscape‚ the government has taken a more active role in the health care and well-being of American citizens. With this shift‚ programs like Medicare and Medicaid‚ become polarizing
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Medicare and Medicaid There are various types of insurances in today’s world. Two of them being Medicare and Medicaid. Founded in 1965 as part of President Lyndon Johnson’s "Great Society"‚ they share differences and few similarities. They are social insurance programs that allow the financial burdens of illness to be shared among health and sick individuals‚ and affluent and low income families. Medicare is a federal program that provides health coverage if yon are 65 years or older‚ are a younger
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the Medicare rule for observation is very complex and confusing. The intention of the rule is to set clinical criteria for observation‚ and rapidly discharge the patient in twenty-four hours. However‚ this does not always happen. Some observation patients can stay up to ninety-six hours before being discharged or switched to observation status. One of the problems is individual health care organization interprets the Medicare rule differently. Then if the patient had a managed care Medicare carrier
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obtain Medicare is very comforting. Medicare is a federal health care program that was put in place by Congress in 1965 to provide health insurance to Americans sixty-five and above. Medicare was then expanded in 1972 to also cover younger individuals who are disabled (Kaiser‚ 2012). Traditional Medicare provides coverage to all Americans sixty-five and older without taking into account income. Prior to Medicare a whopping fifty percent of seniors lacked health coverage (Center for Medicare Advocacy
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original Social Security mandate was also expanded to include Medicare and Medicaid (Advance).” Some other changes more recently have added more benefits to this well known plan. “The most significant legislative change to Medicare--called the Medicare Modernization Act or MMA--was signed into law by another President from Texas‚ George W. Bush‚ on December 8‚ 2003. This historic legislation adds an outpatient prescription drug benefit to Medicare and makes many other important changes (Cms).” With the
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