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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Improvement Act of 1999 was signed‚ making it possible for millions of Americans with disabilities to join the workforce without fear of losing their Medicaid and Medicare coverage. It also modernized the employment services system for people with disabilities. Initiative to combat bioterrorism was launched. 2001 Medicaid & Medicare The Centers for Medicare & Medicaid was
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originally implemented by the Healthcare Financing Administration (HCFA)‚ now called Centers for Medicaid and Medicare Services. This form must be used when submitting claims to Medicare and Medicaid. The Centers for Medicare & Medicaid Services (CMS)‚ formerly the Health Care Financing Administration (HCFA)‚ was created in 1977 _(answers.com)_ to combine the synchronization of Medicare and Medicaid. The CMS uses a small part of the US budget to manage the two programs‚ which insure millions of
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patients who either need short-term rehab while recovering from surgery‚ or require long-term nursing and medical supervision. Venetian Gardens offers services such as skilled nursing‚ rehabilitation‚ and long–term care; they also participate in Medicaid and Medicare. Venetian Garden’s facility in Loveland is a for-profit corporation chain that can house up to 99 residents; they currently house 92 residents. The facility serves mostly the elderly population‚ but they do also house mentally and/or physically
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most striking service it provide is that it receives electronically all the lab reports and diagnostic reports. Whereas Apex Rehabilitation and Care Center is for profit organization which is not is a hospital here it participate in all the Medicare and Medicaid activities and is only the resident council. HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems) this national survey is done in River Hospital‚ INC to ask the experience of patient during their hospital stay. This survey
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and to increase. In review from the author point-of-view the Obamacare law does not address or control the sudden increase of health care cost. The next question was stated was will the Obamacare reduce reimbursement for Medicare physicians? The Centers for Medicare and Medicaid department has predicted Americans will spend $36.8 trillion over the next 10 years in health care. “The author’s opinion without passing the Obamacare law‚ the country will spend less than $500 billion in the next ten10
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episodes are covered under Medicare Part A and Part B within 30‚ 60‚ or 90 days following initiation of post-acute services (CMS‚ 2014) The Comprehensive Care for Joint Replacement (CJR) model The Comprehensive Care for Joint Replacement (CJR) model is one of the CMS models‚ started on April 1‚ 2016 and run through December 31‚ 2020. The model‚ comes under the category‚ Episode -based payment initiatives. The purpose of this model is to provide a better support to the Medicare beneficiaries those who
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Review of: Challenges To Using A Business Case For Addressing Health Disparities Perspective: Challenges To Using A Business Case For Addressing Health Disparities‚ sheds light on a alternative approach to community healthcare. The authors reflect on two approaches in addressing disparities‚ business case and social case. They discuss some of the challenges along with the potential benefits in implementing the business case method. The article goes on to mention some key areas that healthcare organizations
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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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created the Center for Medicare and Medicaid Innovation‚ with the intent to focus on better care by “enabling anyone who wants to help join us on this endeavor” (U. S. Department of Health and Human Services‚ 2011b‚ p.1). Americas National Health Expenditure (NHE) continues to increases while quality outcomes decline‚ in 2009 there was an increase of $2.5 trillion ($8‚086 per person) accounting for 17.6% of Gross Domestic Product (HHS & Centers for Medicare Medicaid Services‚ 2011). Hospital
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