Medicare furnishes healthcare program to help such disadvantaged financial situations of the elderly U.S. residents. The workforce pays taxes to the government throughout the employment period. This accumulated money of the individual in the form of taxes is given back after 65 years of age independent of their current working status. While, the Medicaid delivers healthsecurity net to necessitous and vulnerable population, and are executed by individual State separately. Medicare’s senior enrollee can also be a part of Medicaid. Medicaid enrollees can avail additional cost benefits over Medicare for prescription drugs, diagnostic and preventive care, and eyeglasses (Nolo®, 2010). The recipients of Medicare and Medicaid can overlap. In such cases, the entitled enrollee of Medicaid offers financial help for Medicare deductibles and the Medicare premium.
As the global, political, social and environmental factors are charnging at fast pace, each federal program is facing ongoing challenges.These challenges are carried over and entire health care system is trapped into vicious cycle. Financing of Medicare as well as Medicaid is the most emerging issue due to corollary effect of general aging of society, economic recession, and unemployment.
Managed care is the major health service program subsequent to the arrival of Medicare to reduce the cost of health care services for patients. Managed care plans are health insurance plans frequently involves unreasonable limits on visits with health care providers and medical facilities. But it no longer is viewed by most employers and federal and state governments as the primary means by which health care costs can be brought under control due to vested interest of individuals in America’s health care delivery system (Boyle & Callahan, 1995). Managed care system is connected with several legislative acts because of which it drew into controversy to give best service in the interests of patients. The clinicians,