This essay "Perspectives on Medicare" describes a medical policy established to cater for health needs of citizens. It mostly targets the elderly, as they are more prone to get sick or suffer from ailments that may require urgent medical attention. …
The system (Medicare) is structured in four essential parts: Part A is based on Hospital Insurance, Part B caters for Medical Insurance, Part C deals with Medical Advantage and Part D relates to Drug coverage, which relates to Medicare prescription. Each part is important in establishing a Medicare plan for people since there is a correlation between each of the parts that provide Medicare benefits (Ball, 1995). The relationship extends to the fact that if one component is of low quality, the other factors should be of a similar nature.
Hospital insurance is designed to cover inpatient care in case of medical emergencies. It caters to home health care, a nursing facility and a hospice, which will address and cater to the requirements of an inpatient. These are essential in ensuring that a patient will have these important services that will enhance quick recovery from any injury, ailment or any other health hazard that may arise.
Medical insurance is implemented in order to provide cover for services administered by health care providers (such as doctors), outpatient care, home health care, and mediation or medical equipment (Hellinger, 1998). It also covers preventive measures that ensure the wellbeing of an individual, as well as limit or prevent any illnesses from becoming aggravated or causing fatal damage.
Medical Advantage is a component of Medicare that gives the option of using Medicare-approved private companies, which provide various insurance policies. It has a formulated plan that ensures an individual receives any of the benefits that are provided in Part A and B. This aspect of Medicare provides additional advantages, which are provided at an additional cost (Ball, 1995). It (Medicare Advantage Plan) also provides cover that relates to drug prescription (Part D).
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(Perspectives on Medicare Essay Example | Topics and Well Written Essays - 500 Words)
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The program works by providing reimbursement for the services and expenses occurred by inpatient care, doctors services, outpatient care and prescriptions . Individuals pay premiums to be part of the insurance system. This is often provided as part of employment , with spouses also being covered on many occasions .
Medicare programs assists aged and retired individuals get access to health care at any time of ill. Usually, retired individuals do not have other serious sources of income for supporting themselves in the lines of and acquisition of health care and basic human wants.
These agencies receive approval from the Centers for Medicare and Medicaid Services (CMS) to enable CMS provide support, such as funding, to healthcare companies (Curley & Vitale, 2012). Accreditation agencies ensure that the set standards for providing clinical and pharmacy services coincide with the practices in health institutions.
The health sector is in a major turmoil due to loss of funds and credibility because of Medicare fraud. In order to analyze the problem and its causes, different stakeholders in the healthcare sector are interested in establishing the extent and the social implication of the problem.
Zwick was hospitalized for mild stroke for 5 days she also qualifies for SNF (Skilled Nursing Facility). Part A is activated when the doctor has ordered the inpatient treatment of an illness and it can only be treated in hospital. Mrs. Zwick is eligible for the SNF since she needed daily skilled care and had developed a hospital related medical condition.
Global has given way to the trendier glocal. It's the era of revolutions and transformations- technological, communication cultural and even beyond.
Industrialization initiated the trend and technical evolution catalyzed it. The World Wide Web was the icing on the cake.
There is much debate, however, about whether or not Medicare can or will go bankrupt, if an acceptable system of reform isn't soon adopted. While the financial health of the programs (parts A, B, and D) isn't as bleak as was projected a decade ago, there is still work to be done if Medicare is to remain stable for future generations.
Medicare coverage is not complete as it covers a portion of the cost of health care and the cost of long-term care (Social Security Online, 2010). This program is financially supported by payroll taxes which are paid by workers and employees and also by the monthly
Federal officials have apprehended 16 Metro Detroit heath care officials for being involved in kickback schemes and fraud that amounts to $122 million. The apprehension has been termed as the largest takedown associated with Medicare fraud.
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