Medicare and Medicaid Government programs such as Medicare and Medicaid was created by President Lyndon B. Johnson on July 30, 1965. Medicare and Medicaid cater medical and health-related concerns among people of the United States. Both of these health programs serve millions of U.S…
A state sets its own eligibility standards. Qualifying for eligibility depends upon age, pregnancy and disability status, citizenship, and other assets. The state includes individuals who receive federally assisted income-maintenance payments and who do not receive cash payments. Medicaid focuses on the group who needs the outmost assistance due to financial instability. Federal poverty line level (FDL) determines the families who will receive the Medicaid program. However, not all the poor benefit from or receive the Medicaid program. Among poor groups in America, about 60% are not covered by the Medicaid program. Under the Medicaid, the state makes an agreement with the Health Maintenance Organizations (HMOs) to pay the health care providers and reimbursed Medicaid expenditures from the Federal Government. All Medicaid beneficiaries are exempted from copayments for emergency services and family planning services and exclude pregnant women, children under age 18, and hospital or nursing home patients. On the other hand, Medicare is a social, health insurance program intended for the elderly and disabled Americans. Medicare has four parts. Part A and B deal with hospital insurance while part C and D deal with prescription drugs. ...
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(“Medicare and Medicaid Essay Example | Topics and Well Written Essays - 500 words”, n.d.)
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(Medicare and Medicaid Essay Example | Topics and Well Written Essays - 500 Words)
“Medicare and Medicaid Essay Example | Topics and Well Written Essays - 500 Words”, n.d. https://studentshare.net/other/30457-medicare-and-medicaid.
has never had a compulsory medical insurance system. Local medicine is funded mainly through private insurance companies - people or their employers voluntarily buy policy. The state does not interfere in this process. Everything is regulated by the market. In theory, this corresponds to American ideals.
Accurate information serves as the foundation of a systematic Medicare and Medicaid reimbursement process and contributes to the ease of access in obtaining and sharing information. An associate or reimbursement specialist has the responsibility to make sure that all the necessary information is accurate and that all involved parties agreed and evaluated the reimbursement contract.
Functionally, the program has been administered as part of the Social Security program since 1965. Unlike Medicaid, which is a joint program administered by the states, Medicare is a federal program that is financed by Medicare payroll deduction taxes. In cases where the recipient has not worked enough to be eligible for full social security benefits, there may be a charge for their Medicare insurance through monthly premiums.
The deductibles and co-payments must be fulfilled in this case just like any other insurance policies. Individuals who have reached the age of 65 which is the Social Security retirement age receive Social Security benefits and hey do not have to pay additional cost for Medicare as they have done so during their working years.
Medicare program evolved as an important consideration of the republic and particularly of the Congress. The administration of Medicare and Medicaid is mainly carried out by the Centre for Medicare and Medicaid Services (CMS), which is a component of the Department of Health and Human Services (HHS).