Medicare And Medicaid Essay

1368 words - 5 pages

Medicare and Medicaid are programs that have been developed to assist Americans in attainment of quality health care. Both programs were established in 1965 and are federally supported to provide health care coverage to vulnerable populations such as the elderly, the disabled, and people with low incomes. Both Medicare and Medicaid are federally mandated and determine coverage under each program; both are run by the Centers for Medicare & Medicaid Services, a federal agency ("What is Medicare? What is Medicaid?” 2008).
Distinguishing between Medicare and Medicaid
Medicare is a federally governed insurance program, primarily serving Americans over the age of 65, younger disabled meeting specific disability criteria, and dialysis patients having permanent kidney failure. Medicare is linked to Social Security, is not income based, and is available to every American meeting the requirements of the program. Those entitled to Medicare can select Original Medicare Part A (Hospital Insurance) and Part B (Medical Insurance) paying co-insurance and deductibles or opt to add Part C (Medicare Advantage Plans) paying a monthly premium and co-payments normally less than the out-of-pocket expenses for Original Medicare.
Medicaid is an assistance program for low-income people regardless of age. A federally mandated program, Medicaid is run by state and local governments under the established federal guidelines. Income and resource levels are the primary means for each state to determine eligibility with the level varying from state to state. Eligibility is also affected by other factors such as age, whether you are pregnant, if you are blind or have other disabilities, and U.S. citizenship or lawful immigration status. Some states require small co-payments for specific medical services from Medicaid recipients. The majority of health care costs will be covered for people qualifying for both Medicare and Medicaid.
The Evolution of Medicare based on the Needs of Society
Since its establishment in 1965 we have seen Medicare change as people’s needs change however being a federal program these changes do have an incredible amount of lag time. One of the first major changes to Medicare occurred in 1972 when President Nixon signed the Social Security Amendments of 1972 which extended coverage to individuals under age 65 with long-term disabilities, expanded benefits to include some chiropractic services and speech and physical therapy. During this time we see the American public growing tired of the Vietnam Conflict and lack of support and care for those returning Marines and soldiers with severe disabilities. As the protests escalate and the peace initiatives fail a key piece of legislation is signed showing government support and a willingness to extend health care benefits to this growing and vocal population of veterans (The Vietnam War, 1999). Also included in this Amendment is the encouragement of the use of Health Maintenance Organizations,...

Find Another Essay On Medicare and Medicaid

Regulatory Agency Paper

1265 words - 5 pages The purpose of the Center for Medicare and Medicaid services is to support a proper distribution of excellent health care to Medicare and Medicaid recipients and to make sure that the Medicare and Medicaid Programs are handed out in a timely manner. The center also must make sure that program recipients are knowledgeable of the services in which they are entitled to and, that those services are available and has excellent service, and that the

Medicare Fraud Essay

927 words - 4 pages obtaining multiple prescriptions costs Medicare millions annually. Fraud affects everyone, preventing it requires government officials and citizens diligently working together. Protection from Medicare Insurance Fraud Medicare provides healthcare coverage for individuals over the age of 65, in addition, to others meeting certain criteria. The government funds Medicare through the administration of the federal Centers for Medicare and Medicaid

Going to the Emergency Room? Get in Line Behind the Others

1396 words - 6 pages use the programs, because these programs severely affect their jobs, access to emergency health care, and taxes.Many citizens do not know that Medicaid is different from Medicare and thus do not realize the problems with it or how it affects them. Both Medicare and Medicaid are federal government programs, but Medicare is managed by the federal government and gives health care coverage to individuals 65 or older or who have a disability or

Long-Term Care: The Involvement of the Government and the Future of Integrated Care

1108 words - 4 pages Medicaid. Medicare operates at a federal level and provides coverage for short term care also known as post acute care. These services include care in nursing homes, skilled nursing facilities and home health services. According to Ng, Harrington and Kitchener (2010), An estimated 4.9 million (15%) Medicare beneficiaries received short-term post acute services out of a total of 32 million beneficiaries who used Medicare services in 2007. The

Florida Agency For Health Care Administration

1188 words - 5 pages facilities licensed by AHCA have come under increased supervisory control of federal law as it relates to Medicaid and Medicare. With the frequent changes to many of these coinciding legal environments, it is challenging for AHCA to maintain rules consistent with the current law. Some of this difficulty has been linked to pointless rulemaking mandates, chiefly relating to statutes that provide sufficient specifics to implement without resorting to


1958 words - 8 pages TAKE HOME EXAM --QUESTION #1: Medicare and Medicaid share many similarities and have many differences in terms of the populations that are eligible for benefits; the general benefits or services covered; and how the programs are funded and administered. Furthermore, a closer inspection of Medicare reveals both strengths and flaws in the program. Medicare, otherwise known as Title 18, is a federal program that provides healthcare for all

Emergency Room Overutilization

1769 words - 7 pages source of healthcare delivery for an individual and/or entire family The traditional Medicaid program does not offer, or require, recipients to choose a primary care physician like, its counterpart, Medicare. Medicare still operates under the traditional fee-for-service methodology and does not require beneficiaries to identify and primary provider as well as having direct access to specialty services. This allows a cost sharing approach which results

We Must Reduce Spending on Health Services and SNAP

1913 words - 8 pages  The United States is a powerhouse country. We are one of the most advanced and largest countries in the world. The 317,000,000 population has given us advantages and disadvantages. In 2013 our gross domestic product was $16.335 trillion dollars. Despite the incredible gross domestic product, we will spend $811 billion this year on medicare and medicaid according to the government. Experts estimate the by the year 2021, 46% of Americans will

Medicaid Essay

1234 words - 5 pages subject to change on a yearly basis. The qualifications of Medicaid recipients may differ according to each state's guidelinesMedicaid is the largest program run by the Federal Government and states that assists low income families that can not otherwise afford the high costs of health care. Medicaid pays for more services for which Medicare does not.Medicaid rules vary depend on each state. Medicaid information is accessible at your local district

medicare fraud

1639 words - 7 pages another $25 million to Medicaid and all this was done with the help of some home health companies. Dr. Jacques Roy, and his assistant who was also charged with scamming Medicare, got many recruiters to go door-to-door making people sign false Medicare forms. As if this wasn’t enough, they also gave many homeless people $50 each to sign the forms as well. He now faces a maximum sentence of 100 years in prison and must pay $18.5 million in fines to the


1699 words - 7 pages case to the next. The desire to receive care and the right to good affordable care is what every patient seeks, but that is not the case for many with Medicaid. It is so disappointing when one reports to health care providers, doctors and hospitals alike, the best care, only to be turned away because one has Medicaid instead of Medicare or any other private insurance premiums. A couple of years ago my friend who had been admitted after

Similar Essays

Healthcare, Medicare, And Medicaid Essay

4773 words - 19 pages Healthcare, Medicare, and Medicaid The U.S. health care system is a scrutinized issue that affects everyone: young, old, rich, and poor. The health care system is comprised of three major components. Since 1973, most Americans have turned to managed-care programs, known as HMOs. The second type of health care offered to Americans is Medicare, health care for the elderly. The third type of health care is Medicaid, a health care program

Problem Analysis Final Project: Centers For Medicare And Medicaid Services (Cms)

1429 words - 6 pages In 2002, the Centers for Medicare and Medicaid Services (CMS) implemented a congressional mandated ambulance fee schedule that substantially changed the way Medicare pays for ambulance services (GAO reports, 2003). Through the new structure, a provider is reimbursed a flat fee, which is geographically dependant based upon regional averages. Prior to this change, Medicare paid based on what were considered reasonable charges. While the

Medicaid Programs Essay

1488 words - 6 pages to result in a greater number of insured Americans without an unreasonable additional strain on Medicaid programs themselves. How Medicaid is Financed Medicaid helps allow access to health care for people with certain disabilities and families with low incomes. Both federal and state governments finance Medicaid (Kaiser Commission on Medicaid and the Uninsured, 2011) unlike Medicare, which is funded exclusively by the federal government. Even

Medicare Essay

859 words - 4 pages form of premiuim payments made by Medicaid on the beneficiary's behalf. However, some of the state contributions for Medicare funding come in the form of payments made to supplement Medicare Part D or Medicare Prescription Drug Coverage (Medicare Payment Advisory Commission, 2010). The state portion of Medicare funding was 2% as of 2009 (Kaiser Family Foundation, 2009), which is a miniscule and nearly irrelevant amount as compared to other