TOPIC SEARCH AND SELECTION The topic I have chosen is Medicare. The affected stakeholders associated with this topic are the elderly. Those enrolled in Medicare are referred to as beneficiaries. More than 14 million beneficiaries are now enrolled in private Medicare Advantage plans. This is a 30% increase since 2010. This is a great increase even with the payment changes associated with the Affordable Care Act (“Medicare”‚ 2014). Medicare is a federally funded program for people aged 65 and older
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Task 2 SUBDOMAIN 734.3 - ORGANIZATIONAL SYSTEMS & QUALITY LEADERSHIP. Competency 734.3.4: Healthcare Utilization and Finance A1-Which costs will be covered by Medicare Part A? Medicare Part A is otherwise called the Hospital Insurance and covers up to 100 days of the Skilled Nursing Facility stay. To be qualified for it the patient first has to have been hospitalized for more than 3 days in a hospital (qualifying hospital stay) so the stay in it would not be considered outpatient. After the hospital
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In an age where people people are living to ninety years of age‚ healthcare and longterm care tends to be interrelated often. “As the baby boom demographic bulge grows‚ not everyone will be able to afford a concierge physician and a team of specialists; but then‚ they won’t need to. The market‚ assisted by technologies‚ will make satisfactory services available through nurse practitioners and even nontraditional health care providers and caregivers at far less cost. A dynamic equilibrium for care
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resources may be sorely compromised‚ sometimes destroyed. What can be done to help this population through the transition into retirement? There are programs that do assist them including Social Security‚ Medicare and Pensions‚ however is it enough? The Social Security Act of 1935 along with Medicare have helped many Americans since they have been around and have many great advantages‚ but it seems to be getting harder and harder for our elderly population to get the assistance that they need. In today’s
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Eligible for Medicare This notice has information about your current prescription drug coverage with Einstein and about your options under Medicare’s prescription drug coverage‚ Medicare Part D. Each year Medicare-eligible individuals have an opportunity to enroll in Medicare Part D between October 15 and December 7. The reason this memo is being sent to you is because employers are required to remind Medicare-eligible employees and dependents about the annual open enrollment for Medicare Part D and
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References: Blustein J. (2005). Medicare Coverage‚ Supplemental Insurance‚ and the use of Mammography By Older Women Cordes‚ S. Ph.D. (1995). Hogs and Health Care: There are Similarities. Corn Husker Economics (May 31) Kongstvedt‚ P. (2007). Essentials of Managed Health Care. (5th ed)
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Health care System Evolution‚ Medicare/Medicaid Jennifer Otten HCS 310/Health Care Delivery in the US April 12‚ 2010 Dr. Steven Clauser Abstract This paper is an overview about the evolution of the US health care system from the Great Depression to the current Health Reform Bill. I will give an understanding to Medicare and Medicaid program‚ which also will include a history of these two programs. Even though these two programs are
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One of the biggest questions facing seniors across the country is whether or not they need Medicare supplement insurance (Medigap policies). They compare insurance supplement plans and look at Medicare supplemental rates and try to determine if coverage is right for them. Of course‚ the need for Medicare insurance supplement depends on the specific person. However‚ for more and more seniors‚ standard Medicare plans simply aren’t offering enough coverage‚ so they are turning to Medigap policies. Cost
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file a claim? A) 2 - 5 years B) 1 - 3 months C) 3 - 6 months D) 6 - 24 months Answer: D Diff: 3 Page Ref: 270 2) Thelma is on the Medicare Prescription Drug Program and has just spent over $5‚100 out-of-pocket on medications‚ how much of the prescription costs will Medicare now cover for her? A) 67% B) 100% C) 50% D) 95% Answer: D Diff: 2 Page Ref: 267 3) Medicare Part A is based on what type of health care option? A) preferred provider plan B) medical savings account C) managed care plan D) fee-for-service
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A1. Medicare Part A According to (Cherry and Jacob‚ 2011) Medicare is a federal funded health insurance plan for people over the age of 65 and for those who are younger with certain disabilities. In discussing the details to Mrs. Zwick’s daughter about Medicare coverage information I would explain to them in terms that both mother and daughter can understand. An explanation would begin by letting Mrs. Zwick’s daughter know that Medicare part A is a hospital insurance
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