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Someone post from a discussion question... (Respond to it) Medicare is a federal program that provides...

Someone post from a discussion question... (Respond to it)



Medicare is a federal program that provides health coverage if you are 65+ or under 65 and have a disability, no matter your income. Medicaid is a state and federal program that provides health coverage if you have a very low income. Medicaid offers care to the poorest families while CHIP extends coverage to a larger number of children. Care through the Medicaid program may be more extensive, but the CHIP program also offers a broad depth of coverage.
Medicare is the federal health insurance program for: People who are 65 or older. Yes, Medicare is funded by, Payroll taxes paid by most employees, employers, and people who are self-employed, Income taxes paid on Social Security benefits, Interest earned on the trust fund investments and Medicare Part A premiums from people who aren't eligible for premium-free Part A.
Medicaid and Chips is funded by federal and state government. States can require Medicaid beneficiaries to pay nominal premiums, deductibles and copays/coinsurance for services and prescription drugs. These out-of-pocket costs are capped, but those caps are based on how much the states pay for services, so they’ll vary by where you live, what your income is and what care you’ve received.

Medicare is funded by the federal government. The cost of Medicare varies, depending on your elections, state and income. However, Medicare beneficiaries are generally expected to pay premiums, deductibles and coinsurance or copays once they enroll.
PartA provides inpatient/hospital coverage.
PartB provides outpatient/medical coverage.
PartC offers an alternate way to receive your Medicare benefits (see below for more information).
PartD provides prescription drug coverage.Most Americans pay no premiums for Part A - why?
You usually don't pay a monthly premium (Links to an external site.) for Medicare Part A( hospital Insurance) coverage if you or your spouse paid Medicare taxes for a certain amount of time while working. This is sometimes called "premium-free Part A.
The prospective payment system was a major departure from Medicare’s previous per diem cost-based system. Under prospective payment, Medicare would pay one amount for each hospital admission. Payment would no longer be based on the number of days a patient stayed in the hospital and the cost of each day of care in each hospital. Instead, payment for each admission would be based on the diagnosis of a patient’s illness and the average cost of the resources used by all US hospitals to treat patients with a similar illness. The per admission amount would be set prospectively by the government, or before the year began.

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Yes, Medicare is federal program because federal government wants to make sure that people who are over 65 or under 65 yet disable not have strong source of income so they can not afford to pay for healthcare. so, Medicare helps such people to get insurance and healthcare at low cost.

I agree with you that CHIP offer broad coverage because it specifically formed for families with larger number of children but Medicaid is also effective and useful for poor families to get healthcare at federal as well as state level.Most of the income of government come from income taxes and salary of employees so government utilize that income to fund the medicaid program so that people can have healthcare and remain healthy in thier life. Yes,Beneficiaries of medicaid has to pay nomial premiums to make sure thet get full benefits of medicaid program.This could vary state to state as it is funded by both federal and state government.

Yes, I agree that medicaid can be affected by factors like election, state and income because if political leader is wrong then it can affect budget or fund of medicaid and if income of state is not good then it can also affect healthcare service offering under medicare program. Medicare is 4 part program like you listed .Yes previuosly, there was per diem system where . where the insurance provider pays for the patient's healthcare based on the number of days the patient directly receives treatment from the health care provider but now this has changed to using data related to treatment of patient by diagnosis and cost of resources like you said. This will help in reducing patient readdmission and improved quality care at low cost.

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