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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.
Someone post from a discussion question... (Respond to it) Medicare is a federal program that provides...
What are the major differences between Medicare, Medicaid, and CHIP? What is Medicare? Does the government fund it completely? How is the funding for Medicaid and CHIP different from the funding for Medicare? What are the four parts of Medicare and what do they cover, in general? Most Americans pay no premiums for Part A - why? What is meant by “prospective payment system,” and what part of Medicare does it affect?
The Medicare prospective payment system (PPS) was introduced by the federal government in October, 1983 as a way to change hospital behavior through financial incentives that encourage more cost-efficient management of medical care. Questions: Discuss two major reasons that Medicare administrators turned to the prospective payment concept for Medicare beneficiaries. Discuss the benefits and disadvantages of the Prospective Payment System.
UESTION 5 Match the following government insurance with its purpose. Provides prescription drug benefits to seniors and other eligible beneficiaries. A. Medicare -A Coverage for inpatient hospital care, skilled nursing care, hospice, and home health care B. Medicare -B Medicare -C Eliminates the need for supplemental Medigap insurance because deductibles and coinsurance costs are nonexistent. D. Medicare -D Coverage for physician charges, outpatient hospital services, ambulance services, and emergency department services. lick Save and Submit to save and submit. Click...
Medicare Part D .a) True/False: Medicare directly manages and provides Part D services for Medicare beneficiaries. b) Select from the following: In the initial coverage period, how much of the drug costs do Part D enrollees pay? .A – 100%; B-75%; C-50%; D-25% c)Describe in detail the federal government’s role in the financing of Medicare Part D from premium subsidy to Medicare reinsurance of Part D. d) Briefly describe: why was Part D implemented?
Question 12 Incorrect 0/5 pts Which proposed change in health policy at the federal level could lead to eligible beneficiaries receiving their coverage through private insurance plans instead of what has traditionally been a government-administered, fee-for-service program O Medicare Premium Support Repeal of the ACA CHIP reauthorization The Employer Mandate
Recall that Medicaid is a joint federal and state entitlement health insurance program. The ACA of 2010 required all states to eliminate the use of categories to determine eligibility and expand the Medicaid program to all persons younger than age 65 with incomes at or below 138% of the federal poverty level. However, in June 2012, the U.S. Supreme Court ruled that requiring states to expand their Medicaid programs was unconstitutional: Each state could make its own decision on whether...
12) Which government-sponsored program provides coverage for active-duty service members of (Spts) the armed forces (ADSM). OTRICARE OCHAMPVA O Veterans Health Administration O Medicare (5pts) 13) Which government-sponsored program is designed to provide managed care to the frail elderly population? Medicare Part State Children's Health Insurance Program (CHIP) Programs of All-Inclusive Care for the Elderly (PACE) Temporary Assistance for Needy Familles program (TANF) O (Spts) 14) Which of the following is not a function of the Indian Health Service (IHS)?...
5) What program targets children whose family income level is too high to qualify for Medicaid but that does not allow funds to pay for private healthcare insurance? (5pts) 6) Which TRICARE program is the most economical program for military families, and why is it less (Spts) expensive than the other options? 7) What program covers healthcare costs and lost income from work-related injuries or illness of (5pts) federal government employees? (5pts) 8) CHIP plans must include inpatient hospital, outpatient...
3. Match the financial classes in the first column to their definitions in the second column. Commercial insurance A. Countrywide health program for certain people and families with low income and resources. It is jointly funded by the Guarantor federal government and the individual states and is run by Medicaid each individual state. Workers compensation B. Includes all of the insurance companies who provide coverage Employee health to employers for when their employees are injured while working. Medicare C. Includes...
69) A policy that pays you back for actual expenses is called A) An indemnity plan. B) A deductible plan. C) A reasonable and customary plan. D) A reimbursement plan. E) A coinsurance plan m The set amount that you must pay toward medical expenses before the insurance company pays benefits is called A) Deductible. B) Reimbursement C) Indemnity. D) Internal limit. E) Reasonable and customary charges. 71) Which of the following is a government health care program? A) Health...