Medicare Essays (Examples)
Study Document
Medicare Access And CHIP Reauthorization Act
The Medicare Access and CHIP Reauthorization Act (MACRA) changed the way health care providers are reimbursed through Medicare, provided an increase in funding, and extended the Children’s Health Insurance Program (CHIP). MACRA placed conditions upon care providers in order for them … As Licthenfeld (2011) pointed out, too many doctors are diagnosing patients with health problems that are insignificant and do not need treatment—but because Medicare was always willing to bankroll treatment it made good business sense to treat every patient for every symptom. The problem is that people … one’s care in the shop can make one wish one had a different care. MACRA was not only designed to save money for Medicare but also to increase the quality of life of patients by obliging doctors to increase the quality of care they provide instead of … doctor because they see it as a threat to their business model.……
References
References
Glasziou, P., Moynihan, R., Richards, T., & Godlee, F. (2013). Too much medicine; too little care. BMJ, 347, f4247.
Lichtenfeld, L. (2011). Overdiagnosed: Making people sick in the pursuit of health. The Journal of Clinical Investigation, 121(8), 2954-2954.
Moynihan, R. (2015). Preventing overdiagnosis: the myth, the music, and the medical meeting. BMJ: British Medical Journal (Online), 350.
Welch, H., Schwartz, L. & Woloshin, S. (2011). Overdiagnosed. Beacon Hill.
Study Document
Examining The Different Types Of Original Medicare Coverage
Retirement Planning
1. Most Americans over the age of 65 have the ability to enroll in Medicare part A and Medicare part B. Medicare Part A is what is known as “hospital insurance”, and “helps pay for inpatient care in a hospital or limited time at a … facility (following a hospital stay). Part A also pays for some health care and hospice care”, according to the Social Security Administration.
The Medicare website outlines some specific things within each of these broad categories. For example, under hospital care Medicare Part A covers semi-private rooms, meals, general nursing, drugs as part of your inpatient treatment, and other hospital services and supplies.
In a … of what can be covered, and each state might supplement these with additional coverage. That will be established on a state-by-state basis.
2. Medicare Part B is what is known as “medical insurance”. This includes things like……
References
References
Medicare.gov (2020) Website, various pages. Medicare.gov. Retrieved April 10, 2020 from https://www.medicare.gov
Social Security Administration. (no date). Website, various pages. SSA.gov. Retrieved April 10, 2020 from https://www.ssa.gov
Study Document
Electronic Health Records EHR
… In CMS' new principle, the office noticed that start with an EHR detailing period in 2019, every single qualified emergency clinic under the Medicare and Medicaid Promoting Interoperability Programs are required to utilize the 2015 Edition of CEHRT.
Conclusions
As a result of the recent government endeavors, ……
References
References
Gagnon, D., Simonyan, E.K., Ghandour, G., Godin, M., Labrecque, M., Ouimet, M.R. (2016). Factors influencing electronic health record adoption by physicians: A multilevel analysis, Int J Inform Manage, 36, pp. 258-270.
Hasanain, H. (2014). Cooper Solutions to overcome technical and social barriers to electronic health records implementation in Saudi public and private hospitals, J Health Inform Dev Ctries, pp. 46-63.
Kierkegaard, P. (2019). Electronic health record: Wiring Europe\\\\'s healthcare: Computer Law & Security Review. 27 (5): 503–515.
Murphys, E.V., & Yale, J. (2014). Clinical decision support: effectiveness in improving quality processes and clinical outcomes and factors that may influence success. Biol Med; 87, pp. 187–97.
Study Document
Telemedicine And Its Impact On Patient Care
...Medicare Telemedicine: How does it impact patient care?
Introduction
The modern health care system is better and considerably more complex than what the situation previously was a decade and several decades ago. According to various researchers, the modern health care system is a managed one, and it widely uses technology in contrast to previous health care systems (Conklin, 2002). The many uses of technology in the modern health care system include the use of technology for diagnosis, for minimally invasive treatments, and better monitoring of vital signs and other signs. Moreover, technology is now also being used to consult with medical experts from all over the world remotely. This has led to improved healthcare and has enhanced patent experience.
Furthermore, many mobile applications have been invented to help both patients and doctors specifically. Moreover, they are not only helping patients recover but also improving their quality of life (Tiago et al.,……
References
References
Meyers, A. J., Pontarelli, E., Dutta, S. K., Grinberg, G., & Yenumula, P. R. (2018). Telemedicine Follow-up After Bariatric Surgery. Surgery for Obesity and Related Diseases, 14(11), S168.
Tiago, M. T. B., Tiago, F., Amaral, F. E. B., & Silva, S. (2016). Healthy 3.0: Healthcare digital dimensions. In Reshaping medical practice and care with health information systems (pp. 287-322). IGI Global.
Conklin, T. P. (2002). Health care in the United States: An evolving system. Michigan Family Review, 7(1).
Board on Health Care Services; Institute of Medicine. (2012). \\\\\\\\\\\\"3The Evolution of Telehealth: Where Have We Been and Where Are We Going?\\\\\\\\\\\\" in The Role of Telehealth in an Evolving Health Care Environment: Workshop Summary. National Academies Press, Washington (DC).
Sada, A., Asaad, M., Reidt, W. S., Kellogg, T. A., Kendrick, M. L., McKenzie, T. J., & Habermann, E. B. (2019). Are In-Person Post-operative Clinic Visits Necessary to Detect Complications Among Bariatric Surgery Patients?. Obesity Surgery, 1-4.
Krupka, D. C., Sandberg, W. S., & Weeks, W. B. (2012). The impact on hospitals of reducing surgical complications suggests many will need shared savings programs with payers. Health Affairs, 31(11), 2571-2578.
Fasano, P. (2013). Transforming health care: The financial impact of technology, electronic tools, and data mining. John Wiley & Sons.
Burch, S., Gray, D., & Sharp, J. (2017). The power and potential of telehealth what health systems should know: proposed legislation in Congress offers the promise that the nation\\\\\\\\\\\\'s healthcare policy will support the expansion of telehealth, allowing hospitals and health systems to fully realize the benefits of this important emerging approach to care. Healthcare Financial Management, 71(2), 46-50.
Study Document
Healthcare In The US Vs Healthcare In The UK France And India
… how they well they stack up.
Coverage
Coverage in the US is both private and public. The government provides coverage for individuals through Medicare and Medicaid if they meet an age or income threshold. France is a mix of both public and private coverage but skews mainly … is the same situation with universal coverage and private coverage being an option.
Funding
In the US, funding comes from taxpayers who support Medicare and Medicaid, ut it also comes from private insurers, who are funded by individuals or by companies that incentivize employees by offering them ……
References
References
Carroll, A. & Frakt, A. (2017). Best health care system. Retrieved from https://www.nytimes.com/interactive/2017/09/18/upshot/best-health-care-system-country-bracket.html
CMS. (2010). Annual statistics. Retrieved from https://www.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trends-and-Reports/NationalHealthExpendData/downloads/proj2008.pdf
IOM. (2010). The future of nursing. Retrieved from http://nacns.org/wp-content/uploads/2016/11/5-IOM-Report.pdf
Lau, J. S., Adams, S. H., Park, M. J., Boscardin, W. J., & Irwin, C. E. (2014). Improvement in preventive care of young adults after the Affordable Care Act: the Affordable Care Act is helping. JAMA pediatrics, 168(12), 1101-1106.
O’Brien, J. (2003). How nurse practitioners obtained provider status: Lessons for pharmacists. American Journal of Health-System Pharmacy, 60(22), 2301-2307.
Peter G. Peterson Foundation. (2019). US healthcare compared. Retrieved from https://www.pgpf.org/blog/2019/07/how-does-the-us-healthcare-system-compare-to-other-countrie s
Sawyer, B. & McDermott, D. (2019). Quality of care compared. Retrieved from https://www.healthsystemtracker.org/chart-collection/quality-u-s-healthcare-system-compare-countries/#item-start
WHO. (2018). Health report. Retrieved from https://www.who.int/whr/2000/media_centre/press_release/en/
Study Document
Free And Fair Trade Issue
...Medicare Proposed Stopgap Spending Bill
Budgetary changes are common in the public administration field. Governments make budgetary changes as part of public governance based on various factors relating to serving the interests of the public. However, the process of making budgetary changes is sometimes characterized by political issues and partisan approaches. Policymakers or politicians differ on the measures adopted by the government or public sector organization when proposing changes in the budget. This paper examines a recent publication regarding proposed budgetary change and how the change affects a particular population. The discussion includes an evaluation of the source as well as a personal opinion on the issue.
Summary of the Article
Cochrane (2020) published an article on the differing opinions between Democrats and Republicans regarding a recent spending bill. The recent looming government shutdown prompted Congressional leaders to enact a stopgap spending bill to mitigate the impacts of the shutdown. Prior……
References
Reference
Cochrane, E. (2020, September 21). Democrats and Republicans Clash Over Spending Bill to Avoid Shutdown. The New York Times. Retrieved October 7, 2020, from https://www.nytimes.com/2020/09/21/us/politics/spending-bill-government-shutdown.html
Study Document
Clinical Informatics
… Affairs have to follow these regulations. Then there is also the Conditions for Coverage of Specialized Services by Suppliers, which is part of Medicare laws and requires that patient health information be confidential and private. Patients must give their written authorization before their information can be shared ……
References
References
Cho, O. M., Kim, H., Lee, Y. W., & Cho, I. (2016). Clinical alarms in intensive care units: Perceived obstacles of alarm management and alarm fatigue in nurses. Healthcare informatics research, 22(1), 46-53.
Effken, J., Weaver, C., Cochran, K., Androwich, I., & O’Brien, A. (2016). Toward a central repository for sharing nursing informatics’ best practices. CIN: Computers, Informatics, Nursing, 34(6), 245-246.
Elsayed, W. A., Hussein, F. M., & Othman, W. N. (2017). Relation between nursing informatics competency and nurses’ attitude toward evidence-based practice among qualified nurses at Mansoura Oncology Center. International Journal of Nursing Didactics, 7(6), 26-33.
Drolet, B. C., Marwaha, J. S., Hyatt, B., Blazar, P. E., & Lifchez, S. D. (2017). Electronic communication of protected health information: privacy, security, and HIPAA compliance. The Journal of hand surgery, 42(6), 411-416.
Haupeltshofer, A., Egerer, V., & Seeling, S. (2020). Promoting health literacy: What potential does nursing informatics offer to support older adults in the use of technology? A scoping review. Health Informatics Journal, 1460458220933417.
Kharbanda, E. O., Asche, S. E., Sinaiko, A. R., Ekstrom, H. L., Nordin, J. D., Sherwood, N. E., & O’Connor, P. (2018). Clinical decision support for recognition and management of hypertension: a randomized trial. Pediatrics, 141(2).
Khezri, H., & Abdekhoda, M. (2019). Assessing nurses’ informatics competency and identifying its related factors. Journal of Research in Nursing, 24(7), 529-538.
Kleib, M., & Nagle, L. (2018). Factors associated with Canadian nurses\\\\\\\\\\\\' informatics competency. CIN: Computers, Informatics, Nursing, 36(8), 406-415.
Study Document
US Healthcare Reimbursement And Insurance Issues
… typically pay the list price). Policies concentrating on this health insurance function impact healthcare organizations’ and providers’ negotiating leverage about insurers. For instance, Medicare establishes payment rates using fee schedules, instead of enabling healthcare systems to utilize their leverage in the market for driving up charged rates. ……
References
References
Araujo, M. (2020). Health and medical insurance differences: HMO, PPO, POS, EPO. Retrieved from https://www.thebalance.com/health-and-medical-insurance-2645378
Bertram, M. Y., Lauer, J. A., De Joncheere, K. D., Edejer, T., Hutubessy, R., Kieny, M. P., & Hill, S. R. (2016). Cost-effectiveness thresholds: pros and cons. Bull World Health Organ, 94, 925–930. http://dx.doi.org/10.2471/BLT.15.164418926
Dey, P., & Bach, P. B. (2019). The 6 functions of health insurance. The JAMA Forum, 321(13), 1242-1243. DOI:10.1001/jama.2019.2320
Ho, A. (2015). Health insurance. Encyclopedia of Global Bioethics. Retrieved from https://www.researchgate.net/publication/298022702_Health_Insurance
IMedPub. (2020). Health insurance. Retrieved from https://www.imedpub.com/scholarly/health-insurance-journals-articles-ppts-list.php
Maruthappu, M., Hasan, A., & Zeltner, T. (2016). Enablers and barriers in implementing integrated care. Health System & Reform, 1(4), 250-256. https://doi.org/10.1080/23288604.2015.1077301
Sekhri, N. (2000). Managed care: The US experience. Bulletin of the World Health Organization, 78(6), 830-844. Retrieved from https://www.who.int/bulletin/archives/78(6)830.pdf
Strata Decision Technology. (2020). Healthcare and hospital capital budget. Retrieved from https://www.stratadecision.com/healthcare-and-hospital-capital-budget/
Study Document
Single Payer Or Universal Health Care
… system that will deliver them. That’s what single payer does.
The Physicians for a National Health Program (2019) describes single payer as a “Medicare for all” type of system in which a public agency organizes health care financing but the delivery of care remains largely in private ……
References
References
Christopher, A. (2016) Single payer healthcare: Pluses, minuses, and what it means for you. Harvard Health Publishing. Retrieved April 7, 2019 from https://www.health.harvard.edu/blog/single-payer-healthcare-pluses-minuses-means-201606279835
Ivers, N., Brown, A., Detsky, A. (2018) Lessons from the Canadian experience with single-payer health insurance. JAMA Internal Medicine Vol. 178 (9) 1250-1255.
PNHP (2019) About single payer. Physicians for a National Health Program. Retrieved April 7, 2019 from https://pnhp.org/what-is-single-payer/
Study Document
Staffing For Nurses In Hospitals
… met by hospitals throughout the nation. This is an important public policy issue because it would oblige hospitals that are part of the Medicare program to create a committee that is partly made of nurses who can discuss the issue of staffing. As Fowler and Comeaux (2017) ……
References
References
ANA. (2019). Nurse staffing. Retrieved from https://www.nursingworld.org/practice-policy/advocacy/state/nurse-staffing/
Dousay, T., Childers, B., Cole, M., Hill, T., & Rogers, C. (2016). Lower Nurse-to-Patient Ratio: Higher Patient Satisfaction. Retrieved from https://scholarworks.moreheadstate.edu/cgi/viewcontent.cgi?article=1105&context=student_scholarship_posters
Fowler, D., & Comeaux, Y. (2017). The legislative role in nurse staffing ratios. MedSurg Nursing, 26(2), 12-14.
Laschinger, H. K. S., & Fida, R. (2015). Linking nurses’ perceptions of patient care quality to job satisfaction: the role of authentic leadership and empowering professional practice environments. Journal of Nursing Administration, 45(5), 276-283.
Martin, C. J. (2015). The effects of nurse staffing on quality of care. MedSurg Nursing, 24(2), S4-S4.
Reiter, K. L., Harless, D. W., Pink, G. H., & Mark, B. A. (2012). Minimum Nurse Staffing Legislation and the Financial Performance of C alifornia Hospitals. Health Services Research, 47(3pt1), 1030-1050.
Rondeau, K. V., & Wagar, T. H. (2016). Human resource management practices and nursing turnover. Journal of Nursing Education and Practice, 6(10), 101.
Twigg, D. E., Myers, H., Duffield, C., Giles, M., & Evans, G. (2015). Is there an economic case for investing in nursing care–what does the literature tell us?. Journal of advanced nursing, 71(5), 975-990.
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