Research papers on medicare vs. medicaid

Medicare scholarly articles

These studies did not address how the quality of care in MA plans changes with the generosity of plan reimbursement. Thus, no useful review of Medicare and Medicaid today can also fail to note the major issues that confront the programs and the options that are being considered for new directions in the future. On the flipside, Medicare has one major weakness. This paper does not aim to describe Medicare as an insurance program or to review its financial or medical features. Medicare is an acute-care program. Medicare population growth was more than twice as great in the South and West as in the Northeast and North Central census regions. The development of multihospital systems is occurring not only in the for-profit hospital sector, but throughout the hospital industry. Therefore, Medicaid should be flexible enough to abandon the one size fits all mentality. The fourth relates to the wide geographic variations in Medicare reimbursements across areas and within regions, and the extent to which these differences should be taken into account in future payment systems.

For example, after Medicare's prospective payment system for hospital services was implemented, hospital cost growth slowed, the average length of a hospital stay declined and ambulatory care alternatives like home health services grew for both public and private payers.

Regarding payments, Medicare has a 5 year consecutive payment plan, while on the other hand, Medicaid has a 6 year payment plan whereby, the six years do not have to be consecutive.

Research papers on medicare vs. medicaid

All States except Arizona currently have Medicaid programs. He teaches "Econ 1" at Stanford and advises dozens of undergraduate and graduate students. For children, Medicaid covers immunizations and other preventive and screening services in order to catch and treat problems at the earliest possible age. This is the best custom writing website for Medicare assignments. Consistent with this, our results suggest that Medicaid spending did fall in states that began our study period with relatively high rates of provider reimbursement. Drugs on an outpatient basis, dental care, routine eye examinations, and preventive services are not covered by Medicare. Medicaid tends to give a lot of specialized attention to expectant mothers. We were at the point of choosing between groceries and health coverage for the boys…. But during my tenure as Administrator, I am especially fortunate to have had the opportunity to gauge the impact of Medicare and Medicaid in a less scientific manner as well—by listening to our beneficiaries. More than 10 million "dually eligible" individuals receive health insurance coverage from both programs.

Consistent with this, our results suggest that Medicaid spending did fall in states that began our study period with relatively high rates of provider reimbursement.

The federal government also considers some other groups to be "categorically needy. The development of multihospital systems is occurring not only in the for-profit hospital sector, but throughout the hospital industry. Despite the wealth of information that has been generated, there are inevitable data limitations including time lags, inaccuracies, and lack of certain details that restrict the completeness and depth of any program accounting.

Medicare us

Amanda Starc, Vabson, and I explored this issue by leveraging a policy-induced increase in MA reimbursement in metropolitan areas with a population of , or more relative to areas below this threshold. Consistent with past research, we found MA enrollment to be very responsive to the generosity of plan reimbursement, with the Hospital prospective payment under Medicare The national payment rate for hospitals based on diagnosis-related groups DRG's has been under way since October , and it is scheduled to be phased in over 3 years. Overview of Medicaid Medicaid had its beginning in earlier medical assistance programs. The development of multihospital systems is occurring not only in the for-profit hospital sector, but throughout the hospital industry. The following is an essay sample on Medicaid and Medicare. The third is to find ways of monitoring these capitated systems, especially to assure that high-risk persons have access to services and that quality of care is maintained. She cautions that the challenge of simultaneously improving the benefit package and financing care for the baby-boom generation will likely require new revenues and should be done with the program's original goals in mind. In its first year, the effects of the change from retrospective cost-based reimbursement principles for hospital payment to the incentives inherent in a prospective payment system PPS have been striking.

For the second layer, Mills took the voluntary plan favored by the American Medical Association and Republicans both opposed Johnson's mandatory program and turned it into voluntary coverage for the elderly's physician costs which Mills called Medicare Part B. Relatively few aged persons an estimatedwere excluded; principally they were aliens, or Federal civil service employees and annuitants.

Instead, I will analyze the main effects of program on its recipients and the general population.

scholarly articles on medicare and medicaid

This has led to a dilemma for community hospitals, because many of them have been providing considerable amounts of uncompensated care to the uninsured. New technologies The development, assessment, and coverage of new technologies are issues that Medicare and Medicaid face in this decade.

Inthese chains increased by 15 percent the number of hospital beds they own or manage; they now control about 13 percent of all the non-Federal short-stay hospital beds in the United States Johnson, When children are newly insured, they are not hospitalized as often for conditions that can be treated in ambulatory settings; this is especially helpful for asthmatic children who need good primary care.

They include: children under the age of 18 years whose household income is at or below percent of the federal poverty level FPL pregnant women with a household income below percent of the FPL people who receive Supplemental Security Income SSI parents who earn an income that falls under the state's eligibility for cash assistance States may also choose to provide Medicaid coverage to other, less well-defined groups who share some characteristics with those above.

medicaid and medicare are examples of
Rated 5/10 based on 88 review
Download
Celebrating 35 Years of Medicare and Medicaid