Increased Reimbursement In Healthcare

Hi everyone! Hope all is well… Here is some important information: 1. 2014 Medicare Part B IRMAA & 2015 Medicare Part B Standard Reimbursements – Update #2 – By now, all those eligible Medicare retirees who have their pensions deposited electronically should have received their 2015 Medicare Part B standard reimbursement and, if eligible, their IRMAA reimbursements electronically (provided you applied for it in a timely fashion) on or about June 17.

Medicare is our country’s health insurance program for people ages 65 and older. Certain people younger than 65 can still qualify for Medicare, including those who have disabilities. In 2006 there were over 38 million people receiving Medicare benefits in the United States. Blue shield is a form of Medicare. Blue shield is a health care that is in the U.S. and Canada.

Since 1965, Medicare was the primary payer for all Medicare covered health services except for services covered by Worker’s Compensation. From 1964 until 1980, Medicare paid benefits without considering whether another insurer could potentially cover the losses. Although litigation involving Medicare beneficiaries certainly existed, the government made no effort to subrogate claims by beneficiaries in the event that Medicare had already paid for medical expenses resulting from the injuries involved in the litigation.

Epstein, Saif S. Rathore, Caleb Alexander, and Jonathan D. Ketcham has given the view of the physicians on Part D of Medicare. In this peer reviewed article the authors also has done some research to examine the attitude of physicians about the impact of Medicare Part D. The authors tried to research on how Medicare Part D varied among the senior citizen specially the citizen has Medicare and Medicaid dual eligibility. For the study they have designed a web based survey in four states North Carolina, Florida, Texas and Massachusetts. However, the researchers mainly focused of the differences in result of North Carolina from the other states.

In other words, Medicare costs for home health services declined which resulted in a drop in total Medicare costs. However, hospice costs increased but there was no discernable effect on mortality rates. The Balanced Budget Act of 1997 dramatically reformed the Medicare home health benefit. The budget agreement had measures aimed at achieving savings of $17 billion in five years.

Spending on post-acute services in Medicare and long-term care services have grown more rapidly since 1999. Although growing numbers of people receive home and community-based

First, the ACA has brought about considerable improvements in access to affordable health insurance in the United States. On the basis of their own reports, newly insured Americans are also able to see physicians within reasonable periods of time, and anecdotal reports about restricted access to out-of-network providers, although a concern, have not yet caused a major backlash. Second, the implementation of the ACA has coincided with another important development — a slowdown in the rate of increase in national health care spending. From 2010 through 2013, per capita U.S. health care expenditures increased at the historically low rate of 3.2% annually, as compared with 5.6% annually over the previous 10 years. As a percentage of the gross domestic product, health spending has stabilized at approximately 17%.

Reimbursement Methods What are the definitions of and the similarities and differences of the following reimbursement methods; capitation, discount, per diem, case rate, DRG’s/MS-DRG’s? Starting with capitation. Capitation is prepayment for services, per member per month. A physician or facility is paid the same amount of money every month for each member or patient regardless if that patient is actually seen or receives services and regardless of how extensive of services that member/patient have received. The capitation amount is calculated and set at the fixed amount usually for one year.

Medicaid expansion is still somewhat confusing to me, however I do have an understanding of the requirements such as the income falling between 0-400 percent of the federal poverty level. I also understand that this has become an issue of disparities between states due to expansion. I am partial to each state being able to decide the best options for their citizens. As you stated Emily, I can see how the decision of the state such as whether to expand or not to expand can cause harm to the constituents. I disagree with the philosophy of covering “able-bodied” poor.

You made a valid point high deductible plans do determine how individuals utilize healthcare services. A person who has financial difficulties will opt not to seek medical attention due to the cost. Would you choose not to get care if you had a high deductible plan? At times I prefer not to go the doctor because not only will I have to pay for the visit but also lab work and testing. Even after reaching my deductible I am still responsible for 20% of the cost until I reach the maximum out of pocket expense.

During WW2 there was significant growth to the health care industry, due to the enactment of the Stabilization Act, which allowed the use of employee insurance plans, yet at the same time, had a limit be placed on increases on wages. The cost of Health care also increased since the postwar era to today, making it difficult for many Americans to afford it. In conclusion, the efforts being led by current reform

As people age, health becomes more of a concern as people more prone to health problems. Supporting Evidence: This was the time were many people were discovering themselves, so they did drugs, had unprotected sex etc. So most of our taxes will go to these Baby Boomers to pay for their health-care (PhillyMag) This also means that it is to the elder’s advantage because they can take use of the free healthcare The fact that they are growing old means that they are developing issues physically and in some cases mentally (Stat Canada)

Since Medicare covers older patients with chronic illnesses, out-of-pocket limits can be a benefit to them. After the patient reaches the limit, the plan pays for the full cost of

Providing employees with opportunities for on the job training, tuition reimbursement, and professional development will increase the human capital of individual employees. Human capital is gained through education, which is divided into two different categories: general and firm-specific education. The difference between these two types is not based on the type of education that an employee receives, but whether the skills that an employee gains are transferable to another firm. The theory of human capital suggests that a firm will only provide firm-specific education to its employees, as this type will be the most beneficial for the firm (Kessler & Lülfesmann, 2006). Contrary to the theory of human capital, would investment in general education

Medicare is the most efficient healthcare with a 2% administrative cost compared to the 25% and above administrative costs of private healthcare. This would greatly increase the Medicare tax, even so, it would be a cheaper alternative to private health