Associate Level Material Appendix A: U.S Health Care Timeline Use the following timeline or create a timeline of your own with eight major events, including the four provided below, from the last 50 years. You may change the dates in the box to match the dates of your events. Include the following in your timeline: Medicare and Medicaid HIPPA of 1996 State Children’s Health Insurance Program (SCHIP) Prospective Payment System (PPS) |1940 |Penicillin comes into effect. President Roosevelt asked congress for an economic Bill | | |of Rights which included adequate health care to all people. | |1950 |Federal responsibility for the sick and poor is established.
Medical expenses are shared between TRICARE and the beneficiary under TRICARE Standard. Annual deductibles must be paid by enrollees, and families of active-duty members are responsible for 20 percent of outpatient charges. A 25 percent cost-share for outpatient services is paid by retirees and their families, former spouses, and families of deceased personnel. A beneficiary is responsible for a provider’s additional charges of up to 115 percent of the allowable charge are the provider treats them and doesn’t accept assignment. There is a catastrophic cap in which patient cost-share payments are subject to.
5. What is COBRA? (0.5 points) A federal government act that allows employees who lose their health insurance to continue participating in the insurance plan for a specific amount of time. 6. What is an insurance claim?
Jackeline S Gonzalez BUS5651 - Healthcare Policy Term: Spring 2 2012 Week 2: Case Study Physician Reimbursement Case Discuss the general differences between facility and non-facility rates. Discuss the MS-DRG system for hospital inpatient services. Include in your discussion the history of the MS-DRG system and the need for the updated system. There are two types of bills used in healthcare. Which type of bill is used for physician services?
Summarizing the Medigap Program NAME HCR/230 DATE INSTRUCTOR Medigap insurance is usually provided to Medicare Part B subscribers by either the subscriber themselves purchasing the insurance or by way of a former employer. Medigap insurance usually pays the subscribers part B deductibles and additional procedures that Medicare does not cover (Valerius, Bayes, Newby, & Seggern, Chapter 9, 2008). There are ten different medigap plans to choose from. The benefits of medigap insurance are different depending on which plan is chosen. The core benefits to these plans are; Part A daily coinsurance for days 61 to 90 of hospitalization and for each of Medicare’s 60 lifetime impatient hospital days, 100 percent of covered hospital charges
Monthly Medicare payments 21. Monthly mandatory union dues 22. Monthly mandatory retirement payments 23. Monthly health insurance payments (including dental insurance), excluding portion paid for any minor children of this relationship 24. Monthly court-ordered child support actually paid for children from another relationship 25.
Agency for Health Care Administration (AHCA) is responsible for Medicaid (AHCA, 2011). The funding is provided by state and federal funds. The House and Senate budgets approved by state lawmakers make the financial decisions. CMS is located in Baltimore, Maryland. Medicare is funded through the Trust Fund of Hospital Insurance and through employees’ payroll taxes, employers, and self-employed individuals.
Shared administration: state and local officials implement federal policies but have administrative powers of their own. (ex: Dept. of Labor gives money to states for job retraining, but states get to say how to spend it) 9. What is meant by “cross-over sanctions” and “cross-cutting requirements”? Cross-over sanctions: using federal dollars in one program to influences state and local policy in another (strings attached, hwy/drinking age) Cross-cutting requirements: when a condition on one federal grant is extended to all activities supported by federal funds, regardless of their source (if you don't follow the requirements, you don't get the money) 10.
Medicaid which is a source of health insurance coverage for people with disabilities. It also explains how the Affordable Care Act has affected Medicaid eligibility and benefits for people with disabilities C. Emerging predictive technologies help to better deliver hospice care. D. Medicare pays for hospice services. Many states have established Medicaid coverage for Hospice, and virtually all private insurers and managed care plans provide coverage for Hospice care. Types of Hospice Profiles 1.
Is the system really flawed and what are the requirements on getting welfare? Should welfare be abolished? What is welfare? Welfare is a government program that provides money. The Welfare programs available in the United States include: Medicaid, Food Stamps, Supplemental Security Income (SSI), Housing and Urban Development (HUD) programs, Temporary Assistance for Needy Families (TANF), Head Start, Work Study, and Medicare.