This paper takes a critical evaluation of the two countries’ health care cover programs and tries to make a comparison in the discussion as far as their application is concerned and considers the quality of both…
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US Medicaid and Medicare program and Australian Medicare programs
Medicare is simply a social insurance structure that is administered by the government in the US and by the Australian government. It is aimed at providing health insuring to people that are over 65 years of age; those that are below 65 years but are physically disabled or those that exhibit congenital disability; or those that are classified under certain criteria. The system in the US almost has close resemblance to single-payer healthcare programs, although this is not. There are differences in the application of the Medicare programs between the US and the Australian governments. The main difference seems to come from the single-payer approach. Other differences come from the requirements set for enrolment in the program. While the US Medicare program targets certain age groups and the disable people or those with special needs, the Australian system seems to be all-inclusive (AHS). There is no dispute that everyone needs good health and deserves a medical insurance cover that is able to serve this purpose. However, the issues of socialism seem to crowd the decision-making process by the US government regarding this health program because historically, the US has been trying its best to cut links with socialism practices, even in issues that affect its citizens. This paper takes a keen look at the US Medicare or Medicaid programs and tries to compare this with the Australian Medicaid or Medicare programs to find out where they are similar and how the differences come in. however, whatever the differences or similarities, the importance of providing medical cover to people cannot be ignored (HHS). 2.0 Evaluation and Discussion The Medicaid program got enacted in the year 1965; just the same time the Medicare program was created in the US. This was through the Social Security Amendments of 1965. This program expanded quickly and happened to replace the other programs that had been organized under the Federal Grants to the various States within the US that had been providing medical care to many patients on welfare and those who were aged. In the US, the Medicaid program is more of an entitlement program and is jointly receiving funds from the Federal as well as the State funds. The contribution that comes from the Federal government towards every State depends heavily on the willingness shown by the State to give financing to the medical cover and in this case, a matching formula is employed. As has been seen, each of the States does design and manages its individual program but based on the rules set by the Federal government. This medical care program has been very demanding in terms of funding. For instance, in the year 2002 alone, the expenditure on
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(“US Medicaid and Medicare program and Australian Medicare programs Research Paper”, n.d.)
Retrieved from https://studentshare.org/health-sciences-medicine/1393515-us-medicaid-and-medicare-program-and-australian-medicare-programs
(US Medicaid and Medicare Program and Australian Medicare Programs Research Paper)
“US Medicaid and Medicare Program and Australian Medicare Programs Research Paper”, n.d. https://studentshare.org/health-sciences-medicine/1393515-us-medicaid-and-medicare-program-and-australian-medicare-programs.
The paper is being carried out to give the subpopulations in the Hierarchical condition category and Centers for Medicare & Medicaid Services model and their adjustments. The implementation of the Hierarchical condition category and Centers for Medicare & Medicaid Services models in the payment of the risk adjustment consented to medical costs predictions for the Medicare advantage enrollees.
Introduction It will define what Medicare and Medicaid are, who it covers and how it functions IV. Comparison between Australia and US health systems i. Expenditure ii. Coverage of the health care program iii. Strengths in both systems iv. Weaknesses in both systems V.
The Medicare Value Based Purchasing Program or commonly known as”pay for performance” programs have been drawn up in an effort to amend flaws and attend poor performance issues in the Medicare statute. The widespread enforcement of Value Based Purchasing Programs has not yet been possible because the implementation involves drastic changes in the Medicare statue to be undertaken.
These agencies receive approval from the Centers for Medicare and Medicaid Services (CMS) to enable CMS provide support, such as funding, to healthcare companies (Curley & Vitale, 2012). Accreditation agencies ensure that the set standards for providing clinical and pharmacy services coincide with the practices in health institutions.
A number of factors were identified by various scholars as contributing to the inequalities and these include: unsupportive political environment that prevents enacting of relevant legislations; difficulty in providing cover for prescription drugs; administrative policies that favor the majority and oppress the minority and societal factors such as lack of access to education that cause providers to misinform the beneficiaries.
While the two programs differ greatly, they are run by a Department of Health and Human Services division; the Centers for Medicaid and Medicare Services. Medicaid is a program for social protection, or social safety, which serves approximately forty million people at a cost of roughly $330 million in 2012.
Medicare coverage is not complete as it covers a portion of the cost of health care and the cost of long-term care (Social Security Online, 2010). This program is financially supported by payroll taxes which are paid by workers and employees and also by the monthly
The policy wants the catholic institutions to avoid directly providing their employees with birth-control insurance coverage. Many of the supporters of the Obama administration think that it is a fair compromise (Schoenburg, 2012). However,
dministers and also the works in corporation with national governments to administer the children’s Health insurance program (Allgov.com, 2014), Medicaid as well as the standards of the health insurance portability. Apart from these programs (Allgov.com, 2014), Centers for