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Healthcare Policies

Words: 1952 Length: 5 Pages Document Type: Research Paper Paper #: 86833684

Health Policies Medicare

hen everyone in our country finally starts to reach the age of 65 years of age or older, then every person will become eligible for Medicare. It is clear that there are some elderly that are having minimum health concerns while others recurrently are dealing with medical issues for which they will have to seek out treatment by the doctor. However, research is starting to display that there are at least five top conditions that are enhancing on medical and drug spending. It is obvious that Heart disease circumstances are the number one medical issue that the those that are considered elderly are facing and that is becoming very costly to them. Most are unaware that the second one is the disease cancer and it could be internal or external for various elderly patients. Other issues such as joint ailments a lot of the times can cost…… [Read More]

Work Cited:

Wenzlow, Audra T., et al. "Effects of a Discharge Planning Program on Medicaid Coverage of State Prisoners with Serious Mental Illness." Psychiatric Services 62.1 (2011): 73-8.

Sommers, Benjamin D. "Loss of Health Insurance among Non-Elderly Adults in Medicaid." Journal of General Internal Medicine 24.1 (2009): 1-7.

Verdier, James, and Allison Barrett. "How Medicaid Agencies Administer Mental Health Services: Results from a 50-State Survey." Psychiatric Services 59.10 (2008): 1203-6.

Harman, Jeffrey S., Allyson G. Hall, and Jianyi Zhang. "Changes in Health Care use and Costs After a Break in Medicaid Coverage among Persons with Depression." Psychiatric Services 58.1 (2007): 49-54.
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Crisis in Canada Are the

Words: 5697 Length: 17 Pages Document Type: Term Paper Paper #: 63405314

In 2000 legislation was presented by Ralph Klein to the legislature, demanding that provinces be permitted to allow private hospitals. That same year, more budget cuts slammed the health systems, when the "Federal udget offers 2 cents for health care for every dollar of tax cuts." (Health Coalition) in 2002 the Romanow Royal Commission on the Future of Health Care in Canada was created to investigate the health-care situation in the nation and to foster (and witness) public discussion on the subject. Their report was presented in Ottawa towards the end of the year, and in 2003 some of its suggestions regarding intelligent use of federal funding were implemented. The commission, in general, supported the continuation of universal care. However, the 2003 "Health Accord" did not include any ruling against the use of federal funding contracted out to for-profit institutions (a situation that some critics claim is part of the…… [Read More]

Bibliography

Axworthy, Lloyd & Spiegel, Jerry. "Retaining Canada's health care system as a global public good" Canadian Medical Association Journal, Aug 20,2002; 167 (4), 365-366

Canadian Institute for Health Information. Health Care in Canada.

Canadian Institute for Health Information: Ottawa, 2004.

Choudhry, Sujit. "The Enforcement of the Canada Health Act" McGill Law Journal, vol 41; 462-510
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Icd 10 and Its Implementation

Words: 1031 Length: 3 Pages Document Type: Research Paper Paper #: 28953871

Medicare and Medicaid Services (CMS) announced in January that ICD- 10-CM will be implemented into the HIPAA mandated code set on Oct. 1, 2013.

Introduction to the new structure of ICD manual o Statistics

The International Classification of Diseases (ICD) is a program that is designed in order to record statistics of morbidity and mortality and for the indexing of hospital records of disease.

ICD is published by the World Health Organization (WHO).

It has always been statistically difficult to categorize diseases according to any one specific category since different professions that work with diseases have traditionally classified them according to different categories. The pathologist, for instance, is primarily interested in the natural course of the disease process, whilst the anatomist may prefer to have a classification that groups the disease according to the effected part of the body. The statistical classification of disease and injuries depends upon how the…… [Read More]

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Strategic Management Process for Implementation

Words: 3248 Length: 12 Pages Document Type: Term Paper Paper #: 2721765

RATIONALE for the ELEMENTS

The rationale for the elements stated within the mission, vision and values statement is that through educating and assisting patients in signing up for and choosing their provider under the Medicare Advantage plan that the patients will be enabled to receive the best possible benefits for their individual health maintenance needs.

E. PROPOSED STRATEGIC GOALS

Strategic goals of this program includes those as follows:

1) Enrollment of all patients in the Medicare Advantage program who are eligible for this coverage.

2) Assisting all Medicare Advantage enrolled patients in utilizing this coverage to the best possible level enabling them to receive the best care possible.

F. IDENTIFICATION of CRITICAL SUCCESS FACTORS

Critical success factors are identified as being those as follows:

Adoption of the necessary technology applications to assist patients;

Efficiency and effectiveness in getting information out of patients concerning the assistance offered by the HMO; and…… [Read More]

Bibliography

Medicare Advantage: How Does it Relate? (nd) Medicare Prescription Drug Coverage. AARP. Online available at  http://www.aarp.org/health/medicare/drug_coverage/a2004-03-29-medicareadvantage.html 

Hoadley, Jack (2006) Medicare's New Adventure: the Part D Drug Benefit. Commission on a High Performance Health System. The Common wealth Fund Online available at  http://www.cmwf.org/usr_doc/Hoadley_medicaresnewadventure_911.pdf 

Rosenfeld, Sheera; Bernasek, Cathy; and Mendelson, Dan (2005) Medicare's Next Voyage: Encouraging Physicians to Adopt Health Information Technology. Health Affairs 24. No. 5, 2005. Abstract online available at http://healthaff.highwire.org/cgi/content/abstract/24/5/1138

Medicare Prescription Drug Program (2006) Chapter 5: Covering Health Issues 2006. Online available at http://www.bvsde.paho.org/bvsacd/cd57/covering/cap5.pdf
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502 Correct

Words: 1056 Length: 3 Pages Document Type: Essay Paper #: 93687380

Healt Care Policy

Te government of te United States can influence ealt policy in many ways. Specifically, Congress as te autority to pass laws affecting te ealt care system in te country. Most recently tey debated te new ealt care law tat was passed in 2009. Tis debate was primarily between te Republicans in Congress, wo felt tat easier access to existing private insurance plans was te key to overauling te system, and te Democrats, wo preferred a government run plan to compete wit te private plans (Keefe, 2009).

Te President as te role of ceerleader and adviser, witout a direct role in passing laws. President Obama went on te campaign trail to try to rally people to is side and convince tem tat is plan to cover te uninsured, lower costs, and improve care (Stolberg, 2009). Te President can elp steer te discussion towards te direction e would like…… [Read More]

http://www.ncpa.org/pub/ba649 .

Antos, J. (5 Aug 2010). A mistaken prognosis for Medicare. The American. Retrieved from:

http://www.american.com/archive/2010/august/a-mistaken-prognosis-for-medicare.
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Fraud Specifically Health Insurance Fraud

Words: 7682 Length: 26 Pages Document Type: Term Paper Paper #: 45702393

Medicare and Medicaid Services (CMS), previously the Health Care Financing Administration (HCFA), that by the time 2011, health care expenditure will arrive at $2.8 trillion, as well as it will bill for 17% of the Gross Domestic Product. As a result, it is no revelation that white-collar offenders observe health care deception as a rewarding effort. Certainly, the General Accounting Office ("GAO") quotes that such deception accounts for up to 10% of entire health care expense (3).

As health care deception outlays taxpayers almost $100 billion a year, federal, as well as state agencies have given health care fraud tribunal a key center of attention. All through her term, Attorney General Janet Reno made impeaching health care fraud a top precedence at the Department of Justice ("DOJ"), subsequent only to brutal offenses (3).

The government focuses its pains to perceive, as well as take legal action against health care fraud…… [Read More]

Bibliography

(1) Adelaide Few & Jay Trezevant, Fighting the Battle Against Health Care Fraud & Federal Enforcement Actions, 72 FLA. B.J. 34, 34-6 (1998)

(2) Alice A. Love, Leniency Offered Health Care Providers that Admit Federal Fraud, S.D. Union Trib., Oct. 22, 1998

(3) Andy Bunds, The results of the Health Insurance Regulations on Health Care Fraud and Abuse, 72 Mont L. Rev. 63, 72 (2001)

(4) Brian A. Kaset, Sailing Without Safe Harbors: Physician Recruitment and the Law of Fraud and Abuse, 9 Healths Span. 9, 9 (1992)
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Sociology Discussion Responses Response to Post

Words: 1112 Length: 4 Pages Document Type: Essay Paper #: 15656227

Sociology Discussion Responses

Response to Post #

Your post raises some very important issues that face the entire nation as well as the individual states such as New Mexico. The largest social services programs such as Medicare and Medicaid are unsustainable for the long-term, largely because of the dramatic demographic changes in American society since their development. Today, the average longevity is almost double what it was in the early 20th century when the average life span was only 47 years of age. Likewise, the fact that the post-Word War II Baby-Boom generation is now entering retirement age means that larger than ever numbers of program beneficiaries will have to be supported by fewer working program contributors. Meanwhile, the economy is undergoing a very difficult period and unemployment and underemployment rates, even for college graduates, are at all time lows. Some of the most sensible approaches to solutions might include…… [Read More]

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Future of Healthcare Operations the

Words: 3083 Length: 9 Pages Document Type: Term Paper Paper #: 93994062

Then, when you combine this with the fact that Medicaid serves 53 million people with an annual budget of $329 billion, means that rising costs is severely affecting this program. ("Medicaid Reform," 2005) the inflexibility of this program has contributed to problem as a one size fits all approach is taken. Then, when you combine the different state programs offered through Medicaid, means that an uneven standard of inflexibility is used. An illustration of this can be seen by looking no further than the overall focus of Medicaid, where an emphasis is placed on addressing major health issues. This is problematic because like with Medicare, an approach must be taken of dealing with the patient once they are facing major health issues. Then Medicare has to engage in multiple functions to include: comprehensive acute / primary care, long-term care services (for those who qualify), a source of funding for uncompensated…… [Read More]

Bibliography

Medicaid Reform. (2005, June 15). Retrieved March 3, 2010 from National Governors Association website:

http://www.nga.org/Files/pdf/0506medicaid.pdf

President Cuts Medicare, Medicaid to Help Reform Costs. (2009, June 15). Retrieved March 3, 2010 from California Health Line website:  http://www.californiahealthline.org/articles/2009/6/15/president-outlines-cuts-to-medicare-medicaid-to-help-cover-reform-costs.aspx 

Anderson, L. (2009, July 9). Research Project Finds Medicare Part D Increases Spending on Prescription Drugs.
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Federal Government Healthcare Programs the

Words: 1664 Length: 5 Pages Document Type: Term Paper Paper #: 74783782

The problems facing Medicare recipients and the federal government almost seem to be overwhelming. There are proponents of a plan to privatize Social Security and health insurance, placing the onus on the individual to pay for his own health care through savings specifically for this. Some others would have the program go through the private HMOs who have, in the past, contained the costs of care by having primary care physicians manage a patient's care and purposely keeps the costs of care down.

As with Medicaid, the recipients of Medicare would have difficulty obtaining health care without this program. The recipients would most likely have no other health insurance. The trend being what it is, a lot of individuals retiring today are fortunate to have pensions from their companies, much less health benefits. ithout a national health insurance plan, like Medicare, those individuals would have to pay for health care…… [Read More]

Works Cited

Kay, Joseph. "Bush Plans renewed Assault on Medicaid." World Socialist Website. 8 Feb. 2005.

13 Aug. 2005.  http://www.wsws.org/articles/2005/feb2005/medi-f08.shtml .

Kay, Joseph. "U.S.: States, Federal Government Prepare Massive Medicaid Cuts." World

Socialist Website. 11 May 2005.  http://www.wsws.org/articles/2005/may2005/medi-m11.shtml .
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Direct to Consumer Advertising History of Drug

Words: 16271 Length: 59 Pages Document Type: Term Paper Paper #: 71118969

Direct to Consumer Advertising

HISTRY F DRUG ADVERTISING

THE DTC ADVERTISING PHENMENN

CREATING DEMAND

DECEPTIVE ADVERTISING - A WLF IN SHEEP'S CLTHING

CAUSE F DEATH

PRFIT

UTILIZATIN, PRICING, AND DEMGRAPHICS

LEGISLATIN, PLITICS AND PATENTS

LEGISLATIVE INITIATIVES REGARDING DTC

RECALLED and/or DEADLY DRUGS

In order to provide the most efficient method of evaluation, the study will utilize existing stores of qualitative and quantitative data from reliable sources, such as U.S. Government statistical references, University studies, and the studies and publications of non-profit and consumer oriented organizations. Every attempt will be made to avoid sources of information sponsored by or directly influenced by the pharmaceutical industry.

Existing data regarding the history, levels, content and growth of direct-to-consumer advertising will be examined. In addition, the industry's composition prior to and after the proliferation of direct-to-consumer advertising will be examined, with regard to market share, type of substances sold, benefits of substances sold, and…… [Read More]

On January 9, 2002, Dr. Darlene Jody, Vice President of Medical Marketing for Bristol-Myers Squibb, issued a manufacturer's "Important Drug Warning Including Black Box Information." The Important Drug Warning advises healthcare practitioners that "cases of life-threatening hepatic failure have been reported in patients treated with SERZONE." The manufacturer's Warning indicates that numerous persons have or will suffer liver failure, death or transplantation. The manufacturer's Warning also indicates that the current estimate of the rate of liver failure associated with Serzone use is "about 3-4 times the estimated background rate of liver failure." A new Warning is being added to the Serzone prescribing information, advising that "patients should be advised to be alert for signs and symptoms of liver dysfunction (jaundice, anorexia, gastrointestinal complaints, malaise, etc.) and to report them to their doctor immediately if they occur." According to Warnings, Serzone should be promptly discontinued if signs or symptoms suggest liver failure.

Vioxx belongs to a class of drugs known as COX-2 inhibitors. When the drugs were introduced a few years ago, COX-2 inhibitors were thought to be safer and more effective than other drugs such as Aspirin and Ibuprofen. However, several studies have questioned the cardiovascular safety of Vioxx. Studies indicate that people taking Vioxx have four times the risk of a heart attack.

In May 2002, the U.S. Food and Drug Administration (FDA) published a Talk Paper about new label warnings for the popular arthritis and pain drug know as Vioxx (rofecoxib). The new label warnings are based on the results of the Vioxx Gastrointestinal Outcomes Research (VIGOR). According to the FDA, recent studies demonstrate that Vioxx is associated with a higher rate of serious cardiovascular thromboembolic adverse events (such as heart attacks, angina pectoris, and peripheral vascular events). Based on the recent study, the FDA agreed with the Arthritis Advisory Committee recommendations February 8, 2001 that the label for Vioxx include gastrointestinal and cardiovascular warning information. Serious side effects attributed to Vioxx are heart attacks, seizures, strokes, or liver/kidney problems.  http://www.recalleddrugs.com
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American Healthcare System Has Been at the

Words: 1322 Length: 5 Pages Document Type: Term Paper Paper #: 52133197

American Healthcare System has been at the center of debate for many years. One of the most pressing issues confronting the healthcare system is Medicare and its beneficiaries. The purpose of this discussion is to focus on the ramifications of moving Medicare beneficiaries into managed care organizations (MCOs). Our investigation will illustrate that moving the Medicare beneficiaries into MCOs are a bad idea because there will not to be any real cost savings and many individuals are likely to be denied needed care.

Cost Savings

An article found in American Economic Review explains that Medicare is the second largest government entitlement program in the United States. The cost associated with running this program is astronomical. The article asserts that in 1999 the government spent $230 billion or 13% of its budget on Medicare and its beneficiaries. (Antos and Bilheimer)

The major issue with Medicare is that it is expected to…… [Read More]

Works Cited

 http://www.questia.com/PM.qst?a=o&d=5000772968 

Angell, Marcia, and Arnold S. Relman. "Patents, Profits & American Medicine: Conflicts of Interest in the Testing & Marketing of New Drugs." Daedalus 131.2 (2002): 102+.  http://www.questia.com/PM.qst?a=o&d=96539841 

Antos, Joseph R., and Linda Bilheimer. "Medicare Reform: Obstacles and Options." American Economic Review 89.2 (1999): 217-221.  http://www.questia.com/PM.qst?a=o&d=95229758 

Fischer, Pamela P. "Parkinson's Disease and the U.S. Health Care System." Journal of Community Health Nursing 16.3 (1999): 191-204.  http://www.questia.com/PM.qst?a=o&d=5001999538
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Policy Changes in Healthcare Finance Healthcare Finance

Words: 2462 Length: 7 Pages Document Type: Essay Paper #: 81516587

Policy Changes in Healthcare Finance

Healthcare Finance

CPT Codes

The American Medical Association (2013) developed the Current Procedure Terminology (CPT) codes decades ago in the 1960s. The first edition was published in 1966 and over the subsequent years several updated versions were created. The reasons for developing the CPT code system was to make communications about medical procedures easier between health care providers, help patients and their doctors submit claims for services to insurance providers, create a structure that would facilitate the development of an electronics records system, and create categories that would help researchers collect data on the health care field.

The CPT code system expanded with each subsequent edition and with publication of the second edition the codes were transitioned from a 4 to a 5 digit system (American Medical Association, 2013). This transition was necessary as the services covered by the code expanded beyond medicine, radiology, and…… [Read More]

References

ACRO (American College of Radiation Oncology). (n.d.). Introduction to Relative Value Units and how Medicare reimbursement is calculated. ACRO.org. Retrieved 30 Oct. 2013 from www.acro.org/washington/rvu.pdf.

Altman, Stuart H. (2012). The lessons of Medicare's prospective payment system show that the bundled payment program faces challenges. Health Affairs, 9, 1923-1930.

American Medical Association. (2013). CPT process -- how a code becomes a code. AMA-ASSN.org. Retrieved 30 Oct. 2013 from  http://www.ama-assn.org/ama/pub/physician-resources/solutions-managing-your-practice/coding-billing-insurance/cpt/cpt-process-faq/code-becomes-cpt.page .

Brinjikji, W., Kallmes, D.F., Lanzino, G., and Gloft, H.J. (2012). Hospitalization costs for endovascular and surgical treatment of ruptured aneurysms in the United States are substantially higher than Medicare payments. American Journal of Neuroradiology, 33, 1037-1040.
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Preventing Unnecessary Hospital Readmissions

Words: 5603 Length: 5 Pages Document Type: Capstone Project Paper #: 61470120

causes for Medicare and Medicaid patients to be readmitted to hospitals within thirty days of a prior discharge. This is a fairly pervasive and major problem and it is one that demands solutions. As part of this capstone, there will be a number of facets and tools used. There will be a problem description that identifies what the problem is and why it is important. There will be a solution description that broadly asserts what is needed to address and resolve the problem identified. There will be an implementation plan that will lay out how the program will be rolled out to the locations and the people that work therein. There will also be an evaluation plan that will be used to monitor and assess performance so that any deficiencies can be spotted and addressed before they become full-on conflagrations that can sap the performance and outcomes of the project.…… [Read More]

References

Challen, L., Kelso, C., & Gandi, B. (2014, May). Association between prescription drug benefit and hospital readmission rates. Hospital Pharmacy, 49, 449-454.  http://dx.doi.org /
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Healthcare Issues Country How Solve Ongoing Problem

Words: 3055 Length: 11 Pages Document Type: Essay Paper #: 68532094

healthcare issues country. How solve ongoing problem Medicare Fraud Abuse government sufficient effective regulation enforce. If, resolve problem? recommendation ? It Economics Healthcare economically sound.

Economics of healthcare

The population of the modern day society is faced with incremental pressures, but also incremental challenges, and these new issues impact all aspects of life, including the provision of healthcare services. For instance, the more and more technological developments made within the medical and pharmaceutical industries improve the quality of the medical services and as such the life expectancy of the patients. Then, the sustained academic research conducted also improves the quality of the services and the overall quality of the medical act.

In spite of the developments made, it must also be noted that the provision of healthcare services in the United States is a complex situation, with numerous ramifications and challenges. On a first note, it is revealed that the…… [Read More]

References:

Angell, M.,2002, The forgotten domestic crisis, The New York Times,  http://www.nytimes.com/2002/10/13/opinion/the-forgotten-domestic-crisis.html  last accessed on August 8, 2011

Cunningham, W., 2003, The development of the U.S. health care system and its problems, UCLA Schools of Medicine / Public Health, http://www.ph.ucla.edu/hs/hs_100_4_02_lecture_cunningham.pdf last accessed on August 8, 2011

Garson, A., 2000, The U.S. healthcare system 2010, Current Perspectives,  http://circ.ahajournals.org/content/101/16/2015.full  last accessed on August 8, 2011

Gratzer, D., Why isn't government healthcare the answer? Free Market Cure,  http://freemarketcure.com/whynotgovhc.php  last accessed on August 8, 2011
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Healthcare Reimbursement and Billing

Words: 1160 Length: 4 Pages Document Type: Essay Paper #: 91090578

Health Care Reimbursement and Billing

Both Mrs. Zwick and Mr. Davis face significant issues in the presented scenarios. Mrs. Zwick has multiple considerations under Medicare Parts A, B and D, in addition to her hospital-acquired urinary tract infection. Meanwhile, Mr. Davis must address the severe time constraints and costs of COBRA in light of his job termination. These two scenarios underscore current difficulties and complexities of current health care in the United States.

Discussion of Mrs. Zwick's coverage under Medicare Parts A, B and C

Medicare Part A (often called "hospital insurance") (U.S. Department of Health and Human Services, 2011, p. 15) assists in covering inpatient hospitalization and skilled nursing facilities, hospice and home health care (U.S. Department of Health and Human Services, 2011, p. 14). There is usually no monthly premium if you and/or your spouse paid Medicare taxes while employed (U.S. Department of Health and Human Services, 2011,…… [Read More]

Ethical implications of Mrs. Zwick's incurring costs related to her hospital-acquired condition are applicable despite the rehabilitation facility's exemption from POA/HAC Medicare laws. Having no first-hand knowledge of the cause of the urinary tract infection, no clear indication that I work at the rehabilitation facility and neither the privilege nor the duty of diagnosis, it would be unethical for me to tell Mrs. Zwick about my suspicions. Rather, a nurse is required to maintain his/her professional boundaries (American Nurses Association, 2001, p. 6). Simultaneously, a nurse is supposed to assure "responsible disclosure of errors" to patients and act to stop bad practices and promote best practices (American Nurses Association, 2001, p. 6). Consequently, a nurse in my position faces a dilemma: lack of personal knowledge and authority vs. my concern for the patient's well-being and constant improvement of the profession. In the face of this dilemma, I would: contact the rehabilitation facility's newly-hired nurse and advise/remind him/her of the duty to report to the appropriate supervisor and responsible disclosure to Mrs. Zwick; contact Mrs. Zwick's personal physician and explain the entire situation; direct Mrs. Zwick to discuss her health issues with her personal physician, who can review, diagnose and discuss the ramifications of her medical records, including but not limited to the urinary tract infection (American Nurses Association, 2001, p. 7). The desired outcomes would be: the rehabilitation center's absorption of Mrs. Zwick's costs related to her hospital-acquired infection through pressure exerted by its own nursing staff and Mrs. Zwick's personal physician; Mrs. Zwick's awareness of the true cause of her infection by health care providers who are directly responsible and capable.

Explain how the COBRA will allow Mr. Davis to continue his insurance coverage while he is out of work.

Due to Mr. Davis' termination from an employer of more than 20 employees, he can obtain coverage for himself, his spouse and his dependent children for up to 18 months (U.S. Department of Labor, 2012). In addition, due to his chronic cycle cell anemia, he may be entitled to an additional 11 months' extension for disability (U.S. Department of Labor, 2012). His employer is required to give a qualifying event notice to COBRA; then, COBRA sends a notice of the right to elect to continue coverage and an explanation of the steps that must be taken to continue coverage; Mr. Davis, his spouse and either or both of them in behalf of dependent children may elect for continuation of coverage
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Management of Continuum of Care Services as

Words: 1121 Length: 3 Pages Document Type: Essay Paper #: 83512191

Management of Continuum of Care Services

As the new director appointed for the Medicare and Medicaid Services (CMS), I realize the climbing costs of payments of these two programs and have met with the other members to come up with a plan of that will help enforce the strategies and guidelines in the state of North Carolina that can help us follow a budget that will assist the overall national requirements for persistent care. In doing so fellow board members have met with me to look at the Medicare Modernization Act (MMA), Administration on Aging (AoA), and other parts of the medical services to help come up with an arrangement that will help us reduce costs in our particular area that will assist the national healthcare problems that we currently face.

After looking at the problems within our own area we have decided to enforce the guidelines of the current…… [Read More]

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Life After Work A Case

Words: 1996 Length: 6 Pages Document Type: Research Proposal Paper #: 98360087

According to the United States' Government's Medicare program, coverage of nursing home care is offered only on a limited basis. In order to be eligible, the Medicare must only receive services from a Medicare-approved facility, and must have a "qualifying hospital stay" just before entering the nursing home; this stay is generally three days or longer ("Nursing Homes: Paying for Care").

In light of these potential medical costs, one must be careful when advising this couple. The goal of retirement is to allow them to maintain their quality of life, but their quality of life is not maintained if they are constantly sick or worrying about their health. The father's skepticism about taking out a policy that would cover nursing homes or home nursing services is warranted. First of all, no one wants to think about the time when they will no longer be able to take care of him…… [Read More]

References

"10 Ways to Prepare for Retirement." (2008). Retrieved October 1, 2008, from About.com.

Web Site: http://retireplan.about.com/od/planning101/a/10_ways.htm

Franklin, Mary Beth. (2008). The Basics: How Much Do You Need to Retire. Retrieved October 1, 2008,

from MSN Money.
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PPACA on March 23 2010 the Patient

Words: 1009 Length: 3 Pages Document Type: Essay Paper #: 73826994

PPACA

On March 23, 2010 the Patient Protection and Affordable Care Act (PPACA) was signed into law by President Barack Obama. Along with the Health Care Reconciliation Act of 2010, the PPACA became part of the overall Health Care Reform concept of 2010. The health care reform process was promoted as a way to completely transform the health care industry and ensure that all Americans received affordable health care. hile supporters praise the legislation as a revolutionary law which will benefit ordinary Americans, critics claim that the Obama Administration used the health care reform process as a means of gaining control over the entire health care system. In an attempt to compare and contrast the provisions of this new law, this essay will discuss several provisions of the new health care legislation and compare the benefits as well as the criticisms of them.

Section 5501 of the PPACA provides for…… [Read More]

Works Cited

Appleby, Julie. (2011, Jan. 10). Effort To Reward Medicare Advantage Plans Draws Criticism. Kaiser Health News. Retrieved from  http://www.kaiserhealthnews.org/Stories/2011/January/10/Medpac-on-Medicare-Advantage-bonuses.aspx 

"Side Effects: Obamacare Could Punish Docs for Better Quality Care." (2010, July 16). The Heritage Foundation. Retrieved from http://fixhealthcarepolicy.com/health-care-news/side-effects-obamacare-could-punish-docs-for-better-quality-care/

Gold, Jenny. (2011, Jam. 18). "Accountable Care Organizations, Explained." NPR. Retrieved from  http://www.npr.org/2011/04/01/132937232/accountable-care-organizations-explained 

"Health Care Reform: Annual Fee on Prescription Drug Manufacturers and Excise Tax on Medical Devise Manufacturers." (2010, Apr.). Covington & Burling LLP Retrieved from  http://www.cov.com
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Public Health Threats in the 21st Century

Words: 1571 Length: 6 Pages Document Type: Research Paper Paper #: 69466037



Conclusion

This key characteristics of community-based participatory research were shown to include the equitable involvement of all stakeholders, including community members, organizational representatives, and researchers in ways that allow all partners to contribute to the enhancement of community health initiatives. The seven major steps used in an outbreak investigation and the various components of TB prevention and control in the U.S. were outlined. An analysis concerning the greatest future challenges to tobacco cessation interventions showed that nicotine is highly addictive, but that these challenges can be mitigated through enhanced healthcare curricular offerings and various evidence-based strategies. The differences in eligibility criteria between Medicaid and Medicare were shown to relate to target group and that there would be a need for these programs throughout the 21st century. Finally, because oral diseases affect lower-income people more frequently, they are regarded as a neglected epidemic that can have profound adverse healthcare consequences if…… [Read More]

References

CDC tuberculosis guidelines. (2014). Centers for Disease Control. Retrieved April 25, 2014

from  http://www.cdc.gov/tb/publications/guidelines/default.htm .

Gorin, S. (2000, February). A 'society for all ages': Saving Social Security and Medicare. Health and Social Work, 25(1), 69.

Israel, B.A. & Parker, E.A. (2006, October). Community-based participatory research: Lessons
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Human Resources What Balance of

Words: 2047 Length: 5 Pages Document Type: Term Paper Paper #: 60997792

Teams should be created that embrace a diversity of skills and workers from different areas of expertise, so there is no knowledge overlap, and thus less jockeying for position of who has the better qualifications within a certain field. If necessary, a clear leader should be established who understands the importance and the time table of the goal of the team. One problem with self-managed teams is that personality rather than goals can become the focus of team discussion. Because the goal is set externally, employees must become internally motivated to reach that goal. Having a clear leader selected beforehand, if the leader does indeed deserve his or her authority, may be a wise managerial move to limit grabs for power. If all members of the team are relatively similar in skills, however, giving the team more jurisdictions in selecting leadership roles might be considered.

The team must have a…… [Read More]

Works Cited

Technical Terms Used in Project Portfolio Management." (2005). Glossary.

Lee Merkhofer Consulting. Retrieved 1 Feb 2008 at http://www.prioritysystem.com/glossary2b.html

Utility analysis: An overview." (2004, April). Vital Enterprises. Retrieved 1 Feb 2008 at  http://www.vitalentusa.com/learn/utility_analysis_overview.php#basic_assump
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Health Politics What Is the Role of

Words: 3149 Length: 10 Pages Document Type: Term Paper Paper #: 37669681

Health Politics

"What is the role of Congress in policy making process"?

Policy is a plan to identify goal or possible course of actions with administrative or management tools to accomplish these goals. n the other hand, policy is the authoritative decision made by the U.S. executive, legislative, judicial branch of government to influence the decision of others. Government is a key player in decision-making process and congress plays important roles in decision-making . In the United States, both House of Representatives and House of Senate fulfill the congressional policy responsibilities, and congress plays important role in health policy, which includes obesity prevention measures or health insurance program. Congress is an important arm of government that makes law. Important strategy that congress uses to make policy preference is by passing a bill into law. Typically, the congress could make a decision to pass or not to the policy of the…… [Read More]

Oregon Department of Human Services.(2008). The impact of federal policy on Oregon's health care reform efforts: Opportunities and barriers within Medicaid and the State Children's Health Insurance Program. Medical Assistance Programs.

Waller, M. (2005).Block Grants: Flexibility vs. Stability in Social Services. Brookings Institution Policy Brief.

Zuckert, M.P. (2002). Launching Liberalism: On Lockean Political Philosophy. Lawrence: University Press of Kansas.
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Healthcare the Role of the

Words: 1160 Length: 4 Pages Document Type: Term Paper Paper #: 1213888



Centralization and decentralization of HM

Centralized HM operations are conducted within the HM department and they assume that all employee related actions be implemented by the human resources specialists. Such an endeavor creates a context in which the human resource actions are taken in an objective and professional manner. Specifically, the decisions are made based on the organizational benefits and the technical considerations at an overall organizational level. In the case of decentralization nonetheless, the human resource decisions are taken in a less formal manner and they are influenced by personal bias of the medical staff conducting the interviews. The benefit is nevertheless that of the staff decisions being made not on grounds of organizational benefits, but on skills and abilities at a medical level.

A centralized human resource department then supports organizational gains and objectives, whereas a decentralized human resources act supports professional and medical benefits. It is expected…… [Read More]

References:

Connor, E.T., Educational tort liability and malpractice, University of Iowa,  http://www.uiowa.edu/~c07p134/tort.htm  last accessed on March 3, 2011

Salvador, F.A., Which is better? Formal authority or informal authority? Entrepreneur, http://www.entrepreneur.com.ph/features/article/which-is-better-formal-authority-or-informal-authority last accessed on March 3, 2011

Website of Medicare,  http://www.medicare.gov  last accessed on March 3, 2011
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Healthcare Integrity Is a Major Issue for

Words: 1315 Length: 5 Pages Document Type: Essay Paper #: 2662441

Healthcare

Integrity is a major issue for healthcare organizations because there are many avenues for fraud, and for people to demonstrate a lack of ethics. The problem is that the temptation is sometimes too great and despite the fact that there are laws in place to guard against these practices unethical behavior takes place anyway. The government, which supplies a lot of the money which goes for treatments through Medicare and Medicaid, has structured certain laws to make sure that the practices of healthcare organizations are ethical, but billions of dollars in fines are still doled out every year. The big drug companies complain of arcane and hard to decipher legalese, but the fact is that although they realize the issue and the penalty they continue to subvert the law. This paper looks at qui tam statutes and cases, Medicare and Medicaid admissions criteria, installing a corporate integrity program, and…… [Read More]

References

American Speech-Language-Hearing Association (ASLHA). (2010). Summary of self- referral and anti-kickback regulations. Retrieved from  http://www.asha.org/practice/reimbursement/medicare/regulations_sum.htm 

Hanford, J.T. (2001). Regulation of the healthcare professions. Ethics & Medicine, 17(3), 188-190.

Louthian Law Firm. (2012). Healthcare fraud qui tam whistleblower protection lawsuits.

Mattie, A. & Ben-Chitrit, R. (2009) The federal False Claims Act and qui tam actions: What every healthcare manager should know. Journal of Legal, Ethical and Regulatory Issues, 12(2), 49-65.
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Healthcare Finance a Prospective Payment

Words: 914 Length: 3 Pages Document Type: Thesis Paper #: 65027047

If the area wage index is greater than 1, the labor share equals 69.7%. The law requires the labor share to equal 62% if the area wage index is less than 1.0.

2) the wage adjusted labor share is added to the non-labor share of the standardized amount.

3) the wage adjusted standardized amount is multiplied by a relative weight for the DG. The relative weight is specific to each of 746 DG's (for fiscal year [FY] 2009) and represents the relative average cost of a beneficiary in one DG compared to another.

4) if applicable, additional amounts will be added to the IPPS payment for hospitals engaged in teaching medical residents, hospitals that treat a disproportionate share of low income patients, and for high cost outlier cases" (Acute Inpatient Prospective Payment System, 2009).

Physician services include office visits, surgical procedures, and other diagnostic services. These services are usually performed…… [Read More]

References

Acute Inpatient Prospective Payment System. (2009). Retrieved April 2, 2009, from Centers

for Medicare and Medicade Service Web site:

 http://www.cms.hhs.gov/ MLNProducts/downloads/AcutePaymtSysfctsht.pdf" target="_blank" REL="NOFOLLOW">
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Reimbursement Ethics and Compliance Impact of Health

Words: 1349 Length: 4 Pages Document Type: Essay Paper #: 94066832

eimbursement Ethics and Compliance: Impact of Health Care eform on Medical Coding and Billing

"Medical billing and coding lays the foundation for any successful healthcare provider," yet its common practices are undergoing significant changes under the recent proposal for health care reform (Griffey, 2013). The nature of medical coding and billing is increasingly becoming more and more complicated. The recent healthcare reform legislation, passed in 2010, promises to complicate the situation even further. Such reforms will undoubtedly have a huge impact on medical billing and coding processes.

The reform bill was a monumental piece of legislation passed by Pres. Obama and his Democratic supporters in 2010. There are a number of stipulations which aim to help increase access to appropriate health care for millions of Americans who are currently without any coverage, helping lower the cost of premiums too much more affordable rate for most Americans but also increasing the…… [Read More]

References

Eastaugh, Ben & Sternal-Johnson, Chris (2010). What will health care reform do to medical billing? MD Alliance Billing. Web.  http://mdalliancebilling.wordpress.com/2010/03/22/what-will-health-care-reform-do-to-medical-billing/ 

Griffey, Kimberly. (2013). Medical billing and coding and health care reform: What you need to know. Ultimate Medical Academy. Web.  http://info.ultimatemedical.edu/blog/bid/276367/Medical-Billing-and-Coding-and-Health-Care-Reform-What-you-Need-to-Know 

Hart, Bradley. (2012). Ethics in Medical Coding: Theory and Practice. McGraw Hill.

Jackson, Jill & Nolen, John. (2010). Health Care Reform Bill summary: A look at what's in the bill. CBS News. Web.  http://www.cbsnews.com/8301-503544_162-20000846-503544/health-care-reform-bill-summary-a-look-at-whats-in-the-bill/
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Mr H Appealing HMO Decision

Words: 714 Length: 2 Pages Document Type: Essay Paper #: 63984167

H's claim with an HMO plan is the need for individuals to remain within the network to receive care. Initially, Mr. H was denied coverage because he did not get a referral from his primary physician to see a specialist. The original treatment to which Mr. H's primary care physician was subjecting Mr. H was 1. not effective and 2. The physician suggested a radical amputation for his condition while the second opinion Mr. H sought suggested a much less radical procedure which would allow Mr. H to retain his mobility. It could be logically argued that had Mr. H not gone 'out of network' he would have suffered substantial medical harm. Furthermore, while the HMO cited as a reason for denial of claim a provision in the plan documents that prevents referrals outside the plan's network when the network's physicians have the capability to perform the required procedure, Mr.…… [Read More]

References

Appeals of local coverage determinations. (2010). Medicare.gov. Retrieved October 31, 2010

 http://www.medicare.gov /basics/lcds.asp

Bacon, David. (2004). ERISA preemption of tort suits. Metro Corp Counsel. Retrieved October

31, 2010 at  http://www.metrocorpcounsel.com/current.php?artType=view&artMonth=June&artYear=2009&EntryNo=1914
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Safety Net Hospitals Have Traditionally Provided Medical

Words: 1382 Length: 3 Pages Document Type: A-Level Coursework Paper #: 72609761

Safety net hospitals have traditionally provided medical services vital to public health. Unfortunately, the recent economic recession has dealt a hard blow to safety net hospitals, even to the point of forcing hospital closures. Fortunately, Health Care Reform has already positively impacted U.S. health care and will even revolutionize American health care in some respects.

The Effect of the Closure of Safety Net Hospitals on Public Health

Safety net hospitals, such as Grady Memorial Hospital, serve the public health through providing vital treatment of uninsured, underinsured, Medicaid, and Medicare patients, along with some privately insured patients (Dewan & Sack, 2008). In addition, some safety net hospitals are also teaching hospitals that train medical professionals who contribute considerably to public health. Unfortunately, economic pressures are forcing the closure of some safety net hospitals, resulting in the severe reduction of medical care in certain communities for the "poor and underserved" (Altman, Shactman,…… [Read More]

Works Cited

Altman, S.H., Shactman, D., & Efrat, E. (2006, Jan/Feb). Could U.S. hospitals go the way of U.S. airlines? Retrieved September 1, 2012 from Proquest.com Web site:  http://search.proquest.com/docview/204650663/138ED25BFA63A547161/5?accountid=28844 

Amalberti, R., Auroy, Y., Berwick, D., & Barach, P. (2005, May 3). Five system barriers to achieving ultrasafe health care. Retrieved September 1, 2012 from Proquest.com Web site:  http://search.proquest.com/docview/222267835/138ED3FE9A36E21E74A/6?accountid=28844 

Dewan, S., & Sack, K. (2008, January 8). A safety-net hospital falls into financial crisis. Retrieved September 1, 2012 from Nytimes.com Web site:  http://www.nytimes.com/2008/01/08/us/08grady.html?pagewanted=1&_r=1 

Felland, L.E., Cunningham, P.J., Cohen, G.R., November, E.A., & Quinn, B.C. (2010, January). The economic recession: Early impacts on health care safety net providers. Retrieved September 1, 2012 from Rwjf.org Web site:  http://www.rwjf.org/files/research/55109.pdf
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Johnson Administration's Great Society Initiatives Defend Your

Words: 697 Length: 2 Pages Document Type: Essay Paper #: 7174574

Johnson administration's "Great Society" initiatives? Defend your response.

As for intentions, the Johnson administration's "Great Society" initiatives should be given an A. hen he took office, Johnson saw that the country's success following orld ar II was declining and there was a potential for the country to enter a period of serious decline, a situation which ultimately did come to pass in the 1970s and again in the present period. Programs such as Medicare and Medicaid which were created during this period have continued to benefit Americans fifty years after their initial creation. However, given that much of Johnson's attention was being given to the escalation of the Vietnam ar and Johnson's encouragement of American involvement on that front, the actual effectiveness of the "Great Society" initiatives deserves a final grade of B- or C+. He was successful in getting the Civil Rights Act passed and tried to help Americans…… [Read More]

Works Cited

Harrison, B.C. & Dye, T.R. (2008). Power and Society: an Introduction to the Social Sciences.

Thomson Wadsworth.
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Costs of Health Care and Quality

Words: 826 Length: 3 Pages Document Type: Essay Paper #: 58556062

Health Care Cost and Quality

The objective of this study is to examine the relationship between health care cost and quality. This study will select one public agency and one private agency and differentiate their roles and major activities in addressing cost and quality in health care and analyze current and projected initiatives to improve quality while simultaneously controlling costs. This study will additionally conduct a synthesis of indications for staff nurses and advanced practice nurses, including evidence-based practice, relative to cost and quality.

There are many initiatives presently underway to meet the growing need of health care for a population that is greatly under-insured and many that are uninsured.

U.S. Department of Health and Human Services eport

According to the U.S. Department of Health and Human Services (2014) "Medicare is improving the way it pays for physician services. The Center for Medicare and Medicaid Innovation (Innovation Center) is exploring…… [Read More]

References

Advanced Practice Nursing: A New Age in Health Care (nd) American Nurses Association. Retrieved from:  http://www.nursingworld.org/functionalmenucategories/mediaresources/mediabackgrounders/aprn-a-new-age-in-health-care.pdf 

Health Care Costs (2014) Agency for Healthcare Research and Quality. Retrieved from:  http://www.ahrq.gov/research/findings/factsheets/costs/health-care/index.html 

A 21st Century Health Care Workforce for the Nation (2014) U.S. Department of Health and Human Services. Retrieved from:  http://aspe.hhs.gov/health/reports/2014/HealthCare_Workforce/rpt_healthcareworkforce.pdf
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Acute Care Has Been a

Words: 2335 Length: 7 Pages Document Type: Essay Paper #: 90832603

This is the strategy used in Canada, where drug costs have been substantially reduced.

The challenges presented by this law have spilled over into the current health-care reform debate. Many people and many legislators who might have been more open to engage in productive dialogue during the current debate were no doubt made more leery of the process and of the possibility that there could be significant reform that would bring benefits to more people while bringing down the federal deficit.

The fears of opponents of the bill were correct in their fears that the bill would been even more expensive than originally budgeted. The initial estimate for the net cost was $400 billion for the period from 2004-2013. However, only a month after the bill's passage, that estimate was raised to $534 billion. It has since been raised to over $550. The cost over-runs in this bill will no…… [Read More]

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Drug Reimportation the Need for

Words: 721 Length: 2 Pages Document Type: Essay Paper #: 14738507

While it is definitely true that these companies spend a great deal of money on research and development, for which they certainly deserve and in fact need to be compensated (not to mention their right to make a profit, and the fact that profit potential is a major driver in innovation), the amount of profit and compensation that comes solely from the United States is inordinate when compared to that provided by other countries. Nearly half of all revenue going to pharmaceutical companies every year comes from United States' consumers (Sawkar, 2005). The argument that drug reimportation would damage companies' innovation and profit potentials implies that it is the United States' sole responsibility to provide funds for these goals; if reimportation were allowed then prices would even out, meaning other countries would start paying a fair share towards research and development costs while the United States would experience a savings.…… [Read More]

References

Choudhry, N.K., & Detsky, A.S. (2005). A perspective on U.S. drug reimportation. The Journal of the American Medical Association, 293(3). Retrieved from  http://jama.ama-assn.org/cgi/content/full/293/3/358 

Sawkar, M. (2005, March). High U.S. drug prices: Causes and cures. Paper presented for The Drug Reimportation Debate. Retrieved from www.sawkar.net/blog/high_drug_prices.doc

Wu, M.Y, Kennedy, J., Cohen, L.J., & Wang, C.C. (2009). Coverage of atypical antipsychotics among Medicare drug plans in the state of Washington: Changes between 2007 and 2008. Primary Care Companion Journal of Clinical Psychiatry, 11 (6), 316- 321.
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Medical Care to African-americans The

Words: 940 Length: 3 Pages Document Type: Article Critique Paper #: 58895838

This information was obtained from the facilities giving dialysis and it was for the first two months only. The study excluded darbepoetin doses as it had only been administered to a few patients. Inpatient EPO doses were not easily determinable as they are not billed differently to Medicare. The use of outpatient EPO only may be underestimating the total use of the medication. The cohort dealt with the biasness by determining the amount of time a patient stayed in hospital. The calculations on the average dose of EPO for every patient per day was by adding the total dose for a whole month then separating it by the number of days of outpatient then multiplying by 30 to get the total of a calendar month. According to the medical reports the study used the right amount of doses. The study was not randomized as it was aimed towards the African-American…… [Read More]

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Bush Administration Can Be Fully

Words: 913 Length: 3 Pages Document Type: Term Paper Paper #: 87531451



The most worrying aspect in this case is the fact that the Patriot Act seems to be endangering some of the fundamental liberties of the American individual. The motivation seems simple: the country is at war and, in any such conditions, it is allowed to resort to all means to achieve victory. On the other hand, the fact that certain governmental practices (many of which have probably been going on in the past, but had never been exposed) are now out in the open and even regulated.

The case of the American citizen Yaser Hamdi is quintessential for the application of policies in times of war. Yaser Hamdi was captured in Afghanistan, deemed to be a member of al Qaeda and was categorized as an "enemy combatant." He had been held imprisoned without being charged for almost two years, with no access to attorneys or trials.

His case brings about…… [Read More]

Bibliography

1. Cassel, Elaine. Yaser Hamdi gets a lawyer: he just can't do anything. December 2003. On the Internet at  http://buffaloreport.com/articles/031207.cassel.hamdi.html 

 http://www.chargepadilla.org /" target="_blank" REL="NOFOLLOW">