Health Care Industry

p 3 HEALTHCARE INDUSTRY Medic ar and Medicaid argon wellness insurance programs that ar administered by the U .S . Department of wellness and Human Services (CMS-HHS , 2007 . There be basic leavings between the two health insurance programs . Medi circumspection is knowing to admit health support service to mortals at least(prenominal)(prenominal) 65 geezerhood old and older , to individuals below 65 years of advance but have particular impairment , and to individuals of any long time who have end-stage kidney diseases . On the reversal hand Medicaid is designed to provide health support go to individuals who receive a curiously low income . Federal and recite legislations have been created as a guide to determine which individuals and families are eligible for inclusion into this health insurance program . T he eligibility criteria for Medicaid are different for each state of the coupled StatesThe health reporting of Medi foreboding is comprised of 3 parts (Cook et al 2007 . stop A provides infirmary coverage which includes hospital and treat or hospice facilities . Part B provides coverage for the professional fees of physicians as well as outpatient care Prescription drugs are another(prenominal) component supported by Medicare , which importantly reduces the cost of pharmaceutic drugs and regulates prescription(prenominal) drug rates from increase . Medicaid , on the other hand follows Title XIX of the accessible Security meet , which states the medical exam care should be offered for particular basic go to the most deprived individuals in the United States . These basic go include in- and outpatient hospital services , prenatal care , vaccinations for children , testing ground tests and nursing services . Other states depending on the national capital provided , m ay overly offer other services such(prenomi! nal) as diagnostic tests , prescription drugs and rehabilitation services . accordingly the services of Medicaid are not as freely well-disposed as that provided by MedicareAnother difference between Medicare and Medicaid concerns the monthly holdments for the health insurance program . In the case of Medicare members have to give way allowance for at least Part B which is the medical insurance . The bounty is near 78 .20 per month , blanket the physician services and outpatient care . Majority of the members of Medicare do not pay the premium for Part A or the hospital insurance because they already pay for Medicare taxes when they were still working (West and Weeks , 2007 . In the case of Medicaid , in that placement is a very minimal premium that has to be stipendiary for by the individual , but on that point is a slopped criterion during the application process for Medicaid . It is know that individuals who receive Medicaid assistance are the measlyest people in the United States hence there is no need to pay a monthly premium . One of the major requirements for Medicaid is that the individual move below 133 of the federal poverty line , hence not all poor individuals can avail of the Medicaid support servicesThere are three components associated with the eligibility for reimbursement . first of all , the individual must have unquestion qualified proof that he receives a low income . Secondly , the individual should be able to show that his assets and resources are below...If you want to receive a total essay, order it on our website: BestEssayCheap.com

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