Medicare is health insurance for people 65 and older,people
under 65 with certain disabilities,and people of any age with
End-Stage-Renal Disease (permanent kidney failure requiring
dialysis or a kidney transplant)
There are mainly 4 parts in medicare
- PART A and PART B are often called original medicare
- PART C is often called Medicare Advantage plans or MA
plans
- PART D is often called Prescription Drug Coverage"
Criques for PART A (Hospital Insurance)
- it does not cover the costs for a private room unless medically
necessay,private-duty nursing,personal care items or other
extraneous charges like telephone and television
- it does not cover cost of blood
- it does not cover 24-hour home care,meals or home maker
services if they are unrelated to the treatment
- it doesnot cover any personal care services such as help with
bathing and dressing
Critiques for PART B (Medical Insurance)
- Medicare does not usually pay the full cost of the care,and we
will be likely be responsible for some portion of the cost-sharing
for Medicare-covered services
- we have to pay both a monthly premium and a yearly dedutible
for Medicare Part B
Critiques for Part C (Medicare Advantage)
- it may have different plans and it may vary and some plans have
annual deductible
Critiques for Part D (Prescription Drug Plan (PDP)
- Lack of standardization
- standards for electronic prescribing for Medicare Part D
conflict with regulations in tmany U.S states
- The federal government is not permitted to negotiate Part D
drug prices with drug companies,as federal agencies do in their
programs
Benefit of EHR from medicare parts
- The medicare Electronic Health Record (EHR) incentive program
will provide incentive payments to eligible professionals and
eligible hospitals as they demonstrate
adoption,implementation,upgradingor meaningful use of certified EHR
technology
- The EHR can be mainly getbenefit from Part A of medicare
- They will record all the essential datails of the patients dats
as electronically
- The types of professionals include in EHR are
1.MD and Do's
2.Doctor of surgery or dental medicine
3.Doctor of podiatrics
4.Doctor of optometry
5Chiropractitioner