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Identify three major components of the Medicare and Medicaid programs and, based on these components, identify...

Identify three major components of the Medicare and Medicaid programs and, based on these components, identify at least two patient coverage gaps for each of the programs. Be clear when you describe the coverage and the gaps as they may relate to specific ages, patient populations, or disease entities. Use primary sources to identify the components and the gaps. Additionally, discuss your stand (criticize or defend) regarding the relevance of the Social Security program to the American public. Should the program be left alone, modified, drastically changed, or eliminated? Provide the rationale and use facts to defend your position.

Solutions

Expert Solution

Major components of medicare and medicaid programs are

  • Time period of enrollment
  • Provider networks
  • Qualifying events

Patient coverage gaps of medicare

  • Large number of uninsured people also get care in medicare so sometimes time consuming to consult doctors.
  • Enrollment process is complicated so the right coverage plan cannot be foundout by people

Patient coverage gaps in Medicaid:

  • Long-term nursing care, custodial care, and certain other health care needs, such as dentures and dental care, eyeglasses, and Nonelderly adults of all ages fall into the coverage gap over half are middle-aged (age 35 to 54) or near elderly (age 55 to64)
  • Low income groups mostly are white non hispanics stay uninsured and the people of low income groups face barrier in getting health services due to financial consequences.

Social security program benefits retired, disabled individuals, and children and widowed spouses of deceased workers.So people sometimes donot pay social security tax saying that any way after retirement they will get the benefit mandatorily. This results in heavy financial burden to the government.

The programme should have some changes like individuals with sound health and good income should mandatorily pay for social security system.

Nightingale answered 2 years ago
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