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Question: Long-Term Care Reimbursement The federal and state governments are the largest payers of health c...

Long-Term Care Reimbursement

The federal and state governments are the largest payers of health care services in the United States. The largest federal programs are the Medicare and Medicaid services.

Provide a summary of Medicare and Medicaid services

In your summary, include the following points:

·      An overview of the different Medicare and Medicaid services

·      The population covered under Medicare and Medicaid services

·      The services of long-term care covered under Medicare and Medicaid, including the restrictions placed on them

Answer 1

Medicare is a national health insurance program which is now administered by the Centers for Medicaid and Medicare Services of the U.S. federal government and started in 1966 under the Social Security Administration.

The Centers for Medicare and Medicaid Services (CMS) is the federal agency which is responsible for the medicare program. The CMS is branch of the health and human service department. The CMS has key role in the healthcare, they monitors the different full details of the actions plane run by the Medicaid offered by each state. Medicare have very broad coverage of the peoples, it have covered more than 48 million peoples in 2011 with total expenditures of $549.1 billion. The money for this organization comes from the different medicare trust fund. Medicare has two major funding resources and the funds of these trust can be used only by the medicare.

Hospital Insurance (HI) Trust Fund: the money comes to this fund from the payroll taxes paid by employees, employers, common people.

Supplementary Medical Insurance (SMI) Trust Fund: the main resource of this trust is the funds authorize by the Congress, interest earned by investors and many others.

This health insurance is for the Americans aged 65 and older who have worked and paid to system by payroll tax. This also provides health insurance to younger people with some disability status as determined by the Social Security Administration and peoples having end stage renal disease and several others chronic diseases. Americans mostly depend on Medicare for the help with their medical bills. The coverage of Medicare assures to the peoples for the entry into the America's health care system and offers for the protection from financial catastrophe whenever illness strikes.

Medicare and Medicaid:

Both Medicaid and Medicare are governmental programs which offer the health care services to the different group of people of the United States. These both groups have different working strategy and have been managed by Centers for Medicare and Medicaid Services. The Medicare is insurance program which has been providing his services to the more that 44 million (as per 2008) with cost of more than $430 billion. The Medicaid is social welfare programme which have proving his services to the more than 40 million peoples with cost of more than $330 billion. These Medicaid and Medicare were first started by the President Lyndon B. Johnson and give his approval in the amendments.

The eligibility for Medicare, and individual must be either within 65 year old or disabled or having end stage renal disease with any age. Eligibility for the Medicaid benefits have several criteria for the selections but major fact is poor people’s will be given preferences. Individual states have different guidelines for the eligibility.