Question

This week reflect upon the Medicare and Medicaid programs to address the following:

Describe the Quality Improvement Organization (QIO) and explain how the QIO improves policies and healthcare for Medicare beneficiaries.
Briefly define the qualifications for Medicare and Medicaid benefits. How can qualifications be modified to serve more people who are considered a vulnerable population?
Discuss the impact (including at least two positive and two negative aspects) that the ACA has had on benefits and coverage for Medicare and Medicaid recipients.
Describe your role(s) as a healthcare leader as it applies to the practice of advocating for cost effective care for vulnerable populations.Ju

Just Need a single conclusion for all 4 Question with 0% pledge at least 500 words

Answer 1

A Quality Improvement Organization (QIO) is a group of health quality experts, clinicians, and consumers organized to improve the quality of care delivered to people with Medicare.There are two types of QIOs that work under the direction of the Centers for Medicare & Medicaid Services in support of the QIO Program.Beneficiary and Family Centered Care (BFCC)and Quality Innovation Network

BFCC-QIOs help Medicare beneficiariesexercise their right to high-quality health care. They manage all beneficiarycomplaints and quality of care reviews to ensure consistency in the review process while taking into consideration local factors important to beneficiaries and their families

Generally, Medicare is available for people age 65 or older, younger people with disabilities and people with End Stage Renal Disease (permanent kidney failure requiring dialysis or transplant).Medicare is a federal program that provides health coverage if you are 65+ or under 65 and have a disability, no matter your income. Medicaid is a state and federal program that provides health coverage if you have a very low income. They will work together to provide you with health coverage and lower your costs.

Positive impacts:

Medicaid is more inclusive for many
For states that have chosen to expand their program, Medicaid coverage now includes uninsured Americans under 138% of the federal poverty level.

Dependents can stay under parents’ plan longer
Your children can be insured under your health plan until they are 26 years old.

Negative impacts:

The cost has not decreased for everyone
Those who do not qualify for subsidies may find marketplace health insurance plans unaffordable. Customers may end up paying more for a plan that includes benefits, such as maternity care, that they may not need.

Loss of company-sponsored health plans
Some businesses may find it more cost-effective to pay the penalty and let their employees purchase their own individual insurance on the exchanges rather than provide employer-sponsored coverage.

nurses must advocatefor all vulnerable populations to receive equal treatment despite sexual orientation, gender identity, socioeconomic status, immigration status or other factors.