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Medicaid and Medicare

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Discuss the evolution of health care delivery in terms of the current health care systems of Medicaid and Medicare.

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Solution Summary

The evolution of health care delivery in terms of the current health care systems of Medicaid and Medicare are discussed and researched.

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1. The evolution of health care delivery systems has influenced current health care systems of Medicaid and Medicare.

The programs have evolved with the health care delivery system.

1. Medicare

A federal health insurance program program that pays for certain health care expenses for people aged 65 or older. Enrolled individuals must pay deductibles and co-payments, but much of their medical costs are covered by the program. Medicare is less comprehensive than some other health care programs, but it is an important source of post-retirement health care. Medicare is divided into three parts. Part A covers hospital bills, Part B covers doctor bills, and Part C provides the option to choose from a package of health care plans (http://www.investorwords.com/3033/Medicare.html).

Medicare also includes:

? Certain younger people with specific disabilities, and
? People with end-stage renal disease (ESRD) -- permanent kidney failure requiring dialysis or a transplant (http://www.investorwords.com/3033/Medicare.html).

Medicare Modernization Act (2003) provided greater coverage:

"With the Medicare Act of 2003, our government is finally bringing prescription drug coverage to the seniors of America. With this law, we're giving older Americans better choices and more control over their health care, so they can receive the modern medical care they deserve...Our nation has the best health care system in the world. And we want our seniors to share in the benefits of that system. Our nation has made a promise, a solemn promise to America's seniors. We have pledged to help our citizens find affordable medical care in the later years of life. Lyndon Johnson established that commitment by signing the Medicare Act of 1965. And today, by reforming and modernizing this vital program, we are honoring the commitments of Medicare to all our seniors" (President George W. Bush, White House Press Release, 12/08/2003).

Delivery system organization e.g. Medicare managed care and fee-for-service impact the utilization of programs by Medicare clients, as ...

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