The High Cost Associated With Medicare - 790 Words

The high cost associated with Medicare requires approaching health care reform from an intentional perspective. One approach to help achieve integrated and efficient care is to foster accountability for quality and cost through performance measurements and â€Å"shared savings† payment reform. The approach provides a practical and feasible method for providers and organizations to improve their current revenue cycle processes, while maintaining provider incomes and reducing overall health care costs. Rising health care cost currently threaten the sustainability of the Medicare program. Although advances in biomedical knowledge and technological innovation offer cost saving improvements, the differences in spending across regions and health systems highlight the opportunity to improve efficiency by providing better care at lower cost (Fisher, McClellan, Bertko, Lieberman, Lee, Lewis, Skinner, 2009). On average regions with lower Medicare spending provide higher quality care and achieve better health outcomes. While regions with higher spending, due largely to the over use of â€Å"supply-sensitive† services, demonstrate high levels of inefficient use of health care resources. Providing a need to approach payment reform by addressing three barriers to care: lack of accountability, the volume reward system, and the penalties associated with cost saving innovations. One proposed method for addressing this issue is to realign payment incentives to better support health care providers.Show MoreRelatedMedicare : A Form Of Social Insurance1050 Words   |  5 PagesBackground on Medicare Medicare is a form of social insurance. It provides several types of health insurance to its beneficiaries. The large majority of those who benefit from medicare are people who are 65 years old or older. There are some exceptions to this for people under the age requirement but have certain disabilities or diseases. Medicare is made up of four parts: A, B, C, and D. Medicare part A is Hospital Insurance. This means that it covers the costs associated with a hospital visit,Read MoreNational Patient Safety Goals ( Npsgs )1525 Words   |  7 PagesNational Patient Safety Goals (NPSGs), established in 2002 by the Joint Commission, is to help accredited organizations address specific areas of concern in regard to patient safety (Catheter-Associated, 2015). NPSG.07.06.01 Implement evidence-based practices to prevent indwelling catheter-associated urinary tract infections (CAUTI) is a 2015 NPSG (The Joint Commission, 2015). Our facility has 1.32 CAUTIs per 1000 device days (Carson, 2015). 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NPSG.07.06.01 Implement evidence-based practices to prevent indwelling catheter-associated urinary tract infections (CAUTI) is a 2015 NPSG (The Joint Commission, 2015). Our facility has 1.32 CAUTIs per 1000 device days (Carson, 2015). Decreasing our CAUTIs can be achieved with a strictRead MoreSwitzerland Health Care System993 Words   |  4 Pages(Cherry, B, (2014)) Government funded programs provide health coverage for the unemplo yed, elderly, low income and retired. â€Å"100 million Americans receive health insurance from government funded programs.† (Centers for Medicare and Medicaid, (n.d)) Government funded programs are Medicare, Medicaid and childrens health insurance programs. According to a report released by the Commonwealth Fund, â€Å" the number of uninsured in the U. S has declined. It is estimated that approximately 29 millions AmericanRead MoreThe Patient Protection And Affordable Care Act1639 Words   |  7 Pagesabout the reimbursement rates for Medicare patients. Who makes up the Accountable Care Organization? We will also take a look into the Affordable Care Act and how the ACO is a part of that. What is the Accountable Care Organization? â€Å"Accountable Care Organizations (ACOs) are groups of doctors, hospitals, and other health care providers, who come together voluntarily to give coordinated high quality care to their Medicare patients† (www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/ACO/indexRead MorePrivate Insurance Essay931 Words   |  4 PagesSharp rises in insurance premiums have forced employers to shifts costs to the employee by increasing deductibles, coinsurance, and pharmacy benefits (Trude, Christianson, Lesser, Watts, Benoit, 2002). Employers may offer their employees a choice of plans in the defined benefit model of health insurance benefits. Many of these plans have high-deductibles (referred to as high deductible health plans or HDHPs) that shift costs to the employee, the premiums are generally less expensive than managedRead MoreThe Tradeoffs Associated With The Medicare-For-All Policy721 Words   |  3 Pagesto fully evaluate the tradeoffs associated with the Medicare-for-all policy, it is imperative that a source of funding, or a payment model, is identified. Without this information, it is difficult to determine not only who would benefit and who would suffer, but how the system as a whole will respond to the healthcare choices of over 323 million people. Another important detail lies in the potential cost savings and efficiency for middle-class families. The Medicare-for-all plan promises to save theRead MoreMedicare : A Federally Administered Health Insurance Program1423 Words   |  6 Pages Med icare is a federally administered health insurance program that was started in 1965 by President Lyndon B. Johnson, taking effect in 1966. The Medicare program was aimed at aiding the high percentage of elderly individuals who were without health insurance coverage and thus improve their health. Originally, Medicare provided health insurance coverage for retirees and their spouses 65 years and older. However, in 1972 Richard Nixon signed the first change to Medicare, allowing for certainRead MoreCase Study Of Porter s Five Forces Model813 Words   |  4 Pagesconcentration of competitors. The hospital that I work at is the largest between Memphis and Nashville and has the busiest ER in the state of Tennessee. Therefore, the concentration of competition is low for that particular hospital. There are high fixed costs with a hospital such as buildings, overhead, equipment, and salaried personnel. Yet, a hospital does not cut their prices to increase patient census. However, i t could be questionable in a low census period as to whether there are additional