Health Law and Regulation-Medicaid and Medicare
Mathew V Kurian
HCS/545
November 5 2012
Pro. Maureen Lancellot
Health Law and Regulation-Medicare and Medicaid
Medicare and Medicaid, created by the Social Security Amendment Act 1965, added Title XVIII and XIX to the Social Security Act. President Lyndon B Johnson was responsible for bringing about this change. Social Security Program started during the Great Depression of 1930s because of the stock market crash and bank failure, which wiped away the retirement savings of the Americans. Poverty rate among senior citizen exceeded 50% during this time. Social Security Act was created in an attempt to limit the five dangers of modern American Society. The Social Security Act was
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With respect to plan B, any person who is eligible for plan A can enroll in plan B by paying a monthly premium. The person not eligible for plan A or plan B can still buy plan B, if that person is more than 65 years old, and a citizen or legal resident. Persons who have plan A and B are eligible for plane C. Plan C include Medicare managed care plan. Medicare preferred provider (PPO) organization plan; Medicare private fee-for-service plan, and Medicare specialty service. Plan D is available to all the persons who have any of the other three plans, but need to pay a monthly premium.
Enrollment
The effective date of enrollment is January 1 of the up-coming year with right to make changes from October 15 to December seven each year. From the time a person becomes eligible, a seven months period is given for enrollment, starting from three months prior to 65th birthday. A delay will cause delay in coverage and higher premium. For plan B, the person has another chance each year to sign up during general enrollment time from January one to march 31. Person leaving Plan C insurance has an extended time to join plan D coverage. The rules for people covered under an employer group health plan are different.
Medicaid
Title XIX of the Social Security Act deals with Medicaid. It is a
In 1935 the Social Security Act was established to provide Old Age Assistance and Old Age Survivors Insurance and in 1950, then President Truman, held the first of all National Conferences on Aging and the first federal social service programs were funded for the
Though Medicare plans are typically for persons over the age of 65 years old, they do not come without costs to the patient. If the patient has enough work credits, Medicare Part A is automatically available to the patient once he or she reaches age 65. Medicare Parts B and D, however, require the patient to navigate through an application process and the patient may incur penalty fees if he or she does not sign up for the plans during the allotted time frame once they have reached the age of 65. For Medicare parts B and D, the patient is responsible for paying the designated premiums. The Medicare Part B premium ranges from
An example of this Act is the very popular Nancy Cruzan Case. Although Nancy was left in a vegetative state resulting from a car accident, her parents were able to make the decision to have her removed from feeding tubes because Nancy expressed before the accident that she never wanted to be kept alive from breathing or feeding tubes. This Act really promotes Advanced Directives and hospitals, clinics and other providers that receive Medicare or Medicaid funds to provide patients with written information about their right and the information must clearly state the institutions policies on withholding or withdrawing life-sustaining treatment.
During the Great Depression people lost their jobs and didn 't have money available when they retired. Franklin Roosevelt wanted citizens to have money available if they became unable to work anymore or not start work at all because of an unforeseen event in their life. By reading the debate and ideas of the Act, a better understanding of how the Social Security Act came to be can be gained. The Social Security Act was created in 1935 for people that are disabled who can 't work at all and for citizens that work to have money put into social security and available after retirement. It was used to help citizens after the Great Depression who lost their jobs. This act would help citizens that work to have benefits by having employers pay into a trust fund, so money would be available to employees after they retire or become disabled while working.
On August 14, 1935 in Austin, Texas, President Franklin D. Roosevelt inked his signature on the Social Security Act. It was originally implemented to resolve problems with unemployment, old age insurance, and public health and welfare. The Great Depression was the catalyst for the creation of the Social Security program, and the basic structure was very similar to Germany’s social insurance programs from the 1880s. Today, social security is mostly used for retired senior citizens starting at the age of 62. At 62, American citizens can begin to collect, but will only receive 35% of their monthly benefit due, rather than the maximum amount of 50% when they reach the full retirement age of 66. (cite) In addition, social security is dispersed to about 14 million disabled people under the age of 62, who can no longer work in the labor force for various reasons. The people who qualify as disabled are just a small percentage of those collecting compared to senior citizens, and are often not mentioned when social security issues are brought up because of their minute effects on social security distribution.
RHPA stands for Regulated Health Profession Act. The Act sets out the mandate and governing framework for all regulated health Colleges and professions in Ontario, including the College of Opticians(COO). RHPA is also included in the health profession code, it outlines that each college must maintain practice of a specific group of health care professionals in the interest of the public. RHPA also sets out the practical rules for Colleges to regarding; registering members, handling complaints, conducting investigations, carrying out discipline hearings, handling fitness to practice hearing, quality assurance program, patient relations program, mandatory reporting, funding for victims of sexual abuse by members, appeal processes regarding registration
In 1930’s the Great Depression triggered a crises in the nation’s economic life. The Great Depression left millions of people unemployed and penniless. People consider leaving their farms behind to work in the cities factories to send money home. But as they grow into their new lifestyles the aging parent would stay behind to keep their dream of landowner ship. The seniors would be left in the hardest times of need living off the land. President Roosevelt’s New Deal was created to help jump-start the economy by providing unemployed workers with jobs and benefits packages for temporary relief. One of the many steps taken to alleviate the burden on the American people was the passing of Social Security Act on August 14, 1935 and its amendments by Congress and the President, Franklin D. Roosevelt.
The social security act was created by President Franklin D. Roosevelt so that he could put in place provisions in order to help the elderly. The social security act a document that helps impoverished citizens, such as the elderly and physically impaired receive benefits after retirement. Citizens’ in America during the great depression where expected to work weather elderly or physically disabled. These citizens weren’t afforded the financial stability to retire so work was a necessity to acquire money. “Prior to social security, the elderly routinely faced the prospect of poverty upon retirement” (U.S SSA). This effect of the great depression led to a lot death and homes turning into singled parent homes with no income. “The widespread
In 1965, President Johnson introduced Medicare and Medicaid to provide health insurance to the elderly and low income children.
Medicaid and Medicare were actually part of the Social Security act of 1965 signed into action by Lyndon Johnson. There have been many changes to the act since it was established in 1965 such as in 1967 An Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) comprehensive health services benefit for all Medicaid children under age 21 was established. It seemed to follow the course of any new act signed into action there were tweaks and changes made additions and subtraction but one of the most significant changes were made in 2003. According to The Center for
The Social Security Act of 1935, signed by Franklin D. Roosevelt, created a program that included social insurance programs, as well as public assistance. Both programs came about due to the depression and were created as part of the New Deal to benefit the citizens who needed assistance. While both programs were created to assist the public, each program had different eligibility requirements and accomplished different tasks.
The responsibility for health legislation and general policies rests with Parliament, the Secretary of State for Health, and the Department of Health (Department of Health, 2013a). Parliament is at the top of the chain, with the Department of Health and the Secretary State for Health following below that. Answering to the Secretary of State for Health is the NHS.
The health care industry continually deals with the lives of individuals and is bound by the ethical and legal aspects that influence decisions of health care professionals in their clinical practice. This essay aims to discuss the various issues and ethical dilemmas that arise with regards to the consent of consumers. In the attempt to explore these points, different literatures are used to shed light on this topic. This paper begins by defining what consent is and the role of nurses or the health care team in being an advocate of the patient when requiring consent. It moves on with the discussion of ethical frameworks, which are recognized nationally and internationally, as these carry significant influences in health care decision-making. The essay also brings out the essence of ethical theories and its relevance to consent giving. It then tackles the similarities and differences of the Code of Ethics and ethical guidelines relevant to both nursing and midwives as both professions work closely in the care of mothers, children and families. Issues and views from experienced professionals in these fields are presented and critically compared. It then considers both ethical and legal aspects, which seeks arguments and rational implications. The last topic points to the social and spiritual factors pertinent to consent that impact the society particularly on the care of patients and concludes by summarising discussed points and arguments about consent.
The United States spends the most on health care than any other country. This is an issue. Even though we spend a higher fraction of its gross domestic product on health care, we have a low infant mortality and life expectancy rate. These are indicators of quality health care. According to Mukamel, Haeder, and Weimer (2014), An Institute of Medicine (IOM) study stated that between 44,000 and 98,000 Americans die every year due to medical errors. Year after year, 100,000 die from health care acquired infections. Per patient day, US hospitals typically average one medication error. These occurrences are examples that are dragging health care quality down. According to Mukamel, Haeder, and Weimer (2014), the IOM explains quality as “[t]he degree
Social security is a term used to cover a huge portion of the social welfare system. It first became a general use in the United States in 1935, during the great depression. President Franklin D. Roosevelt introduced a series of programs known as the New Deal, which included the social security act