Question

Differentiate between Medicare and Medicaid roles in the healthcare system, and detail how each agency impacts costs, quality, and access in the delivery of medical care in America. Which program is doing a better job balancing these issues, and why?

Answer 1

Medicaid and Medicare are two different programmes run by the government to provide health care insurance at an affordable rate to the people. their funding is done by different government groups and insurance are provided to the different groups of people.

MEDICARE

MEDICARE IS THE FEDERAl PROGRAMME PROVIDED TO THE INDIVIDUAL WITH DISABILITIES WHOSE AGE ARE ABOVE 65 OR BELOW, IRRESPECTIVE OF THEIR INCOME.

MEDICAID

MEDICAID IS A STATE FEDERAL PROGRAMME PROVIDES INSURANCE AND THE HEALTH CARE FACILITIES AT AN AFFORDABLE RATE TO THE LOW ECONOMIC CLASS. IF AN INDIVIDUAL IS ELIGIBLE FOR BOTH HE CAN APPLY FOR BOTH THE SERVICES AND CAN GET HEALTH CARE AT A LOW RATE.

MEDICAID COST

Medicaid provides insurance at an affordable rate and there are various Medicaid programmes which an individual has to choose according to his needs,

for example,

MEDICAID A TO MEDICAID D

ACCORDING TO THE DATA OF 2018, 32 US STATES COVERED 130% OF TOTAL HEALTH COVERAGE IN POVERTY LEVEL GROUPS, IT HAS PROVIDED APPROX 29K DOLLAR TO THE FAMILY WHO CONSISTS OF 3 MEMBERS AND APPROX 16K DOLLARS TO THE INDIVIDUAL.

MEDICAID QUALITY

MEDICAID PROVIDE SERVICES TO THE INDIVIDUAL WITH THE STATE HEALTH CARE TEAM, IT HELPS IN PROVIDING TECHNICAL ASSISTANCE TO THE OTHER HEALTH CARE SERVICES TO OFFER QUALITY SERVICES, QUALITY OF CARE INCLUDES BETTER HEALTH, BETTER CARE, BETTER ASSISTANCE AND ALSO AT THE LOW PRICE.

MEDICAID ACCESS

IT PROVIDES ASSISTANT TO THE MILLION OF PEOPLE AND CHILDREN AND PROVIDES HEALTH CARE SERVICES AT AFFORDABLE RATE, THERE ARE CERTAIN NETWORKS WHICH PROVIDES A CONNECTION AMONG PEOPLE AND THE HEALTH SERVICE PROVIDER TO BRING AWARENESS IN THEM REGARDING THE CONDITION.

ALSO, IT PROVIDES TOOLS AND OTHER MATERIAL AT A VERY LOW COST TO PROVIDE QUALITY MATERIAL TO THE PEOPLE WHO ARE GETTING CARE UNDER MEDICAID.

MEDICARE COST

MEDICARE COSTS ARE ALSO AVAILABLE FROM MEDICARE A TO D

MEDICARE A COVERS

YOU CAN GET MEDICAID SERVICES JUST BY SIGNING A MEDICAID CARD IF YOU HAVE EXPERIENCE OF 10 YEARS IN US JOB THEN YOUR COST MAY BE ZERO,

MEDICARE B

IT COVERS VISIT TO THE DOCTORS AND COVERS THE COST INCLUDES CHECKING BLOOD PRESSURE ETC, BUT THESE SERVICES ARE NOT FREE, AND THEY ARE AVAILABLE AT AFFORDABLE RATES.

LIKEWISE, IT COVERS C AND D WHICH INCLUDES ADDITIONAL CHECKUPS SUCH AS EYE CHECKUP AND DENTAL CHECKUP, IT MAY NOT BE FREE BUT WILL BE COVERED IN MEDICAID A AND MEDICAID B

QUALITY OF MEDICARE

THE AFFORDABLE CARE ACT PROVIDES QUALITY HEALTH SERVICES TO THE INDIVIDUAL WHO CLAIMS MEDICAID INSURANCE.

MEDICAID ACCESS

IT IS ACCESSIBLE TO ALL THE MEMBERS OF THE COMMUNITY, THERE ARE CERTAIN PARAMETERS ON WHICH HEALTH CARE QUALITY IS ASSESSED AND ALSO MERIT BASED INCENTIVE SERVICES ARE AVAILABLE, IN WHICH INCENTIVES ARE GIVEN TO THOSE WHO PROVIDES QUALITY CARE AND ALL THE HEALTH SERVICES ARE ACCESSED FROM THE PLACE THEY PROVIDE SERVICES.

ELECTRONIC HEALTH DATA IS MAINTAINED AND ALSO PAYMENTS ARE MAINTAINED IN ORDER TO AVOID ANY COMPLICATIONS RELATED TO THE HEALTH DATA OF CLIENT.