Medicare and Medicaid: A Reference Handbook provides an in-depth discussion of these two large government health insurance programs. It additionally addresses such related issues as health care, government spending, and socialized medicine. Many Americans hold conflicting views on how to pay for health care. They fear that government involvement will either undermine the quality of care or cost taxpayers too much. However, over the past half-century, hundreds of millions of Americans have come to rely on government health insurance because they are elderly, low-income, or both. Medicare and…mehr
Medicare and Medicaid: A Reference Handbook provides an in-depth discussion of these two large government health insurance programs. It additionally addresses such related issues as health care, government spending, and socialized medicine. Many Americans hold conflicting views on how to pay for health care. They fear that government involvement will either undermine the quality of care or cost taxpayers too much. However, over the past half-century, hundreds of millions of Americans have come to rely on government health insurance because they are elderly, low-income, or both. Medicare and Medicaid: A Reference Handbook provides high school and college readers with a one-stop resource on these two government insurance programs. A background and history of the topic are followed by a chapter on problems, controversies, and solutions. Perspectives and profiles speak to current program strengths, political concerns, and problems. There is a strong focus on current program challenges and opportunities. Moreover, most of the government documents referenced in a dedicated resources chapter are produced periodically, with updates accessible online, so the book should enjoy an enduring shelf-life. The volume closes with a glossary and bibliography.Hinweis: Dieser Artikel kann nur an eine deutsche Lieferadresse ausgeliefert werden.
Following stints working in grocery stores and on petroleum tank farms, Greg Shaw worked as a newspaper reporter in his home state of Oklahoma before going on to government and corporate speechwriting. He's authored, co-authored, and ghostwritten several bestselling nonfiction books. He founded Clyde Hill Publishing, which focuses on innovation, and co-founded Pulley Press, a poetry imprint. This is his first collection of poetry.
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Preface Acknowledgments 1. Background and History The Historical Roots of Medicare and Medicaid The 1965 Enactment of Medicare and Medicaid Challenges for Implementation State Medicaid Experimentation: A Departure from Freedom of Choice Confronting Medicare Expenditures: The Prospective Payment System Medicaid Reforms and Efforts to Control Costs The Children's Health Insurance Program Medicare's Prescription Drug Benefit: Part D Medicare and Managed Care: Part C Medicaid Expansion under the Affordable Care Act Looking Back, Looking Forward Sources 2. Problems, Controversies, and Solutions Problem #1: Medicare's Spending Is High and Not Well Controlled Addressing Medicare's Budget, Option 1: Protect the Status Quo Addressing Medicare's Budget, Option 2: Adopt a Public Insurance Option Addressing Medicare's Budget, Option 3: Adopt a Premium-Support Model Problem #2: Building Medicare for All Would Pose Multiple Challenges Problem #3: Medicare Advantage Is Not Generating the Expected Savings Problem #4: Medicare Part D Is Not Getting Taxpayers the Best Value for Their Money Problem #5: Low Medicaid Reimbursement Levels Limit Patient Choice and Medical Provider Participation Problem #6: Medicaid Is Not a Sustainable Way to Cover Long-Term Nursing Home Care Problem #7: The Medicaid Expansion under the ACA Has Been Uneven Problem #8: Medicare Experiences a High Level of Improper Payments Conclusion Sources 3. Perspectives My Journey on Medicaid Aianna Zachary Medicaid and the Family Medicine Practice Adam Houghton, MD A Nonprofit Clinic's Perspective on Medicare and Medicaid Tory Lynch-Dahmm Closing the Gap in Health Care Access Amanda F. Hopkins, PhD, RN Medicaid and Emergency Department Use Mollie Ward, MDiv Medicaid Expansion: Nationalized Politics Meets Intergovernmental Reform Philip Rocco, PhD Medicare from an Enrollee's Perspective Ann C. The Growing Privatization of Medicare Andrew Scholnick The American Health Care State Robert Y. Shapiro, PhD 4. Profiles of People and Organizations Introduction The American Hospital Association American Medical Association Americans for Prosperity America's Health Insurance Plans Centers for Medicare and Medicaid Services Healthcare-Now! Kaiser Family Foundation National Nurses United Partnership for America's Health Care Future Pharmaceutical Research and Manufacturers of America Physicians for a National Health Program Senator Bernie Sanders (b. September 8, 1941) UnitedHealth Group, Inc. U.S. Chamber of Commerce Sources 5. Data and Documents Data Figure 5.1. Medicaid Enrollment by Year (1968-2018) Figure 5.2. Medicaid Spending by Year (1968-2018) Figure 5.3. Medicaid Enrollment by Age Group as a Percentage of Total (2017) Figure 5.4. Medicare Enrollment by Year (1968-2018) Figure 5.5. Medicare Spending by Year (1968-2018) Figure 5.6. Medicare Advantage Enrollment (1999-2019) Figure 5.7. The Uninsured Rate (1997-2018) Figure 5.8. Enrollment in the Children's Health Insurance Program (1998-2018) Documents President Lyndon Johnson's Remarks upon Signing Medicare and Medicaid into Law (1965) President Barack Obama's Remarks upon Signing the Patient Protection and Affordable Care Act into Law (2010) U.S. Senator Lamar Alexander on the Proposed Expansion of Medicaid (2009) U.S. Supreme Court Ruling in National Federation of Independent Businesses, et al. v. Kathleen Sebelius Secretary of Health and Human Services,et al. (2012) Report of the Boards of Trustees of the Federal Hospital Insurance and Federal Supplementary Medical Insurance Trust Funds (2019) National Health Expenditure Fact Sheet (2019) GAO Report on the Medicare Advantage Plan Finder (2019) 6. Resources Broad Overviews of the Medicare and Medicaid Programs History Policy Reform Failures Changes under the Affordable Care Act Prescription Drug Coverage Consumer-Driven Health Care Financing and Coverage Challenges Recent Politics and Policy Commentary on Proposals for a Public Option Government Insurance Program and Analyses of Medicare for All Proposals 7. Chronology Glossary Index
Preface Acknowledgments 1. Background and History The Historical Roots of Medicare and Medicaid The 1965 Enactment of Medicare and Medicaid Challenges for Implementation State Medicaid Experimentation: A Departure from Freedom of Choice Confronting Medicare Expenditures: The Prospective Payment System Medicaid Reforms and Efforts to Control Costs The Children's Health Insurance Program Medicare's Prescription Drug Benefit: Part D Medicare and Managed Care: Part C Medicaid Expansion under the Affordable Care Act Looking Back, Looking Forward Sources 2. Problems, Controversies, and Solutions Problem #1: Medicare's Spending Is High and Not Well Controlled Addressing Medicare's Budget, Option 1: Protect the Status Quo Addressing Medicare's Budget, Option 2: Adopt a Public Insurance Option Addressing Medicare's Budget, Option 3: Adopt a Premium-Support Model Problem #2: Building Medicare for All Would Pose Multiple Challenges Problem #3: Medicare Advantage Is Not Generating the Expected Savings Problem #4: Medicare Part D Is Not Getting Taxpayers the Best Value for Their Money Problem #5: Low Medicaid Reimbursement Levels Limit Patient Choice and Medical Provider Participation Problem #6: Medicaid Is Not a Sustainable Way to Cover Long-Term Nursing Home Care Problem #7: The Medicaid Expansion under the ACA Has Been Uneven Problem #8: Medicare Experiences a High Level of Improper Payments Conclusion Sources 3. Perspectives My Journey on Medicaid Aianna Zachary Medicaid and the Family Medicine Practice Adam Houghton, MD A Nonprofit Clinic's Perspective on Medicare and Medicaid Tory Lynch-Dahmm Closing the Gap in Health Care Access Amanda F. Hopkins, PhD, RN Medicaid and Emergency Department Use Mollie Ward, MDiv Medicaid Expansion: Nationalized Politics Meets Intergovernmental Reform Philip Rocco, PhD Medicare from an Enrollee's Perspective Ann C. The Growing Privatization of Medicare Andrew Scholnick The American Health Care State Robert Y. Shapiro, PhD 4. Profiles of People and Organizations Introduction The American Hospital Association American Medical Association Americans for Prosperity America's Health Insurance Plans Centers for Medicare and Medicaid Services Healthcare-Now! Kaiser Family Foundation National Nurses United Partnership for America's Health Care Future Pharmaceutical Research and Manufacturers of America Physicians for a National Health Program Senator Bernie Sanders (b. September 8, 1941) UnitedHealth Group, Inc. U.S. Chamber of Commerce Sources 5. Data and Documents Data Figure 5.1. Medicaid Enrollment by Year (1968-2018) Figure 5.2. Medicaid Spending by Year (1968-2018) Figure 5.3. Medicaid Enrollment by Age Group as a Percentage of Total (2017) Figure 5.4. Medicare Enrollment by Year (1968-2018) Figure 5.5. Medicare Spending by Year (1968-2018) Figure 5.6. Medicare Advantage Enrollment (1999-2019) Figure 5.7. The Uninsured Rate (1997-2018) Figure 5.8. Enrollment in the Children's Health Insurance Program (1998-2018) Documents President Lyndon Johnson's Remarks upon Signing Medicare and Medicaid into Law (1965) President Barack Obama's Remarks upon Signing the Patient Protection and Affordable Care Act into Law (2010) U.S. Senator Lamar Alexander on the Proposed Expansion of Medicaid (2009) U.S. Supreme Court Ruling in National Federation of Independent Businesses, et al. v. Kathleen Sebelius Secretary of Health and Human Services,et al. (2012) Report of the Boards of Trustees of the Federal Hospital Insurance and Federal Supplementary Medical Insurance Trust Funds (2019) National Health Expenditure Fact Sheet (2019) GAO Report on the Medicare Advantage Plan Finder (2019) 6. Resources Broad Overviews of the Medicare and Medicaid Programs History Policy Reform Failures Changes under the Affordable Care Act Prescription Drug Coverage Consumer-Driven Health Care Financing and Coverage Challenges Recent Politics and Policy Commentary on Proposals for a Public Option Government Insurance Program and Analyses of Medicare for All Proposals 7. Chronology Glossary Index
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