Centers for Medicare and Medicaid

For this assignment, you will examine the importance of healthcare
coverage (insurance).  You will also examine how reimbursements
(payments) from healthcare plans are impacted by quality of care.  Start
by describing the purpose and importance of Medicare and Medicaid
programs.  Support your position by describing how you agree with or
disagree with the purpose and intent of these plans. Next, you will
review healthcare coverage options offered by both plans that benefit
(facilitate) and hinder (limit) patient’s access to care.  Examples of
healthcare coverage (insurance) options that facilitate or limit access
include medication coverage, primary care physician office visits,
specialist’s physician office visits, emergency care, lab or blood work
and diagnostics, wellness care, prevention services, surgery (these are
just a few examples). You will also explore the role of Diagnosis
Related Groups (DRGs) and charity care within healthcare facilities
(hospitals) and explain how charity care impacts the vulnerable or
uninsured population.

**You will not discuss the deductibles or costs of the
insurance plans as this is not the focus of this this assignment. 
Please do not use tables or seriation as you need to discuss the
options. 

Textbook and other resources:

  • Centers for Medicare and Medicaid 

All submissions must have a minimum of two scholarly references to support your work. 

Examples of work to show mastery:

  • 4-5 page paper – APA format

 

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