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Medicare and Medicaid

 

Medicare and Medicaid provide health insurance for many people and often lead the way in terms of health insurance policy reform. Answer all questions. 

  1. CMS maintains an extensive list of Conditions of Participation (CoP).  For what reason and how it is developed?
  2. Who certifies providers’ compliance with the CoPs?  Explain “Deemed Status”.  Is the Joint Commission a regulatory agency?  Why or why not? Is JCAHO accreditation mandatory? Why?
  3. Explain the role of waivers with CMS.  How do these contribute to the development of State Medicaid Plans (SPAs)?

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Posted on by Judy

Medicare and Medicaid

Medicare and Medicaid

Consider how people qualify to receive Medicare and/or Medicaid and write a paper that addresses the bullets below. There should be four (4) sections in your paper; one for each bullet below. Separate each section in your paper with a clear brief heading that allows your professor to know which bullet you are addressing in that section of your paper. Start your paper with an introduction and include a “Conclusion” section that summarizes all topics. This paper should consist of at least 1750 words and no more than 2000.

This week reflect upon the Medicare and Medicaid programs to address the following:

  • 1. Describe the Quality Improvement Organization (QIO) and explain how the QIO improves policies and healthcare for Medicare beneficiaries.
  • 2.Briefly define the qualifications for Medicare and Medicaid benefits. How can qualifications be modified to serve more people who are considered a vulnerable population?
  • 3.Discuss the impact (including at least two positive and two negative aspects) that the ACA has had on benefits and coverage for Medicare and Medicaid recipients.
  • 4.Describe your role(s) as a healthcare leader as it applies to the practice of advocating for cost effective care for vulnerable populations.

Assignment Expectations

Length: 1750-2000 words in length

Structure: Include a title page and reference page in APA format. These do not count towards the minimal word amount for this assignment.  Your essay must include an introduction and a conclusion.

References: Use the appropriate APA style in-text citations and references for all resources utilized to answer the questions. A minimum of two (2) scholarly sources are required for this assignment.

 

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