Showing 217–225 of 769 results
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Module 4 Part I – Paying for Hospital Services
$15.00Medicaid
For the Module 3 SLP:
Compare the Medicaid eligibility requirements and covered services of your state of residence to those of another state.
How did the two states respond to the option of expanding the Medicaid benefits proposed by Healthcare Reform?reading material
Kaiser Family Foundation (2010). Health Reform: How will Medicaid Change? Available at: http://kff.org/interactive/health-reform-how-will-medicaid-change-tutorial/
Kaiser Family Foundation (2009). Medicaid 101. Available at: http://kff.org/interactive/medicaid-101-tutorial/
Kaiser Commission on Medicaid and the Uninsured. (2011). Key Questions About Medicaid And Its Role in State/Federal Budgets and Health Reform. http://www.kff.org/medicaid/upload/8139.pdf (Retrieved 11/21/2012)
Kaiser Commission on Medicaid and the Uninsured. (2011). Top 5 Things To Know About Medicaid. http://www.kff.org/medicaid/upload/8162.pdf (Retrieved 11/21/2012)
Kaiser Commission on Medicaid and the Uninsured. (2010). Medicaid: A Primer. Available at http://www.kff.org/medicaid/upload/7334-04.pdf (Retrieved 11/21/2012)
Kaiser Commission on Medicaid and the Uninsured. (2010). The Medicaid Program at a Glance. Available at http://www.kff.org/medicaid/upload/7235-04.pdf (Retrieved 11/21/2012)
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PART I – PAYING FOR HOSPITAL SERVICES (MR. SCOTT KIDNEY TRANSPLANT)
$15.00Paying for Hospital and Physician Services–Case Assignment
Part I – Paying for Hospital Services – Overview
Mr. Scott is a 69-year-old hospitalized for a Permanent Cardiac Pacemaker procedure. Hillcrest Hospital is a large urban hospital in Cleveland that incurred $150,000 in Medicare-approved charges for treating Mr. Scott. Use the information provided in this module as well as the Hospital Payments Example, found in the Course Table of Contents under the Presentation section, to answer the Case 4 assignment questions. Include all formulas and calculations in your paper.
DRG Description Case Weight
115 Permanent Cardiac Pacemaker 3.5513
302 Kidney Transplant 4.1370
441 Hand Procedure/Surgery 0.8785
Part I – Assignment
Answer (in about one and half pages) the following questions for Kidney Transplant only:
What is the operating payment to be paid to the hospital?
What is the capital payment to be paid to the hospital?
Will the hospital be eligible for the Medicare outlier payment?
What is the total payment to the hospital?
Part II – Paying for Physician Services – Overview
Mr. Roberts is a 66-year-old Medicare beneficiary. He sought treatments from Dr. Robinson. Assume the following values for the services provided by Dr. Robinson:
Categories RVU Geographic Cost Index Product
Work 27.45 1.092 29.98
Practice Expense 43.05 1.743 75.04
Malpractice 10.32 0.543 5.60
Conversion Factor: 64.43
Part II – Assignment
Please answer in about one and half pages the following questions:
How much will Medicare pay Dr. Robinson if Dr. Robinson is a Medicare participating physician? How much out-of-pocket payment will Mr. Roberts be responsible for?
How much will Medicare pay Dr. Robinson if Dr. Robinson is a Medicare non-participating physician who elects assignment? How much out-of-pocket payment will Mr. Roberts be responsible for?
How much will Medicare pay Dr. Robinson if Dr. Robinson is a Medicare non-participating physician who does not elect assignment? How much out-of-pocket payment will Mr. Roberts be responsible for?
Assignment Expectations
Length: The paper should be typed and double spaced, using 12 pt. Times New Roman font and 1-inch page margins. Use headers throughout the paper. This will aid you in not overlooking vital elements of the assignment and make the document easier for the reader to follow.
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Summary of the historical pattern of immigration concerns and the economy
$15.00Immigration in the United States
The United States is a nation of immigrants. There is a great deal of controversy over issues of undocumented immigration.
Write 400–600 words that respond to the following questions with your thoughts, ideas, and comments.. Be substantive and clear, and use examples to reinforce your ideas.
Include the following in your analysis:
Provide a summary of the historical pattern of immigration concerns and the economy.
How are certain groups targeted?
What role do corporations that use cheap labor practices play at home and overseas?
Does immigration pose a threat to the host nation?
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Medicaid in the States of New York and Florida
$12.00Medicaid
For this Module :
1.Compare the Medicaid eligibility requirements and covered services of your state of residence to those of another state.
2.How did the two states respond to the option of expanding the Medicaid benefits proposed by Healthcare Reform?Required Reading
Kaiser Commission on Medicaid and the Uninsured. (2011). Key Questions About Medicaid And Its Role in State/Federal Budgets and Health Reform. http://www.kff.org/medicaid/upload/8139.pdf (Retrieved 11/21/2012)
Kaiser Commission on Medicaid and the Uninsured. (2011). Top 5 Things To Know About Medicaid. http://www.kff.org/medicaid/upload/8162.pdf (Retrieved 11/21/2012)
Kaiser Commission on Medicaid and the Uninsured. (2010). Medicaid: A Primer. Available at http://www.kff.org/medicaid/upload/7334-04.pdf (Retrieved 11/21/2012)
Kaiser Commission on Medicaid and the Uninsured. (2010). The Medicaid Program at a Glance. Available at http://www.kff.org/medicaid/upload/7235-04.pdf (Retrieved 11/21/2012)
Required Website
Kaiser Family Foundation (2010). Health Reform: How will Medicaid Change? Available at: http://kff.org/interactive/health-reform-how-will-medicaid-change-tutorial/
Kaiser Family Foundation (2009). Medicaid 101. Available at: http://kff.org/interactive/medicaid-101-tutorial/
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How Medicaid is financed
$15.00After reading the background materials as well as additional information you find from the literature and on the Internet, respond to the following:
1.Explain how Medicaid is financed.
2.Discuss the role of the federal and state governments on the operation and design of Medicaid programs.
3.Discuss the impact of the Patient Protection and Affordable Care Act on the eligibility and coverage of Medicaid.Required Reading
Kaiser Commission on Medicaid and the Uninsured. (2011). Key Questions About Medicaid And Its Role in State/Federal Budgets and Health Reform. http://www.kff.org/medicaid/upload/8139.pdf (Retrieved 11/21/2012)
Kaiser Commission on Medicaid and the Uninsured. (2011). Top 5 Things To Know About Medicaid. http://www.kff.org/medicaid/upload/8162.pdf (Retrieved 11/21/2012)
Kaiser Commission on Medicaid and the Uninsured. (2010). Medicaid: A Primer. Available at http://www.kff.org/medicaid/upload/7334-04.pdf (Retrieved 11/21/2012)
Kaiser Commission on Medicaid and the Uninsured. (2010). The Medicaid Program at a Glance. Available at http://www.kff.org/medicaid/upload/7235-04.pdf (Retrieved 11/21/2012)
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State Children’s Health Insurance program (SCHIP) in the state of New York
$15.00FIRST HALF
1.Please briefly introduce the State Children’s Health Insurance Program (SCHIP) of your state of residence.
2.What kind of services are covered?
3.What are the eligibility?
4.How does SCHIP differ from your state’s Medicaid?
5.Review two (2) additional state’s (SCHIP) programs and do a comparison to your state of residence.
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SECOND HALF
1.Please discuss the difference between prospective and retrospective payment system.
2.Please identify and describe three payment reform initiatives in the Patient Protection and Affordable Care Act.
3.Will there ever be (in your opinion) an acceptable solution for providing Health-Care Insurance to all?
4.Do you feel it is acceptable to expect “the haves” to provide Health care Benefits for the “have nots” through the expansion plans for Medicaid?
5.Is there a necessity for patient education with respect to insurance, both for private and government coverage? How should a patient education program be structured and delivered? -
Future projection on the financial sustainability of Medicare
$5.00For the Module 2 SLP assignment, read the information in the required reading section of the module. Once you have completed all the reading:
1.Discuss the current financial health and the future projection on the financial sustainability of Medicare.
2.Propose initiatives that the government might take as possibilities to preserve Medicare.SLP Assignment Expectations
Length: Write a 1-page paper,
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reading :Newhouse, J. (2010). Assessing Health Reform’s Impact on Four Key Groups of Americans.Health Affairs, 29 (9), 1714-1724. Available at http://content.healthaffairs.org/content/early/2010/07/22/hlthaff.2010.0595.full
Kaiser Family Foundation (2010). Health Reform and Medicare: Overview of Key Provisions. Available at: http://kff.org/interactive/health-reform-and-medicare-overview-of-key-provisions-tutorial/
Kaiser Family Foundation (2009). Medicare 101: the Basics. Available at: http://data.biitbook.com/kuliah-online.pdf
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How Medicare is financed
$5.00After reading the background materials as well as additional information you find from the literature and online sources, respond to the following:
1.Explain how Medicare is financed.
2.Identify who is eligible for Medicare.
3.Discuss the benefits of Medicare. (Note: Discuss the differences in premiums and covered services.)Assignment Expectations
Length: Write a 1 page paper.
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reading:Kaiser Family Foundation. (2010). Medicare: A Primer. Available at https://kaiserfamilyfoundation.files.wordpress.com/2013/01/7615-03.pdf
Kaiser Family Foundation. (2010). Medicare at a Glance. Available at https://kaiserfamilyfoundation.files.wordpress.com/2014/09/1066-17-medicare-at-a-glance.pdf
Medicare Payment Advisory Commission. (2010). Context for Medicare Payment Policy. In Report to the Congress: Medicare Payment Policy, March 2010, Washington: the Commission. Available at http://www.medpac.gov/documents/reports/mar13_ch01.pdf?sfvrsn=0
Newhouse, J. (2010). Assessing Health Reform’s Impact on Four Key Groups of Americans.Health Affairs, 29 (9), 1714-1724. Available at http://content.healthaffairs.org/content/early/2010/07/22/hlthaff.2010.0595.full
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Reasons for having health insurance coverage
$7.50FIRST HALF
1.Please discuss the reasons for having health insurance coverage.
2.Are there individuals who choose not to be covered by health insurance; and why?
3.Why are there copays? Are they necessary? How are they determined?
4.Are different levels to health care insurance truly necessary?
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SECOND half
1.Please identify the group(s) of people who are eligible for Medicare but have not reached the age of 65. What type of Medicare benefits (Part A or B) can these groups enroll in? Can you think of reasons why these groups are covered by Medicare?
2.If a Medicare beneficiary lives in or travels to a foreign country, does or should Medicare cover medical services rendered in that country – for either an emergent encounter or on an ongoing basis?