By Alexander Ding M.D., M.S. (auth.), Manish K. Sethi, William H. Frist (eds.)
Based at the present weather of our nation’s funds and healthcare spending, it's transparent that younger medical professionals and scientific scholars are inclined to see a dramatic transformation of the style within which the US deals treatment to its voters over the process their careers. As such, it really is pivotal that the subsequent iteration of America’s leaders at the entrance strains of medication improve a feeling of the place healthcare has developed from and destiny power instructions of swap. An creation to health and wellbeing coverage: A Primer for Physicians and scientific scholars is the 1st of its sort: a e-book written via medical professionals for medical professionals that allows you to permit busy physicians and clinical scholars to speedy boost an realizing of the foremost concerns dealing with American healthcare. This e-book seeks to successfully and successfully train physicians and clinical scholars in a medical context that they could comprehend at the previous, current, and capability destiny concerns in healthcare coverage and the evolution of yank healthcare. The reader will stroll clear of the booklet having the ability to speak about the elemental concerns in American healthcare with ease.
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Extra info for An Introduction to Health Policy: A Primer for Physicians and Medical Students
Medicare—the development of publicly financed health insurance: medicare’s impact on the nation’s health care system. Health Care Manag. 2005;24:320–9. 3. Stevens RA. History and health policy in the United States: the making of a healthcare industry, 1948– 2008. Soc Hist Med. 2008;21:461–83. 4. The 2009 Annual Report of the boards of trustees of the federal hospital insurance and federal supplementary medical insurance trust funds. 2009. gov/Research-Statistics-Data-andSystems/Statistics-Trends-and-Reports/ R e p o r t s Tr u s t F u n d s / d ow n l o a d s / / t r 2 0 0 9 .
In addition, dual enrollees who are members of Medicare and Medicaid plans account for nearly 45 % of all Medicaid costs . Medicare covers additional services not provided through Medicare such as hearing aids, visual aids, and extended nursing-care services. Coverage of care by these two programs is largely uncoordinated and inconsistent. Therefore, Medicaid has often disproportionately covered services for patients that should have been covered under Medicare. The establishment of the Coordinated Health Care Office under PPACA may help to facilitate this relationship with Medicare in order to ensure that the correct program is paying for a particular service .
However, the private insurance market nevertheless plays a large role in this relationship. Most medical services for Medicaid recipients are obtained through private market plans that provide minimum Medicaid-approved benefits. Medicaid costs are subsequently reimbursed by state and federal funds that are set aside for Medicaid. Furthermore, more than half of Medicaid beneficiaries are enrolled in managed care plans in comparison to fee-for-service plans, in which Medicaid directly pays health providers based on the services that they provide .
An Introduction to Health Policy: A Primer for Physicians and Medical Students by Alexander Ding M.D., M.S. (auth.), Manish K. Sethi, William H. Frist (eds.)