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The Implication Of Medicare Program

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Question:

Describe about the implication of Medicare program is known to bring in by concept of Patient protection and Affordable Care Act of 2010 (Jones, 2014)?
 
 

Answer:

The implication of Medicare program is known to bring in by concept of Patient protection and Affordable Care Act of 2010 (Jones, 2014). The changes thereby introduced are beneficial with respect to saving as well as improvement prospects (Kim, 2014). The services in conjunction to physician’s performance is thus found to be varying with respect to the payment from patient. This performance and revenue exchange can be explained with the help of following rebuttal points:

  • Provision of saving – Owing to this, the cost associated with health care services were reduced. The payment from patient can be made in the form of down payment schemes (Medicare Advantage Plan), which is other way provides ease to the health care customers (Marmor, Oberlander & White, 2009). On the other hand, this increases the revenue collection by increased premium to higher income beneficiaries. It should be noted that increased revenue were furthermore invested by the hospital and health care settings in increasing the resources and facilities for patients.

  • Benefit improvement – The beneficiary aspect that is being provided in the implication of Medicare plan provides free coverage to some of the preventive benefits. It is hence the gap existing with respect to higher cost associated with certain treatment care and lack of financial support to poor people in the community were reduced. Notably, this prospect also offers higher payments for primary care physician.

  • Reform of delivery system – Such implications work for the improvement of health care quality and reduction of the health care cost associated, especially for elderly patients and disabled beneficiaries. The provision also includes rewards for the organization and physician in concern to the effort for reducing the hospital re-admission. Other benefits associated with the reform of delivery system also includes the provision of establishment of accountable-care organizations.

  • New revenues – There is focus on the newer sources that can contribute financial support to the implications concerned with Medicare. This include pay-roll tax for higher income people and fee with respect to manufacturing and importing of branded drugs (Maxwell & Shields, 2014).

The beneficial aspect that are presented to patient in concern to payment can be found with respect to increase in the premium rate for the higher income population. Likewise, there is provision for affordable care and reduction in the health care cost for poor, elderly and disabled class of people. The extra source of revenue collection will be thus invested over the lacking infrastructure, increasing training and competencies of physician and increasing the number of people having insurance in the nation.

Some of the important part of present analysis work are:

  • Analysis of saving provision
  • Collection of the statistics with respect to beneficiary improvement
  • Cost-sharing and premium analysis, with respect to delivery system reform
  • Analysis of people benefited with coverage of free-preventive benefits and income related premiums

Other analysis should include:

  • Changes in statistical figure with respect to percentage of insured people
  • Improvement of health care facilities with respect to privatization of health care policy providers (Oberlander, 2007)
  • Analysis with respect to subsidies and mandates that are likely to be opposed by insurance company and welcomes by employee-employer chain
 

Reference

Jones, D. K., Bradley, K. W., & Oberlander, J. (2014). Pascal's wager: health insurance exchanges, Obamacare, and the Republican dilemma. Journal of health politics, policy and law, 39(1), 97-137.

Kim, S. H., Tanner, A. H., Foster, C. B., & Kim, S. Y. (2014). Talking About Health Care: News  Framing of Who Is Responsible for Rising Health Care Costs in the United States. Journal of health communication, 1-11.

Marmor, T., Oberlander, J., & White, J. (2009). The Obama administration's options for health care cost control: hope versus reality. Annals of Internal Medicine, 150(7), 485-489.

Maxwell, A., & Shields, T. (2014). The Fate of Obamacare: Racial Resentment, Ethnocentrism and Attitudes about Healthcare Reform. Race and Social Problems, 6(4), 293-304.

Oberlander, J. (2007). Learning from failure in health care reform. New England Journal of  Medicine, 357(17), 1677-1679.

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