Managed Care and Insurance
October 21, 2012
There are many changes being made by the Affordable Care Act which will have an impact on Medicare. Affordable Care Act makes Medicare stronger as well as assists the elderly with taking responsibility of their health outcomes. The act will provide essential free assistances which include preventive services, yearly wellness appointments and a fifty percent price reduction towards prescription drugs for the individuals that are in the coverage gap called the donut hole. Medicare recipients can also work with their physicians to develop a personal prevention plan. Affordable Care Act impacts Medicare for the reasons that the elderly for no cost or little cost will receive more benefits than they have before. The intention of the act is to encourage improvement, trial analysis for forms of payment models and enhancements to the ways payments are made for basic health services, the promotion of patient centered support given by health institutions, reducing unnecessary inpatient stays and developing an incentive plan for practitioners, hospitals and additional health facilities so that the delivery of care is provided in an efficient manner. Affordable Care Act does not necessarily eliminate every issue associated with Medicare, but it is definitely a start. There are still changes that will have to be made in order to correct the continuing gaps amongst the amount of workforces that pay taxes into the Medicare and the amount of individuals that receive the assistance.There is also the issue of the increasing health care costs which will continue to jeopardize its purpose of being long term solution. Due to the ACA a lot more individuals will be able to afford health care benefits including safeguards which will assist them with keeping insurance at times when a critical health condition arises as well as managing ongoing health problems. The Affordable Care Act demonstrates actual enhancements for Medicare recipients presently as well as in the upcoming years.
What is the Impact of ACA on Medicare?
Crucial preventive services can currently be obtained by individual’s that are Medicare participates without a co-pay or deductible such as colonoscopies and breast exams. Enhancing availability to preventive services has the capability of improving detection of illnesses in the early stages and treatments which can possibly reduce the amount being spent and to improve the well-being of Medicare recipients for the long-term. Medicare was beginning to pay for additional preventive care services that were in accordance with the typical United States health care insurances as a measure to decrease the necessity of costly health care treatments in the future. “The Medicare Prescription Drug, Improvement and Modernization Act of 2003 provided that in the first six months which was amended to the first year of a person’s enrollment in Medicare Part B, that person is entitled to an initial preventive physical examination” (Bergthold 2012). The intention of the examination was to encourage healthy lifestyles and identify illnesses in advance to avoid them becoming worse. The exam consists of information, therapy, support services amongst other types of screens for cancer and testing. (Adamopoulos 2012)
The Affordable Care Act has now added yearly wellness visits along with the existing exam. The wellness visits consist of an all-inclusive risk evaluation as well as a personal prevention plan. The evaluations will take into account the individual’s health history as well as their family’s history, different observations which include weight, blood pressure, mental deficiencies and extensive list of screening exams that extend to five or ten years. The benefits are covered by Medicare free of charge for participates of the plan and...