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Medicare and Medicaid Overview

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Medicare and Medicaid Overview
Medicare and Medicaid:
An Overview

It is important that we all understand the basics of the Medicare and Medicaid programs as we will all eventually come of age where it is necessary to seek their assistance. The purpose of this paper is to give a brief history of how the program came about, the various plans for each program, issues that affect cost and access to the programs, how the political arena is affected and finally a conclusion with final thoughts on the total information. The idea for a national health insurance program was first introduced by President Truman in 1945 but so much debate went back and forth that it was two decades later and a different president before they were actually signed into law. President Johnson signed them into law in 1965 with Harry Truman being the first enrollee. Starting in 1972 several changes were made over the next couple of decades. For example, in 1972 disabled persons under the age of 65 and those with end-stage renal disease become eligible for coverage and services expanded to include some chiropractic services, speech therapy and physical therapy. Payments to HMOs were authorized and the Supplemental Security Income (SSI) program was established for the elderly and disabled poor, SSI recipients were automatically eligible for Medicaid. These were just the changes made in that year alone. The 1980’s saw the most amount of changes to the programs with hospice benefits added, prescription drug costs covered, federal civilian employees covered and other changes (SeniorJournal.com, 2008). The 1990’s saw some changes in the healthcare system as a whole during the Clinton administration and then a stall during the Bush administration. Now that we have started the Obama administration and healthcare is on the top of everyone’s list along with the economy it will be interesting to see what he does. Medicare has several different plans which make up the total program. Part A is hospital insurance and



References: (2008, November 12). Brief History of the Medicare Program. Retrieved March 8, 2009, from SeniorJournal.com Web site: http://www.seniorjournal.com/NEWS/2000%20Files/Aug%2000/FTR-08-04-00MedCarHistry.htm (2009). Disease Management (Health). Retrieved February 12, 2009, from Wikipedia.org Web site: http://en.wikipedia.org/wiki/Disease_management_(health) (2009).Disease management approach in Medicare needs work. American Journal of Health-System Pharmacy. 66, 327-328. (2005, December 14). Medicare Program - General Information. Retrieved March 8, 2009, from HHS.gov Web site: http://www.cms.hhs.gov/MedicareGenInfo/ (2008, May 5). What 's the Difference Between Medicare and Medicaid. Retrieved March 8, 2009, from Medicare Advocacy.org Web site: http://www.medicareadvocacy.org/Medicaid_Diff.Vs.Medicare.htm Negotiate for what?: House Democrats have approved a Medicare bill. Too bad they put politics ahead of cost savings. (2007, January 17). Akron Beacon Journal (OH), Retrieved March 8, 2009, from Newspaper Source database. O 'Brien, Ellen (2005).Medicare and Medicaid: Trends and Issues Affecting Access to Care for Low-Income Elders and People with Disabilities. Insuring Health and Income Security. 65-69.

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