charged to Missouri Medicaid for the Mepergan Fortis prescription for Ms. Smith was $117.00. The amount that would have been charged to Missouri Medicaid for the Feldene that was dispensed would have been $8.97. Further investigation by ACME Drug revealed that Mr. Jones had likely billed for a higher cost controlled substance and dispensed a lower cost non-effective medication to more than five other patients. Issues One of the immediate issues is the fraudulent Medicaid billing. According
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Comparative Summary Cynthia Deeble HCS/577 September 8, 2014 Sandra Di Pietro Comparative Summary Currently in the United States the Medicaid program is the third largest source of health insurance for powerless populations. The Medicaid program was introduced into law in nineteen sixty five, which is known as the Social Security Amendments Act. Before this law was passed, health care services for the under privileged were provided through several programs sponsored by the state and local
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Analysis Heather Horning HCS/550 August 18, 2014 Elaine Bobo Budgetary Analysis The Medicaid program is one of the largest sources of health insurance in this country in addition to employer-based health insurance and Medicare. Medicaid delivers crucial medical related services to the most at risk populations in society. The importance of Medicaid's part in providing health insurance cannot be exaggerated; “the Medicaid program covers millions of low-income women, children, elderly people and individuals
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I currently work for Amerigroup; some of you may know it as Anthem (Blue Cross Blue Shield) or WellPoint. The company offers Medicaid, Medicare, and other medical services to over a million consumers on a daily basis. With the new rules and regulations of Obama Care; consumers are constantly trying to find the best price for medical coverage. When dealing with healthcare products and services consumers want the best insurance based on price, market options, and the consequences of being uninsured
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What Does ObamaCare Do? ObamaCare helps tens of millions of Americans get access to affordable health insurance through expanding Medicaid and CHIP, improving Medicare and setting up a "Health Insurance Marketplace" where Americans making under 400% of the federal poverty level can purchase subsidized health insurance. ObamaCare's reforms also increase the quality of care and help to curb the growth in healthcare spending among other things. ObamaCare's provisions regulate insurance companies
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Definition of Terms Paper Definition of Terms Paper In today’s health care environment patient safety has become one of the most important objectives in all health care institutions. One of the main issues when it comes to safety of patients is errors that can occur when abbreviations are not used properly when dealing with health information technology. It is important for health care employees to have knowledge and a clear understanding of what the abbreviations stand for, as well as the purpose
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the past year of presidential campaigning, one of the top issues for both candidates has been that of whether or not there should be a prescription-drug benefit added to Medicare. Both George W. Bush and Al Gore have proposed a plan to expand Medicare to include full prescription-drug coverage for senior citizens receiving Medicare, at the expense of taxpayers. It is obvious why this issue has been such a priority for both candidates. Senior citizens vote at a much higher rate than other age groups
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Burtless the Affordable Care Act was “sought to expand health insurance coverage, slow the growth of health care spending, and improve the quality of care”. The U.S News states that “Proponents of the healthcare law say that in the long-term, the Medicaid expansion will save both state and federal government’s money while extending healthcare coverage to millions of lower-income Americans. Opponents say it is just another example of government overreach and that it is up to the states to determine
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about health care spending and heath care expenditure in the United States? Health Care spending in the United States comes from several sources such as physician service, patient treatment, prescription drug treatment, administration cost, Medicare, Medicaid and hospital spending, These sources are just a very few of the sources of spending on healthcare in the United States. On March 23, 2010 President Obama passed the healthcare reform bill to help citizens with receiving affordable healthcare
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that serve a large number of Medicaid, low-income, and uninsured patients. Under federal law, state Medicaid programs must take into account the situation of these hospitals and provide a supplemental payment to the normal reimbursement the hospital would receive under Medicaid for inpatient services. These supplemental payments, known as DSH payments, are determined by a hospital’s disproportionate patient percentage, which is the sum the Medicaid fraction and the Medicare and Supplemental Security
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