After reading Chapter 14 and reviewing information at https://www.cms.gov, respond to the following questions:

After reading Chapter 14 and reviewing information at https://www.cms.gov, respond to the following questions:

How does Medicare work?
What are the basic programs offered through Medicare?
How does Medicaid work?
What are the basic services offered through Medicaid?

Make sure you spell check, proofread, and include in-text citations and a reference listing if you use words that are not your own.

Chapter 14: The Health Care System of the United States

Chapter Summary

The focus of this chapter is to trace the health care system in United States. The health care system in the United States has been less than effective. America spends more than other countries, yet has more than 47 million people without health insurance.

The cost of health care has been provided by a variety of sources such as employers, individuals and families, and the government. The greatest brunt of payments has come from third-party payers over time. Medicaid and Medicare have made the federal government the largest payer of health care services.

Health care costs are escalating. There are several factors that have created this rise, such as new medical technologies, people living longer and needing more care for chronic and acute illnesses, medical wastes, and medical entrepreneurialism. Because of concern over rising costs, and in an effort to contain said costs, the country shifted to managed care.

Managed care programs attempt to cut costs while providing cost-effective care by securing lower provider reimbursements, regulating patient care, and rewarding physicians for keeping their patients healthy. There are several types of managed care organizations such as HMOs, PPOs, and a combination of health insurance and health care delivery in a single package.

The United States passed significant health care legislation in 2010. This legislation should bring health insurance to an additional 32 million people over the next several years.

Chapter Outline

Explanation & Answer

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