Surname 1 Medicare and Medicaid Name Institution Tutor Course Date Introduction In the US, there is a very large number of citizens. Due to this, the number of retired citizens is rising and the retired are aged. As the aged keep growing old, their health becomes subject to question. The federal government has formulated insurance programs to help cater to their health. Medicare is a health insurance program that is nationally based which insures the health of people aged 65 years, as well as people with renal disease that is at the end stage and amyotrophic lateral sclerosis and for disability in younger people. It begun in 1966 under the social security administration. It provided health care for over 59.5 million people in the US. It insures half of healthcare expenses of the enrolled. Medicaid is a nationally based insurance health program that insures the health of low-income adults, elderly adults, people with disabilities, children and pregnant women. Research conducted in 2017 showed that Medicaid insures 74 million low-income and disabled people. It offers a service program fee throughout the United States to schools for services delivered to special education student’s costs. Quality Improvement Organization Quality Improvement Organization (QIO) Program is among the largest programs funded by the government to improve the quality of health at the level of the community. It is the center for Medicare and Medicaid Services. Its mission is the improvement of services quality delivered
Surname 2 to the beneficiaries of health insurance and its effectiveness. This is strived by disease management, accountability measures and pay for performance. It enhances the qualities of health insurance services to beneficiaries by maximizing health education learning and enhancing flexibility, collaboration in improving care, and support the spread of effective new practices. Quality Improvement Organization makes sure that when there is an outbreak of a disease, it manages it. This is by enhancing the speed at which the disease is contained and prevented from spreading. The organization fastens the search for a cure process and ensures everyone likely to get affected by a disease is vaccinated under the Medicare and Medicaid program. It offers financial platforms to physicians, hospitals and other healthcare providers to achieve optimal outcomes for patients and carry out health improvements. For a health institution to receive the pay for performance service, it goes through process measures that assess the performance of activities that have been demonstrated to contribute to positive health outcomes for patients, outcome measures that define the effect of a health care on patients. The outcome measure is essential in the program because outcomes are often affected by clinical and social factors that are not related to the treatment provided and beyond the provider’s control. Then the patient experience measures must be put in place to assess patients’ perception of the quality of care they receive. After all, these measures are administered and in the health environment, a
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- Fall '19
- Centers for Medicare and Medicaid Services