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Running head: MEDICAID AND MEDICARE 1 Medicaid and Medicare Felicia Mitchell Aspen University Author Note HCA320: Healthcare Policy & Economics Professor Lease RN, MSN/Ed April 26, 2020
MEDICARE AND MEDICAID 2 Medicare and Medicaid While they may sound alike, medicare and medicaid are actually two different programs. Both can help you pay for healthcare and medical expenses. But medicaid is a public assistance healthcare program for low-income Americans regardless of their age. medicare, on the other hand, is an age-based federal health insurance program that guarantees coverage for individuals ages 65 and over and some younger people with disabilities. Medicaid and medicare have many differences but both attempt to assist lower income people. President Johnson signed Medicaid and Medicare into a bill on July 30, 1965, to provide healthcare insurance for those who qualified for cash assistance. Since then, medicare and medicaid eligibility has evolved and changed to the current form where eligibility is continuing to widen in covering many citizens and qualifying non-citizens (Anderson, 2016). The vulnerable population includes the poor or those with limited income, people with chronic illnesses that cost too for the individual to afford, children under 18 years old, the elderly or adults with no health insurance, disabled people who need prolonged care, among others. The purpose of this paper is to discuss the qualifications of Medicaid and Medicare, how Medicare affects medical billing, the definition of the qualifications for Medicare and Medicaid benefits, and description of the impacts that the Affordable Care Act (ACA) has had on Medicare and Medicaid. Medicaid and Medicare Eligibility Medicare and medicaid are American and federally funded health insurance that covers American citizens under specific categories, as stated by the Centers for Medicare and Medicaid Services (CMS). The current eligibility meets the health insurance needs of low-income families, pregnant women, people with disabilities, and people with home
MEDICARE AND MEDICAID 3 health care or nursing home care. Medicare is the coverage designed for the elderly or people over 65 years and dialysis patients and those with disabilities.The services covered include primary hospital care, physician services, laboratory and radiology services, nursing services, family planning, special health screening for children, care in nursing facilities, and home-based services (Nickitas, Middaugh, and Aries, 2016). These health insurance created for qualifying American citizens. The applicant must be an American citizen or qualifying non-citizen individual. The applicant expects to fill an application form requesting health insurance assistance where the government employed officers to determine eligibility based on the income and citizenship statuses. The eligibility is also reassessed annually to ensure that the applicant or recipient still qualifies.