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2025 Medicare Regulations Medicare is a federally regulated program that mandates compliance to its standards through state and
by adminPlease help with homework 2025
Medicare Regulations Medicare is a federally regulated program that mandates compliance to its standards through state and federal oversight. One of the primary purposes of Medicare regulations is the protection of its recipients. Medicare Advantage is part of the Medicare Modernization Act, which was passed in 2003. Search the Internet by using the following keywords: Medicare regulations Centers for Medicare Medicaid services On the basis of your research, answer the following questions: What are the purposes of Medicare regulations other than the one mentioned above? How will the federal government enforce compliance in the Medicare Advantage program? Which two other Medicare regulations do you think are the most important for managed care organizations and why? Do you think Medicare and Medicaid programs face challenges from the perspectives of providers, the government, and consumers (recipients of Medicare or Medicaid)? Why or why not? What are the different services provided by the Medicare and Medicaid programs? Do you feel there is a need to have two different programs? Why or why not? Discuss the advantages and disadvantages of Medicare programs such as Medicare Advantage and Medicare Part D. Do you think Medicare Advantage programs ensure the survivability of Medicare? Why or why not? Additionally, respond to the questions given below after reading the following information in regard to control of managed care organizations at the state level. States have a broad range of control of managed health care organizations. The main interests of the states are to protect the interest of the consumer and regulate the structure of MCOs. Discuss the regulatory structure used to regulate MCOs and health insurers at the state level. Discuss how states came to be the primary regulators of insurance. Evaluate the most critical components of state oversight of HMO operations. Review the licensing requirements for MCOs in your state and describe the specific requirements to obtain a Certificate of Authority (COA). Compare to the requirements discussed in the course textbook. What are the protections available to consumers under the law in your state? Compare these protections to what is discussed in the textbook. In your opinion, are the state regulations designed for the consumers, or are they designed for the MCOs? Use your course and text readings to support your answer.
Nursing Assignment Help 2025
2025 Use MS Word to complete Questions to be Graded Exercises 29 and 35 in Statistics for Nursing
by adminA Workbook for Evidence-Based Practice 2025
Use MS Word to complete “Questions to be Graded: Exercises 29 and 35” in Statistics for Nursing Research: A Workbook for Evidence-Based Practice . Submit your work in SPSS by copying the output and pasting into the Word document. In addition to the SPSS output, please include explanations of the results where appropriate.
Nursing Assignment Help 2025
2025 Customer Service Interpersonal communication skills in a customer service oriented field such as medical
by admindiscussion 2025
Customer Service Interpersonal communication skills in a customer-service oriented field such as medical assisting are an important necessity within medical facilities. Describe in detail how customer-service is important as a receptionist, in the office and on the telephone. How can customer-service be optimized in person and telephonically with patients, staff members and vendors?
Nursing Assignment Help 2025
2025 Choose two long term care facilities one from nursing facilities assisted living or subacute care and another
by adminLong-Term Care Facilities 2025
Choose two long-term care facilities—one from nursing facilities, assisted living, or subacute care and another from adult day care, home health care, or hospice care , prepare a 8 page report in a Microsoft Word document including the following: Describe the roles and responsibilities of the administration in each department of your chosen facilities. Identify and list the sources of financing available to consumers for the various programs provided by your chosen facilities. Identify the key public and private sources of reimbursement available. Also discuss the role played by managed care and its impact on long-term care reimbursement. Describe the various government and private resources available that assist in developing and maintaining quality improvement programs in your chosen facilities. Describe the ways in which quality and cost are controlled in your chosen facilities. Also discuss the ethical aspect of access to care in the facilities, including rationing. Based on your observations and learning from the two facilities, discuss the changes brought in the long-term care system to make it reach full status as a competition-driven system. You may include the following points in your discussion: Discuss the changes made in the control mechanisms (external and internal) in order to control the management, financing, and quality in the long-term care systems. Discuss the changes taking place in long-term care reimbursement system in order to provide better reimbursement options both to consumers and providers. Discuss the changes made in the efforts of providers to accommodate changing magnitude of the day-to-day needs of long-term care consumers. Support your responses with examples. Cite any sources in APA format. Submission Details
Nursing Assignment Help 2025