The student must then post 2 replies of at least 300 words by 11:59 p.m. (ET) on Monday of the assigned Module/Week. For each thread, students must support their assertions with at least 1 scholarly citations in APA format. Each reply must incorporate at least 1 scholarly citation(s) in APA format. Any sources cited must have been published within the last five years. Acceptable sources include various scholarly/peer to peer sources, the textbook, the Bible, etc.
reply 1:
Medicare is considered an actual insurance program where the insurance bills are paid not from out of pockets, but out of a trust fund. How the trust fund is established by the people have paid into Medicare and are covered. Medicare is designed to insure the elderly, mostly people over the age of 65. However, it also covers a fraction of younger disabled people, along with people who are on dialysis. People insured by Medicare only pay a part of the cost of appointments. They must pay their deductible that restarts at the beginning of every year, or for people that apply for coverage at different times of the year. Most Medicare insured with pick up a secondary insurance to cover the cost of their deductible and coinsurance cost. Medicare is a federal owned insurance program and is offered across the United States.
Medicaid is known as an assistance program which serves people that are low-income or have a disability. Medicaid can serve people of any age, with Medicaid when you go to the hospital or to a doctors office you are not responsible for any of the cost that is charged. If anything is owed it is only a very small copay that Medicaid has in place. Medicaid is a federal-state program which makes it vary some from state to state. Most of the Medicaid population are patients who are on disability or have a chronological illness. When looking at the aspect of HMOs they find it hard to cater to patient who have these problems because they then are limited to where they can go to receive care. With the rise in the Medicaid population and the higher capitation rates it would make nearly impossible to enroll all patients in HMOs.
Or do you not know that your body is a temple of the Holy Spirit within you, whom you have from God? You are not your own, for you were bought with a price. So glorify God in your body. Corinthians 6:19-20
reply 2:
The difference between Medicaid and Medicare depends on many aspects of classifications. Some of the classifications include income, age, and other properties of issues in life. one of the issues that arise with Medicaid is the difficulty to enroll most of the population under Medicaid in health maintenance organizations (HMOs). All in all, Medicare is for the aged, and Medicaid is for the poor.
Medicare is a federal program that primarily serves the aged. In addition, individuals younger than 65 years who receive Social Security cash payments because they are disabled become eligible for the program after a two-year waiting period (Feldstein, pp. 99). Medicare has many parts to it, part a, part b, part c, part d. Each part comes together to form the benefits paid by the type of service. Medicare is for the elderly and some disabilities that require a lot of attention. Medicaid beneficiaries are limited by age, or by pregnancy or parenting status. Medicaid is a state-federal partnership that provides means-tested health insurance coverage to income, eligible recipients, in the United States. Historically, the program was restricted to single-parent families receiving cash welfare under the aid to families with dependent children program (AFDC), the low-income elderly, and low-income people with a disability (Boudreaux, 2021). In 1965, Congress enacted two financing programs to cover two separate population groups: Medicare for the aged and Medicaid for the poor (Feldstein, pp. 99).
Fibromyalgia has been reported previously in more than 30% of patients with IBS, 2829 in contrast with the 5.9% observed in our cohort. This might reflect differences in study populations because our cohort reflects the general membership of a large health maintenance organization and not selected patients in referral settings, but it might also reflect the under-recognition of fibromyalgia in clinical practice in the absence of an active effort to ascertain its prevalence. The prevalence of migraine of 36.7% in our IBS cohort was significantly higher than the rate of 6% previously reported in a large IBS cohort, 30 and it is more consistent with the prevalence of headache reported in IBS patients (Ladabaum, 2012). It is a difficult task to set certain individuals to the HMOs because of the different situations each has. HMOs have many limits depending on the health issue of the individual. During the open season, you chose a health plan to enroll in and choose your primary care provider. With that, any issues you may have would need a referral for a specialist for the required treatment. HMOs are tricky because you have to use specific in-network providers to keep costs low.
The bible explains that loving our world for what it is, a place where God loves us for more than just our flesh. In 1 John 2:15-16 Do not love the world or anything in the world. If anyone loves the world, love for the Father is not in them. For everything in the world-the lust of the flesh, the lust of the eyes, and the pride of lifecomes not from the Father but from the world (New International Version).