Thursday Assignment Help?
aastral fyre
I am really having a hard time finding a cut and dried list of services for the elderly frm medicaid anyone have any help to offer?
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Light and Love,
Aastral
Nathan Wilde
Virginia Tuten
Jamie Davis
This is what I got but it is very condensed to only be 2 pages. Hope it helps
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aastral fyre
aastral fyre
Nathan Wilde
Nathan
(828) 398-4141
aastral fyre
Bryce Sloan
Anyone else having this problem? And know how to fix it? I email Causey & she is out of the office til the 13th! I also emailed Sellers & Feste, but who knows if they can fix it?
Bryce
Bryce Sloan
(828)318-2844
julie...@students.abtech.edu
Robert Kemp
Here y'are!
Subject 1 Medicare:
YD1: Laura A/ Katherine A/ Mitzi B/ Holly B/ Evelyn C/ Leslie C/ Omar D/ Jamie D/ Deborah E/ Melissa E/ Joshua G/ Kelley G
YD2: Clay A, Sierra B, Hannah B, Angela B, Mavis B, Tony C, Laura C, Karan E
Medicare
Describe the different parts of Medicare (A, B, Advantage, D, and Medigap). How much would each plan cost a client per month (what is the premium) and what is the deductible? Who is eligible? Are they automatically enrolled? Summarize important services covered and importantly not covered in each plan. Who funds Medicare? Is Medicare spending increasing? How did the reform act change the projections in Medicare spending? (See Medicare spending and financing fact sheet)
Review these resources:
· http://www.healthinsurance.com/hi/Help/?c=12
· https://www.cms.gov/NationalMedicareTrainingProgram/TL/list.asp?listpage=3 this is the most important one to review.
· Medicare spending and financing fact sheet: http://www.kff.org/medicare/upload/7305-05.pdf
· http://facts.kff.org/chartbook.aspx?cb=58 This one is pretty large but you may find interesting the summary
Make at least a 2 page fact sheet to give out to others in your group.
Subject 2 Medicaid for Pregnant women, children & family planning:
YD 1: Erica G, Kaytlin H, Sara H, Whiney H, Rhonda J, Robert K, Sheri K, Stacie L, Diane L, Sandra L, Merideth L.
YD2: Honley E, Laurel F, Kristina G, Chris H, Martha H, Ricky H, Kinsley K, Nicole K, Janel K
Describe these different parts of Medicaid: Pregnancy, Children, & Family Planning and North Carolina health Choice for Children
Who does Medicaid cover? (See Medicaid matters) How did the recession affect Medicaid? Describe these 3 NC Medicaid programs: pregnancy Medicaid (MPW), Medicaid for infants and children (MIC), & the “Be Smart Family Planning Program” and North Carolina Health Choice for Children. What are the income eligibility requirements in NC for each/ compare? Focus on family 2, 3, & 4. How much does each plan cost a client per month? Is there a premium or deductible or copayment? What services are covered in the plan (summarize)? Do you see any big holes in what is not covered? Does the plan run out (i.e. when does Medicaid for pregnant women stop coverage?) Do all providers have to accept Medicaid?
Review these resources:
· Medicaid Matters: http://www.kff.org/medicaid/upload/8165.pdf
· http://www.ncdhhs.gov/dma/medicaid/ very important site to review! Make sure you click on the pdf “Consumer Guide: Health Insurance Program for families and children”
· http://www.ncdhhs.gov/dma/medicaid/familyplanning.htm
· North Carolina Health Choice for Children http://www.ncdhhs.gov/dma/healthchoice/index.htm
· https://www.cms.gov/NationalMedicareTrainingProgram/TL/list.asp
· http://www.kff.org/medicaid/8162.cfm click on the “Chart pack” pdf
Make (at least) a 2 page fact sheet to give to other in your group
Subject 3 Medicaid for Long term care & dual enrollees Medicare and Medicaid:
YD1: Caitlin M, Deandra M, Monica M, Shannon M, Elizabeth M, Tammy P, Tracy P, Gwenda P, Ann Price, Erica R, Marie R, Thomas S
YD2: John L, Matthew, M, Kimberly M, Christina M, Mike M, Timothy N, Heather N, Ashley O, Mary P
Describe what dual enrolled Medicaid and Medicare means. Describe the different parts of Medicaid for the elderly/ aged greater than 65. Is there a premium/ deductible/ copay? Who is eligible? Summarize any important services covered (or not) in the plan (focus on cost of care in a nursing facility). What is estate recovery? What is the average cost of assisted living & nursing home care without Medicaid?
Review these resources:
· Read “When Mom’s Money runs out” by Kristin Davis article on moodle. This link may also work http://web.ebscohost.com/ehost/pdfviewer/pdfviewer?vid=12&hid=24&sid=1266c189-55ea-4d1c-a448-cfe677ca7cd0%40sessionmgr12
· http://www.kff.org/medicaid/longtermcare.cfm Make sure to look at Medicaid and Long-term care services supports
· https://www.cms.gov/NationalMedicareTrainingProgram/TL/list.asp
· http://www.ncdhhs.gov/dma/medicaid/abd.htm click on “consumer guide: health insurance for the Aged” then look for the cost of care in nursing home.
· http://aspe.hhs.gov/daltcp/reports/estaterec.htm
Make at least a 2 page fact sheet to give out to others in your group.
Subject 4 PPOs/ FFS vs. Managed care:
YD1: Kathleen S, Katrina S, Galina S, Kara T, Tammy T, Amy W, Francine W, Julianna W, Nathan W, Robin W, Trina W
YD2: Emily P, Dolores P, Sarah S, Julie S, Denise S, Leah T, Virginia T, Chris W, John W
What is private insurance? What is the difference between commercial health insurers and HMOs and employee health benefit plans? Explain the difference between HMOs, PPOs, and Fee for service or POSs (which sometimes includes PPO). Define what a deductible and a premium are. What is risk pooling? Can an insurance company increase premiums? Which of these types of insurance usually holds the highest cost to the client? For Employer health benefits how much has premiums increased 2000 to 2010? How much per month? Who is paying for that increase? (See 2010 summary of Finding Employer Health Benefits) What is the average deductible for workers HMO vs. PPO? Who makes up the uninsured in the United States? How does this affect their health/ finances? (See Kaiser report The uninsured: a primer) How is uncompensated care financed? What effect does the uninsured have on our society?
· How private health coverage works: A primer 2008 update: http://www.kff.org/insurance/upload/7766.pdf
· Employer Health Benefits 2010 summary of Findings: http://ehbs.kff.org/pdf/2010/8086.pdf
· Look at the Kaiser commission on Medicaid and the uninsured http://www.kff.org/uninsured/upload/7806-03.pdf
· Kaiser report. The uninsured: A primer http://www.kff.org/uninsured/upload/7451-06.pdf
Make at least a 2 page fact sheet to give out to others in your group.
You will met with the below assigned “home” group members during class on 6/9/11 for 45 minutes. You will be responsible for teaching your expert material to your group.
“Home” group members:
YD1:
Group Advantage: Laura A, Erica G, Caitlin M, Katrina S
Group Blue Cross: Katherine A, Kaytilin H, Tracy P, Kathleen S.
Group Coverage: Mitzi B, Sara H, Monica M, Galina S.
Group Deductible: Holly B, Whitney H, Shannon M, Kara T.
Group Employee: Evelyn C, Rhonda J, Aastral M, Tammy T
Group Fee for service: Leslie C, Robert K, Tammy P, Amy W
Group Health Reform: Omar D, Sheri K, Gwenda P, Francine W
Group HMOs: Jamie D, Stacie L, Ann Price, Julianna W
Group Insured: Deborah E, Diane L, Erica R, Nathan W
Group Juice: Melissa E, Sandra L, Marie R, Robin W,
Group Kaiser: Joshua G, Kelly G, Merideth L, Thomas S, Trina W
YD2
Group Estate Recovery: Clay A, Honely E, John L, Emily P
Group Family Planning: Sierra B, Laurel F, Matthew M. Dolores P
Group Long term care: Hannah B, Kristina G, Kimberly M, Sarah S
Group Medicaid: Jessica B, Chris H, Christina M, Julie Sloan
Group Medicare: Angela B, Martha H, Mike M, Denise S
Group PPO: Mavis B, Ricky H, Timothy N, Leah T
Group Premium: Tony C, Kingsley K, Heather N, Virginia T
Group Pregnancy: Laura C, Nicole K, Ashley O, Christian W,
Group Uninsured: Karan E, Janel K, Mary P, John W
Bryce Sloan
I would be lost with out my AMAZING nursing buddies!
Bryce