Presentation on theme: "Alex Dulin Alex Beecham Nadim Wahab. Medicare is an insurance program that pays for hospital and medical care for elderly and certain disabled Americans."— Presentation transcript:
Medicare is an insurance program that pays for hospital and medical care for elderly and certain disabled Americans. Federal based The program costs about $432 billion, or 3.2% of GDP, in 2007.
Must be at least 65 years old Or, under 65 and disabled, or any age with End-Stage Renal Disease (permanent kidney failure that requires dialysis or a transplant.) Must be a U.S. citizen Or permanent legal resident for 5 continuous years and is eligible for Social Security benefits with at least ten years of payments contributed into the system.
Payroll taxes collected through FICA (Federal Insurance Contributions Act) and the Self-Employment Contributions Act mainly fund Medicare. The tax is 2.9% of wages Half paid by the employee//Half paid by the employer. Money is placed in a trust fund.
Part A Hospital Insurance, Home health care No monthly premium Part B Supplementary Medical Insurance a monthly premium ($96.40 per month in 2009) Part C More client specific plans Private insurance companies provide some of the coverage Part D A prescription drug plan Requires payment of a premium and a deductible
It is a means-tested health and medical services program State based Costs about $330 billion, or 2.4% of GDP, in 2007. States: Establish their own eligibility standards Determine the type, amount, duration, and scope of services Sets the rate of payment for services, and Administer their own Medicaid program.
Each state sets its own Medicaid eligibility guidelines States must provide Medicaid services for individuals who fall under certain categories of need in order for the state to receive federal matching funds
Each State is then reimbursed for a share of their Medicaid expenditures from the Federal Government. This Federal Medical Assistance Percentage (FMAP) is determined each year and depends on the State's average per capita income level. Richer states receive a smaller share than poorer states By law the FMAP must be between 50% and 83%.
Medicaid is a social welfare (or social protection) program that serves about 40 million people (as of 2007) Costs about $330 billion, or 2.4% of GDP, in 2007. Medicare is a social insurance program that serves more than 44 million enrollees (as of 2008). The program costs about $432 billion, or 3.2% of GDP, in 2007. Together, Medicare and Medicaid represent 21% of the FY 2007 U.S. federal government.
Obama has changed the current Healthcare plan in America. This plan has prospects of being better for everyone and working out for the better in the long run. He expanded and strengthened some aspects. He also put an end to other current policies.
Children with pre-existing conditions can no longer be denied health insurance coverage. Health care plans will allow young people to remain on their parents' insurance policy up until their 26th birthday. This year, adults who are uninsured because of pre-existing conditions will have access to affordable insurance through a temporary subsidized high-risk pool. In the next fiscal year, the bill increases funding for community health centers, so they can treat nearly double the number of patients over the next five years.
Insurance companies will be banned from dropping people from coverage when they get sick, and they will be banned from implementing lifetime caps on coverage. Restrictive annual limits on coverage will be banned for certain plans. Under health insurance reform, Americans will be ensured access to the care they need. New group health plans will be prohibited from establishing any eligibility rules for health care coverage that discriminate in favor of higher-wage employees.
1 in 6 on Medicare We spend $$$ on Prescriptions 1 in 4 Retires are in “Doughnut Hole”
Healthcare plan created without tax dollars. For recently unemployed Floridians or people without insurance for at least six months. plans can be purchased for as low as $23.70 per month. Blue Cross Blue shield of Florida and United Health care are available to all 67 Florida counties. Wide set of benefits Floridians have the opportunity to choose primary and preventive care instead of costly visits to emergency rooms.
Eliminate vaccine preventable diseases for residents and visitors. Provide immunizations and education for infants, children, and adults. Educate parents and guardians on importance of vaccines for adults and children. To provide ongoing surveillance of Vaccine preventable diseases. Provide consultative screening of immunization records.
The U.S. spends more than $2 trillion on healthcare annually. At least 3 percent of that spending, or 68 billion dollars is lost to fraud each year. Miami is one of the biggest targets for healthcare Fraud. Over 75% percent of US healthcare fraud is in South Florida. The Obama administration is asking congress for 1.7 billion dollars to fight healthcare fraud. Governor Rick Scott was said to be part of a Healthcare scam when he was CEO of Columbia/HCA, a healthcare company.
Unneeded care: Doctors may say you need treatment for something when you really don’t. Bogus insurers: Insurance agents sell you low cost health coverage from fake insurance companies, then take your money. Identity theft: People steal your medical ID number, then use it to bill health programs thousands of dollars for expensive treatments you never received.
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