re-write 3 pages

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I need you to rewrite just 3 pages... Just 3 pgs. The re-written work must be free from plgirism... SOME TUTOR WASTED MY TIME HERE. I WILL FILE REFUND REUEST IF PLGIRISM IS DETECTED.

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Running head: MANAGED CARE PLANS Medicare/Medicaid Managed Care Plans 1 MANAGED CARE PLANS 2 Medicare/Medicaid Managed Care Plans Distinguish the roles of Medicare and Medicaid managed care plans in the healthcare delivery system. To control cost and raise the bar when it comes to innovation in health care delivery states are turning to Medicaid managed care and looking to it as a key strategy more than ever before. This data looks at the health care providers' ideas on the role of managed care and how it is improving health services for low-income adults in several communities. Even though this report is looking at a few communities, there is evidence of this data being true for more than just these four areas. These states include Milwaukee, Wisconsin, Oakland, Seattle, and Washington, D.C. these locations don't see managed Medicaid as an important piece of the puzzle for the delivery system reform. It is these types of broken delivery systems such as these that put limits on the kinds of services for which managed care organizations are at risk, the frivolity in such markets all reveal challenges to making the care delivery better. While looking at the types of results, the providers in these areas had a change of heart when it comes whether managed care systems are designed to improve quality and control cost by suggesting a competitive atmosphere among MCO's. Assess the similarities and differences between Medicare and Medicaid managed care plans by comparing (a) strengths, weaknesses, and incentives; (b) commitment to access; and (c) risks to the consumers. MANAGED CARE PLANS 3 Let's begin with the Medicare program which has quite a bit of strength one being that it provides insurance for those that are 65 or older, disabled, and this is without any regard to the income of these individuals. Also, it covers the cost of hospital stays, doctor visits, tests, and medications. Medicaid has some strengths that mirror Medicare simply by providing health insurance to families the far below the poverty level or are at that level. Medicaid is funded by taxes and hospital taxes, and on the other hand, Medicare which is financed by payroll taxes, interest on trust funds and Medicare premiums (Medicare vs. Medicaid, 2016). Weaknesses that has identified in Medicare is that depending on the person's status; they must pay for which part they are also receiving if they have a working spouse for ten years or more of their life. If not then they must pay a small premium one more about Medicare they don't cover dental or vision they can for an extra fee so again the person is paying. Commitment to Access to Both Plans Federal regulation requires that when it comes to Medicaid Managed Care access states have a written strategy for assessing and improving the quality of health care services offered by all Managed Care Organizations (Levinson, 2014). These set of standards exist to make sure that each MCO maintains a sufficient and adequate network of providers. For instance, things that are being considered is that should be an anticipated Medicaid enrollment, secondly expected utilization of services, number, and types of providers, some network providers who are not accepting new Medicaid patients, locations of provider and Medicaid enrollees. Lastly, States are required to make sure that if the MCO can't provide the services that are needed by a person, they must cover the cost of an out of network provider. Medicare managed care plans commitment to access is somewhat like that of Medicaid since MANAGED CARE PLANS 4 the same unit operates them. Achieving a reasonable balance among multiple goals for Medicare programs including keeping Medicare fiscally secure, setting adequate payments to private plans, and meeting beneficiaries health care needs will continue to be a critical issue for policymakers in the future which can affect the accessibility (Kaiser family foundation, 2016). Risk to the Consumer Associated with Either Plan The risk to the consumer is that with Medicare the rates keep going up on an annual basis and it could end up costing the consumer more than they could afford. The idea is to provide affordable care to the consumer whose income is low. On the other hand, Medicaid already charges some individuals a small premium could start charging more people premiums. Another risk for Medicare benefits could start to go down, and the cost sharing could increase. Medicaid consumers have an issue if they want to switch providers because of there not being enough providers for the number of users on this program. Synthesize two recommendations for improvement, including your justification, of each managed care plan. (You should have a total of four recommendations for both Medicare and Medicaid managed care plans.) Some suggestions for improvements with the Medicare program would be to offer the programs already including dental, vision, and provide better coverage for long-term care. Secondly for Medicare is to make these plans more affordable instead of annually increasing the cost try making plans better and instead of growth put some provisions. Such as if a person can't afford the premiums then decrease the premium or take it away altogether. For MANAGED CARE PLANS 5 the Medicaid program make the reimbursements a little bit more then possibly more provider would be willing to accept Medicaid. Let there be accountability when it comes to financial information like making sure that the funds are used the way they should. References Kongstvedt, P. R. (2012). Essentials of managed health care (6th ed.). Sudbury, MA: Jones and Bartlett Publishers. Martino, SC., Elliot, Mn., Haviland, AM., Saliba, D., Burkhart, Q., Kanous, DE. (2016). Comparing the health care experiences of medicare beneficiaries. Health service research, Volume 51 (3), pp. 1002-20 doi:#10.1111/1475-6773.12359 Summer, L., Hoadley, J. (2014, April 10th). The Role of Medicaid managed care in health delivery system. The commonwealth fund. Retrieved from MANAGED CARE PLANS 6 http://www.commonwealthfund.org/publications/fund-reports/2014/apr/role-of-medicaid-managed-carein-health-delivery-system-innovation Diffen (2014, April, 14th). Medicare vs. Medicaid. Retrieved from http://www.diffen.com/difference/Medicaid_vs_Medicare Kaiser Family Foundation (2016, May, 11th). Medicare Advantage. Retrieved from http://kff.org/medicare/fact-sheet/medicare-advantage/
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