Medicaid and Medicare: Barriers and Solutions

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Introduction

The Healthcare system in the United States of America is rather complicated, and, nowadays, Medicare and Medicaid programs assure the availability of the healthcare for every person while ignoring their social status, nationality, and the level of income (Williams, 2015). Nonetheless, health care plans tend to be different. In this case, Medicare aims at the coverage of the elderly people at the centralized level while Medicaid is both state and federal based while offering services for the civilians with the low level of income (Williams, 2015).

In turn, despite the substantial attention to the different segments of the population, the barriers to the coverage tend to be present. In this case, one of the obstacles to the availability of health care plans is the cultural and communication limitations, as people with a lack of English are unable to receive the required help (McDoom, Koppelman, & Drainoni, 2014). Additionally, another aspect, which can be viewed as a barrier, is the unequal distribution of the medical resources across the country (White, 2014). In this instance, this approach decreases the presence of particular services in certain regions due to the shortage of medical personnel or treatment, as the availability of the workforce is dependent on the financial resources assigned to the hospital.

Description

Furthermore, the dissimilarities between Medicare parts A and B tend to exist, as part A covers matters related to hospitalization and part B offers similar facilities while people with low income have to pay the monthly fee for the services (AARP Public Policy Institute, 2009). Nonetheless, the recent reporting readmission guiding principle is aimed at the elimination of inequality, but the limitations tend to be present. In this instance, the level of patient policy constraint is the fact the patients have dissimilar levels of income while patient A views this aspect as a bonus.

In turn, for patient B, it is essentiality due to his lifestyle and the level of income. Furthermore, the correlation between education and other socioeconomic factors and patients health and condition was revealed in the previous studies (Bhalla & Kalkut, 2010). In the context of the patients A and B, the health state and the treatment will be more effective for patient A than for patient B due to the belonging to the higher social class and extended educational background. In turn, patient A will receive a high possibility of readmission based on the matters provided above.

As for the measurements, they tend to cover various aspects including the patients background and diverse economic factors to the measure success of the organization (Bhalla & Kalkut, 2010). In turn, the presented policy tends to assure the delivery of high-quality care to patients from different social groups to maintain satisfaction at a substantial level. In the end, in my opinion, the primary strategy to avoid unjust readmission is to consider highly and assess the personal characteristics of each patient while improving the availability of the services to each segment.

Conclusion

In the end, based on the information provided above, it is apparent that both Medicare and Medicaid require improvement due to the presence of disparities and lack of availability of healthcare to every individual. In this case, the continuous assessment of the patients satisfaction has to be conducted to assure the satisfaction and the accessibility of the services at every level. In turn, the expenditure has to be highly evaluated in each area and redistributed among the medical facilities in need to ensure the delivery of the services for the people in need. Lastly, the translator has to be available to the hospitals, or the interactive boards have to be introduced to the patient, which does not have a high level of English command.

References

AARP Public Policy Institute. (2009). The Medicare beneficiary population. Web.

Bhalla, R., & Kalkut, G. (2010). Could Medicare readmission policy exacerbate health care system inequity? Annals of Internal Medicine, 152, 114-117.

McDoom, M., Koppelman, E., & Drainoni, M. (2014). Barriers to accessible health care for Medicaid eligible people with disabilities: A comparative analysis. Journal of Disability Policy Studies, 25(3), 154-163.

White, C. (2014). Cutting Medicare hospital prices leads to a spillover reduction in hospital discharges for the nonelderly. Health Services Research, 49(5), 1578-1595.

Williams, K. (2015). Medicare and Medicaid. Journal of the American College of Cardiology, 66(3), 861-863.

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