Course: Healthcare Policy and Economics
Module 8: Medicare and Medicaid
Module Goals
After completing this module, students will be able to do the following:
• Understand the history of Medicare and Medicaid enactment and how both have evolved in the United States since their enactment under the presidency of Lyndon B. Johnson.
• Discuss the changes in Medicare and Medicaid coverage since the implementation of the ACA.
• Explain why all people living in poverty do not qualify for Medicaid coverage under current health care system.
• Describe some of the differences between states in the administration of their Medicaid programs.
• Examine the role that regulations and federal mandates play in improving the quality of Medicaid and Medicare services for all beneficiaries.
Overview
Throughout the course, you have explored topics about advocacy and healthcare policy, discussed the current healthcare system in the United States and the impact of healthcare reform especially on the uninsured. You have articulated the significance of collaboration among nurses and other healthcare professionals in leading change and ensuring that all patients receive culturally competent, cost-effective, quality healthcare. In addition, you have explored healthcare from a global perspective and have articulated issues that may impact vulnerable populations in the future.
This week’s module explores two major payers of healthcare: Medicare and Medicaid. You will examine how the Centers for Medicare and Medicaid Services (CMS) greatly influences healthcare finances as these payers move from the traditional fee-for-service payment model to the more patient-centered, quality driven, value-based reimbursement model. Further, you will gain a clear understanding of how the ACA impact Medicaid and Medicare recipients.
