Answer To: Assessment 3: Individual Written Essay (40%) Due Date: Week 10 Word limit: 1300 – 1500 words It is...
Bidusha answered on Apr 11 2021
Individual Written Essay 4
THE ADVENT OF MEDICARE PROGRAM
Table of Contents
History of Medicare 3
Initial Stages of Enactment 3
A Government Initiative 4
Scenario Before Medicare Program 5
Impact of Medicare on Australian Social System 6
Extra Charges 7
Health Expenditure 7
Development Comparison 8
Health Funding 8
References 9
History of Medicare
A new program was registered within the law during 1965 to give a coverage for the health conditions of people and also provide them financial security for all the elderly people of America. They were not served adequately by the insurance market which are characterized by linked employment group coverage. This program was termed as Medicare, initially known as Medibank (Boxall, 2019). Numerous architects were of the notion that the Medicare program started for the old population was a stepping stone that would gradually lead to a better health care coverage for everyone. This program retained its stability for some time and provides a good amount of coverage and eligibility.
The Medicare program mostly encompasses the cost of the main and allied health care services as noticed by the federal government of Australia. The major amount spent which is 67% is through the Medicare and other programs that is provided by the federal as well as state government. Major section of the non-government funding is done by the individuals.
Initial Stages of Enactment
When the Medicare program was first enacted, it provided financial coverage for the hospital stays and it was the primary objective that was taken care of by the employers because the services of the physician and prescribed drugs were less costly and was under the monthly expenditure for every family (Kang et al., 2019). In this way, hospitals included (Medicare Part A) established Medicare's chief advantage, naturally enlisting qualified recipients, with inclusion for doctor charges (Part B) offered as discretionary, strengthening protection. Part B inclusion of doctor and other outpatient administrations, nonetheless, is a basic piece of the program with practically widespread enrolment among conventional Medicare enrollees.
As private health care coverage advanced to a more oversaw care strategy with a coordinated advantage configuration, including both emergency hospitals and doctor charges, sanctioned in 1997, the Medicare Plus Choice program was with the expansion of Medicare Part C that permitted Medicare HMOs to partake. Under the 2003 Medicare professionally prescribed Drug, Improvement, and Modernization Act (MMA), the Medicare Plus Choice program was relabeled as Medicare Advantage (MA), and MA designs currently select more than 33% of Medicare recipients (Docteur et al., 2020).
Likewise, in the MMA of 2003, mirroring the expanded significance and expenses of professionally prescribed medications in treating both intense and ongoing medical services conditions, Congress established the Part D physician recommended drug advantage. Medication inclusion is accessible through MA plans or through independent professionally prescribed medication plans. Other steady changes to Medicare's arrangement configuration have been made, including adding benefits for wellbeing, avoidance, and hospice care (Miller, 2020). Until this point, further endeavors to refresh Medicare's advantage plan and cap OOP consumptions for Parts A and B have not been fruitful.
A Government Initiative
This newly formed social policy of Medicare was not sanctioned keeping the social issues in mind because they are not successful in achieving and accommodating all the social needs under the Medicare program (McNutt & Hoefer, 2020). This program was formed solely due to the value of the decision makers in the governments. It was a great turn of events for the Australian residents not only the mainlander but also the Torres tribes and the aboriginals. The...