19 Oct Overview: Throughout the course, you have explored
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. Learning Materials: Nickitas, D. M., Middaugh, D. J., & Feeg, V. D. (2019). Policy and politics for nurses and other health professions: Advocacy and action. (3rd ed.). Sudbury, MA: Jones and Bartlett Publishers. Read Chapters 11 & 12. Additional Resources :Amadeo, K. (2019) Federal poverty level guidelines and chart. Discussion Question: You have a patient who only has Medicare Part A and B. She has limited income most of which is used to pay for Medicare Part B. She is in dire need of placement into a nursing home as she can no longer care for herself at home. You gleaned from your reading that long-term care needed by low-income elderly people is paid by Medicaid, and you feel your patient meets the criteria. What are the steps you would take to advocate for your patient while she is still in the acute care setting? Who are some of the other health care professionals you would collaborate with to ensure your patient receives the additional healthcare coverage she needs? Analyze the role Medicaid plays in supporting long-term care for the elderly?
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