Health Care Policy: Medicare
Medicare in the U.S. was formed in 1966 and is defined is one of the national social insurance program whose administration is vested in the federal government. The policy is dispensed through 30 private insurance organizations in the country. Medicare avails health insurance to Americans of ages 65 years and older that had worked and paid within the national system (Nadeau, Belanger & Petry, 2014). The policy avails health insurance benefits to different younger people with amyotrophic lateral sclerosis, disabilities, and end-stage renal disease.
Medicare availed health insurance to close to 47 million residents in 2010. 40 million of them were of 65 years and above while seven million were younger individuals with disabilities. The policy was the primary point of payment for close to 15.4 million inpatient cases in 2011 that was $182.7 billion (47.2%) of aggregate inpatient costs in the United States hospitals. Medicare was a policy defined to serve a larger population for the disabled and elderly individuals. The average Medicare coverage is close to 48.3% of all health care charges among individuals enrolled in Medicare (Barr, 2011). Enrollees should cover the remainder of the charges through supplemental insurance and with alternative out-of-pocket coverage forms. The out-of-pocket charges vary with respect to the health care needs of a Medicare enrollee. The focus also includes uncovered services of hearing, dental, long-term, and vision where supplemental insurance is required (Nadeau, Belanger & Petry, 2014).
In 1965, the Medicare provisions expanded into inclusion of benefits for physical, chiropractic therapy, speech. In 1972, Medicare brought on different payment options of health maintenance organizations that lasted to the 1980s. In the 1990s, Congress focused on expanding Medicare eligibility for pump include younger people with permanent disabilities through allowing receipt of Social Security Disability Insurance payments (Almgren, 2013). The category includes people with end-stage renal diseases. Towards the end of the 1990s, the HMOs association was formalized through the President Clinton health policy in 1997. The year 2003 saw Medicare program include coverage of all drugs as passed by President George W. Bush and established effect from 2006 (Nadeau, Belanger & Petry, 2014).
The sources of financing for Medicare take several distinct dimensions. Part A financing is funded through revenue from payroll tax of 2.9% levied on workers and employers where each pays close to 1.45%. The focus was shaped in 1993 where the law availed maximum compensation amounts for Medicare taxes as imposed yearly. The approach was similar to what Social Security taxes worked from the United States. In 1994, compensation limits were removed. Self-employed individuals were required to pay the whole 2.9% tax based on net earnings from self-employment engagements. This is because they were both the employer and employee. However, they could deduct half tax charges from incomes in the calculation of income taxes (Moniz & Gorin, 2013).
The start of 2013 allowed for Part A 2.9% tax to apply to initial $200,000 income among individuals or the $250,000 for married couples who filed jointly. The focus rose to an average of 3.8% where incomes exceeded the amounts involved in partially funding the subsidies. Parts D. And B. were partially funded through premiums that Medicare enrollees paid as well as general fund revenues. In 2006, surtax additions within Part B premiums included higher-income variables and partial financing on Part D. The 2010 legislation on surtax was increased to Part D premiums with higher income categories partially funding the system (Almgren, 2013).
There are different circumstances through which people qualify for coverage of Medicare. Further, the policy defines how Part A of Medicare premiums can be waived entirely (Moniz & Gorin, 2013). Individuals qualify for the policy at the age 65 years. Other participants include U.S. citizens with permanent legal residence across five a period of five concurrent years with their spouses and qualifying ex-spouses having paid all Medicare taxes in the past decade. Another category of qualifiers include individuals under the age of 65 and with disabilities (Nadeau, Belanger & Petry, 2014). The focus includes receiving Railroad Retirement Board disability or Social Security SSDI benefits. The individuals should receive the benefits for close to 24 months from the entitlement date. The point of reference is eligibility for the initial disability payment prior increasing eligibility of enrolling in Medicare (Holtz, 2008). Further, individuals getting continuing dialysis to address end stage renal disease and those requiring kidney transplants are persons qualifying in the policy. Lastly, people with eligibility for Social Security Disability Insurance as...
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