In 2003, President Bush expanded Medicare, by subsidizing prescription drug costs under Part D. There are further changes to Medicare and Medicaid in the Affordable Care Act. There were expansions in the number of preventative health care services offered for free (such as colorectal screening), and by closing gaps in prior coverage (HHS, 2012). Berenson (2010) notes that the ACA pays for this expanded coverage by decreasing Medicare spending by reducing payments to private plans under Medicare Advantage and reduced payments for many providers. There are fears that this will cause many providers to either refuse Medicare patients or that the quality of care will be lowered. There are also changes to the structure of Medicare, the end result being more government intervention on the cost side of the program, in an attempt to use the program's bargaining power with health care providers to lower its costs. It is possible that providers will decrease the quality of service in response to the lower payouts, but there is also the possibility that providers will improve their efficiency in order to maintain profitability via improved throughput and lower variables costs, thereby allowing them to serve patients just as effectively and at a lower cost. Which of...
(2010). Implementing health care reform -- why Medicare matters. New England Journal of Medicine. Retrieved October 31, 2012 from http://comedsoc.org/images/Implement%20HCR%20Why%20Medicare%20Matters%20NEJM%207-8-10.pdfDirect to Consumer Advertising HISTORY OF DRUG ADVERTISING THE DTC ADVERTISING PHENOMENON CREATING DEMAND DECEPTIVE ADVERTISING - A WOLF IN SHEEP'S CLOTHING CAUSE OF DEATH PROFIT UTILIZATION, PRICING, AND DEMOGRAPHICS LEGISLATION, POLITICS AND PATENTS LEGISLATIVE INITIATIVES REGARDING DTC RECALLED and/or DEADLY DRUGS In order to provide the most efficient method of evaluation, the study will utilize existing stores of qualitative and quantitative data from reliable sources, such as U.S. Government statistical references, University studies, and the studies and publications of non-profit
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