Discussion week 8

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Walden University *

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6521

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Medicine

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Dec 6, 2023

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The program I chose is Policy evaluation of the Medicare and Medicaid Services The Centers for Medicare and Medicaid Services (CMS) is responsible for administering the Medicare and Medicaid programs. These programs provide health insurance coverage to millions of Americans, including seniors, people with disabilities, and low-income individuals and families." The Medicare and Medicaid programs are complex and costly, and they have come under increasing scrutiny in recent years. As a result, CMS is constantly looking for ways to improve the efficiency and effectiveness of these programs. One way CMS does this is by evaluating existing programs and policies to see if they are achieving their intended goals and providing value for money. CMS has conducted a few evaluations of the Medicare and Medicaid programs in recent years. These evaluations have looked at a wide range of issues, including the quality of care provided, the cost of care, the administrative burden of the programs, and the overall impact of the programs on the health care system. The results of these evaluations have been mixed. Some evaluations have found that the Medicare and Medicaid programs are doing a good job of providing quality care at a reasonable cost. Other evaluations have found that there are significant problems with the programs that need to be addressed. The efficiency of the services provided by Medicare and Medicaid may be evaluated using a variety of different methods. Looking at the total number of participants who have signed up for the program. As of the year 2019, there were more than 60 million individuals signed up for Medicare, and there were more than 70 million people signed up for Medicaid. This demonstrates that a big number of individuals are taking use of these services, and most of those

people are pleased with them. The number of persons who can improve their lives as a result of participating in these programs is another metric that may be used to evaluate the efficiency of these services. Participants in Medicare are eligible to receive several benefits, such as hospital insurance, reimbursement for the cost of prescription drugs, and financial aid if they have a low income. In addition, Medicaid participants get a wide range of benefits, such as financial support for medical expenses and assistance with long-term care. Examining the number of individuals who report feeling content with the services provided is the third method for determining the degree to which these programs are successful. Polls of customer satisfaction are carried out on a regular basis, and the findings of these surveys indicate that many enrollees are pleased with the quality of the services they get. The expense of the various programs is still one more factor to consider when determining the efficiency of the services. Both Medicare and Medicaid get funding from the state governments as well as the federal government. Although the bulk of the expenses are covered by the federal government, the states are also responsible for providing a significant portion of the financing. The combined costs of Medicare and Medicaid each year exceed one trillion dollars. When seen as a whole, the health care coverage that Medicare and Medicaid provide to a substantial number of individuals is provided in an efficient and effective manner. Because the federal government and the states contribute to the funding of the programs jointly, they are not only efficient but also economical. Social determinants play a significant role in the effectiveness of the Medicare and Medicaid services. As mentioned before, income is a major factor in determining who is enrolled in the

program and who receives benefits from the program. Low-income individuals are more likely to rely on the program for their healthcare needs, whereas higher-income individuals tend to have other options and may not use the program as often. Race and ethnicity also play a role in the effectiveness of the program. African Americans and Latinos are more likely to be enrolled in the program and to receive benefits from the program than whites. This is likely since these groups tend to have lower incomes and less access to other healthcare options. The Medicare and Medicaid services have been shown to be effective in providing healthcare to Americans. However, there are still some disparities in who is able to access the program and who benefits from it. Social determinants such as income, education, and race/ethnicity play a significant role in these disparities. References.  Schwartz, A. J., Clarke, H. D., Sassoon, A., Neville, M. R., & Etzioni, D. A. (2020). The clinical and financial consequences of the Centers for Medicare and Medicaid Services' Two-Midnight Rule in total joint arthroplasty. The Journal of Arthroplasty , 35 (1), 1-6.  Lee, Y., Mozaffarian, D., Sy, S., Huang, Y., Liu, J., Wilde, P. E., ... & Micha, R. (2019). Cost-effectiveness of financial incentives for improving diet and health through Medicare and Medicaid: A microsimulation study. PLoS medicine , 16 (3), e1002761.  Rezaei, J., van Roekel, W. S., & Tavasszy, L. (2018). Measuring the relative importance of the logistics performance index indicators using Best Worst Method. Transport Policy , 68 , 158-169.

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 Kan, M., Tosun, F., Kan, A., Dogan, H. G., Ucum, I., & Solmaz, C. (2019). Young farmers in agriculture sector of Turkey: Young farmers support program.  Zhang, Y., Zhang, Y., Sholle, E., Abedian, S., Sharko, M., Turchioe, M. R., ... & Ancker, J. S. (2020). Assessing the impact of social determinants of health on predictive models for potentially avoidable 30-day readmission or death. PLoS One , 15 (6), e0235064.  Essien, U. R., Kornej, J., Johnson, A. E., Schulson, L. B., Benjamin, E. J., & Magnani, J. W. (2021). Social determinants of atrial fibrillation. Nature Reviews Cardiology , 18 (11), 763-773. 1. The criteria used to measure the effectiveness of this program or policy are many, but include: the number of people enrolled in the program, the number of people who receive benefits from the program, the number of people who are satisfaction with the program, and the cost of the program.

2. The evaluation of the Medicare and Medicaid services shows that these programs have had a positive impact on the health of Americans. The number of people enrolled in the program has increased over the years, and the number of people who receive benefits from the program has also increased. The program has also been shown to be satisfaction with the program, and the cost of the program has been reasonable. 3. Social determinants such as income, education, and race/ethnicity impact the effectiveness of the Medicare and Medicaid services. For example, low-income individuals are more likely to be enrolled in the program, and to receive benefits from the program. However, higher-income individuals are more likely to be satisfied with the program. Race/ethnicity also impacts the effectiveness of the program, with African Americans and Latinos being more likely to be enrolled in the program, and to receive benefits from the program, than whites. Step-by-step explanation QUESTION 1  "The Centers for Medicare and Medicaid Services (CMS) is responsible for administering the Medicare and Medicaid programs. These programs provide health insurance coverage to millions of Americans, including seniors, people with disabilities, and low-income individuals and families."  The Medicare and Medicaid programs are complex and costly, and they have come under increasing scrutiny in recent years. As a result, CMS is constantly looking for ways to improve the efficiency and effectiveness of these programs. One way CMS does this is by evaluating existing programs and policies to see if they are achieving their intended goals and providing value for money.  CMS has conducted a number of evaluations of the Medicare and Medicaid programs in recent years. These evaluations have looked at a wide range of issues, including the quality of care provided, the cost of care, the administrative burden of the programs, and the overall impact of the programs on the health care system.  The results of these evaluations have been mixed. Some evaluations have found that the Medicare and Medicaid programs are doing a good job of providing quality care at a reasonable cost. Other evaluations have found that there are significant problems with the programs that need to be addressed.  Overall, it is clear that the Medicare and Medicaid programs are complex and costly, and that there are areas where improvements can be made. CMS will continue to conduct evaluations of these programs in order to identify ways to improve the efficiency and effectiveness of the programs. QUESTION 2  The efficiency of the services provided by Medicare and Medicaid may be evaluated using a variety of different methods. Consider taking a look at the total number of participants who have signed up for the program. As

of the year 2019, there were more than 60 million individuals signed up for Medicare, and there were more than 70 million people signed up for Medicaid. This demonstrates that a big number of individuals are taking use of these services, and the majority of those people are pleased with them.  The number of persons who are able to improve their lives as a result of participating in these programs is another another metric that may be used to evaluate the efficiency of these services. Participants in Medicare are eligible to receive a number of benefits, such as hospital insurance, reimbursement for the cost of prescription drugs, and financial aid if they have a low income. In addition, Medicaid participants get a wide range of benefits, such as financial support for medical expenses and assistance with long-term care.  Examining the amount of individuals who report feeling content with the services provided is the third method for determining the degree to which these programs are successful. Polls of customer satisfaction are carried out on a regular basis, and the findings of these surveys indicate that the vast majority of enrollees are pleased with the quality of the services they get.  The expense of the various programs is still one more factor to consider when determining the efficiency of the aforementioned services. Both Medicare and Medicaid get funding from the state governments as well as the federal government. Although the bulk of the expenses are covered by the federal government, the states are also responsible for providing a significant portion of the financing. The combined costs of Medicare and Medicaid each year exceed one trillion dollars.  When seen as a whole, the health care coverage that Medicare and Medicaid provide to a substantial number of individuals is provided in an efficient and effective manner. Because the federal government and the states contribute to the funding of the programs jointly, they are not only efficient but also economical. QUESTION 3  The evaluation of the Medicare and Medicaid services shows that these programs have had a positive impact on the health of Americans. The number of people enrolled in the program has increased over the years, and the number of people who receive benefits from the program has also increased. The program has also been shown to be satisfaction with the program, and the cost of the program has been reasonable.  The increase in the number of people enrolled in the program can be attributed to the fact that the program provides access to quality healthcare services. The program has also been shown to be effective in providing benefits to people who need them. The program has been shown to be satisfaction with the program, and the cost of the program has been reasonable.  The Medicaid program has been shown to be an effective way to provide access to quality healthcare services. The program has also been shown

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to be effective in providing benefits to people who need them. The program has been shown to be satisfaction with the program, and the cost of the program has been reasonable. QUESTION 4  Social determinants play a significant role in the effectiveness of the Medicare and Medicaid services. As mentioned before, income is a major factor in determining who is enrolled in the program and who receives benefits from the program. Low-income individuals are more likely to rely on the program for their healthcare needs, whereas higher-income individuals tend to have other options and may not use the program as often.  Race and ethnicity also play a role in the effectiveness of the program. African Americans and Latinos are more likely to be enrolled in the program and to receive benefits from the program than whites. This is likely due to the fact that these groups tend to have lower incomes and less access to other healthcare options.  The Medicare and Medicaid services have been shown to be effective in providing healthcare to Americans. However, there are still some disparities in who is able to access the program and who benefits from it. Social determinants such as income, education, and race/ethnicity play a significant role in these disparities. References.  Schwartz, A. J., Clarke, H. D., Sassoon, A., Neville, M. R., & Etzioni, D. A. (2020). The clinical and financial consequences of the Centers for Medicare and Medicaid Services' Two-Midnight Rule in total joint arthroplasty. The Journal of Arthroplasty , 35 (1), 1-6.  Lee, Y., Mozaffarian, D., Sy, S., Huang, Y., Liu, J., Wilde, P. E., ... & Micha, R. (2019). Cost-effectiveness of financial incentives for improving diet and health through Medicare and Medicaid: A microsimulation study. PLoS medicine , 16 (3), e1002761.  Rezaei, J., van Roekel, W. S., & Tavasszy, L. (2018). Measuring the relative importance of the logistics performance index indicators using Best Worst Method. Transport Policy , 68 , 158-169.  Kan, M., Tosun, F., Kan, A., Dogan, H. G., Ucum, I., & Solmaz, C. (2019). Young farmers in agriculture sector of Turkey: Young farmers support program.  Zhang, Y., Zhang, Y., Sholle, E., Abedian, S., Sharko, M., Turchioe, M. R., ... & Ancker, J. S. (2020). Assessing the impact of social determinants of health on predictive models for potentially avoidable 30-day readmission or death. PLoS One , 15 (6), e0235064.  Essien, U. R., Kornej, J., Johnson, A. E., Schulson, L. B., Benjamin, E. J., & Magnani, J. W. (2021). Social determinants of atrial fibrillation. Nature Reviews Cardiology , 18 (11), 763-773.

Discussion week 8

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