American Healthcare

Paper Summary:

This paper provides a detailed and comprehensive analysis of how hospitals in the United States can protect their revenue streams as the number of Medicare and Medicaid patients increase. The paper begins with a brief discussion of both Medicare and Medicaid programs. It then goes on to detail initiatives that would be an effective way of protecting hospital revenue.

Table of Contents:
Introduction
Medicaid and Medicare Programs
Hospitals Revenue Streams
Reform Long-Term Care
Focus on the Sickest Individuals
Encourage Prevention
Investigate Fraud and Abuse
Use of Electronic Records

From the Paper:

"the authors explain that states and hospitals that invest in keeping people healthy are able to avoid having to treat serious problems in the long run (Gordon & King 2004). Encouraging prevention includes well child visits, immunizations and prenatal care (Gordon & King 2004). For instance, in North Carolina's Pit County the Community Care plan was able to raise preventive health check-ups by 330 percent (Gordon & King 2004). The plan also increased sick visits by 60 percent between 2000 and 2001. In addition hospitals and other healthcare providers participated by focusing on health and safety related to wearing bicycle helmets, locking cabinets, and car seats. In addition the county provided a 24 hour nursing line which was provided by a local hospital."

Sample of Sources Used:

• Berryman, N. A., Feuerzeig, D. E., & Jungman, E. R. (2001). Health Care Fraud. American Criminal Law Review, 38(3), 913.
• Insurance: Medicare & Medicaid. American Dental Association. (2005) Retrieved February 7, from; http://www.ada.org/public/manage/insurance/medicare.asp
• King, M., & Gordon, D. (2004, March). Medicaid: 10 Fixes That Work Of All the Reforms States Have Retired, These Are the Ones That Hold the Most Promise. State Legislatures, 30, 14+. Retrieved February 8, 2006, from Questia database: http://www.questia.com/PM.qst?a=o&d=5002090991
• Medicaid and Medicare (2005). . Retrieved February 7, from; http://www.spectrum-health.org/ContentStore/caid%20care.pdf
• Medicare. (2004) Social Security Bulletin.. Pg: 35+.

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