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Essay / Research Paper Abstract
A 3 page research paper that discusses Medicare reform. The writer discusses how, in 2003, the Medicare Payment Advisory Commission issued a report that indicated that, since the early 1990s, the government had considerably overpaid hospitals for the care of Medicare patients. The writer then discusses arguments that hospital advocates could offer to policymakers depending the hospital industry. Bibliography lists 2 sources.
Page Count:
3 pages (~225 words per page)
File: D0_khhosmed.rtf
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Unformatted sample text from the term paper:
on Medicare and Medicaid payers have increased debt cost" not less (McCue and McCluer, 2008, p. 3). Many hospitals are already experiencing fiscal problems that can, conceivably, threaten their existence
and the manner in which they provide healthcare services for American communities. For example, in an effort to contain costs, many hospitals have been forced to close their emergency departments.
When Medicare costs are cut by Congress, the usual reaction of the providers of medical care is to pass on increased charges to other paying clientele, i.e., those
who are covered by private insurers (Cohan, 2008). However, there are limits to this strategy and policymakers should consider what will happen when both doctors and hospitals cannot simply increase
charges to other patients to makeup for decreasing Medicare payments (Cohan, 2008). These caregivers may decide to limit the number of Medicare patients for whom they offer care or they
may limit the extent to which free or discount care is offered to uninsured (Cohan, 2008). This is a form of "cost-shifting" that is detrimental to the country in the
long term (Cohan, 2008). It has been repeatedly shown by social research that when people are asked to pay more out-of-pocket, they may postpone seeking medical care or fail
to take expensive prescription medications as prescribed. This acerbates medical conditions and results in increases in acuity levels and hospitalizations, which, in the long run, increase Medicare expenses. As this
suggests, in this "form of cost-shifting...the cost comes in the form of higher medical debt-or unmet medical needs-for people who find themselves without adequate insurance" (Cohan, 2008, p. A11).
Past efforts to rectify the problems with the way that Medicare is administered show conclusively that the "more that conservatives try to make Medicare like the rest of the
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