Medicare And Medicaid

Medicare and Medicaid are federal programs that cover a large proportion of the US population with healthcare. The two have similar objectives in the area of providing care, but there are significant differences in them that concern reimbursement.

Tasks:
Describe each program, Medicare and Medicaid.
Provide the major features of each program.
Discuss how these programs differ from each other.
Briefly describe the process of how to bill for each program.

Sample Solution

Medicare is a federal health insurance program for people over the age of 65 and certain younger individuals with disabilities. It covers hospital stays, doctor visits, preventive services, laboratory tests, durable medical equipment, home health care services, mental health care and prescription drugs. Medicare is funded through payroll taxes and premiums paid by beneficiaries.

Medicaid is a state-run public health insurance program for low-income individuals and families who meet eligibility requirements based on income level or disability status. It provides coverage to millions of children as well as adults in certain circumstances such as pregnant women and those living with HIV/AIDS or other disabilities. Medicaid covers a variety of healthcare costs including doctor visits;

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