Open Always
Email: Call Now! +1-315 515-4588
Open Always
Email: Call Now! +1-315 515-4588

Sample Paper on Similarities and Differences of Medicare and Medicaid Managed Care Plans

This sample paper on (Sample Paper on Similarities and Differences of Medicare and Medicaid Managed Care Plans) was uploaded by one our contributors and does not necessarily reflect how our professionals write our papers. If you would like this paper removed from our website, please contact us our Contact Us Page.

A Database of over Million Scholarly Resources. Start your Search Now

Sample Paper on Similarities and Differences of Medicare and Medicaid Managed Care Plans
Strengths, weaknesses and incentives between Medicare and Medicaid

The diverging arrangements of both Medicare and Medicaid initiatives have led to differing incentives relating to double eligibility in recipients with no harmonized care. The major focus of both healthcare schemes is to trim down medical fees and none of the schemes has an incentive that takes into consideration the quality of medical care services presented. Medicare plan is managed by the national government and persons who are qualified for the plan are those who are 65 years and above, regardless of their salaries (Ridge, 2007). However, young persons who are disabled and are eligible for Social Security’s disability are also qualified for this program. Medicaid is a program managed by the government and offers insurance cover for each and every income-based worker of all ages. The major strength of both programs is that that they present individuals with an opportunity for double eligibility.

It is important to provide extensive acute on top of lasting health care services for dually qualified beneficiaries of both health care plans. The main limitation of Medicare is that it does not cover for services such as severe dental care and transportation services. The main service that is not insured by Medicare program is long-term medical care. Additionally, it mainly covers the aged and does not consider people below the age of 65 years. Medicaid also has a limitation in that it is more expensive in comparison with the Medicare program. Additionally, patients who are single must be financially insolvent so as to meet the requirements for Medicaid. Nonetheless it is apparent that each and every service that is not covered by Medicare is compensated by Medicaid health plan (Holahan, & McMorrow, 2012).

Commitment to access for both plans

Medicaid and Medicare programs have been for a long time the primary means through which a huge part of the population acquires access to medical care in America. It is apparent that Medicaid program is more dedicated toward supporting medical access than Medicare program. In 1960, approximately 10 million American’s citizens were registered for Medicaid program. This figure has progressively improved and presently, more than forty one million Americans are insured by the healthcare plan. The minimal dedication of Medicare is as a result of the absence of major improvement on eligibility prerequisites since 1970 (Grabowski, 2007). An example of Medicaid growth plan that has resulted in improved accessibility to medical care is the State children’s medical cover scheme. Medicaid plan may be seen as the best health initiative anywhere since it covers nearly every service that one can imagine but in reality, the dependability of Medicaid is rather different. Patients lack adequate access to medical care givers and there is lack of synchronization and continuity of health care. This is mainly as a result of reduced payment rates. Due to the ever growing costs of medical care, Medicare and Medicaid programs are struggling to create balance between access extension and regulation of charges. The main similarity among both programs is that they are financed by the government and also they work in collaboration to provide medical costs insurance to the underprivileged and aged population (Grabowski, 2007).

Risks to the consumer associated with either plan.

The cost expansion risk is part of the consumer risks linked with both health care programs. Insufficient medical services, is a consumer risk linked with Medicaid. With the growing number of patients who are covered, there are insufficient primary care physicians. General practitioners in various states are disheartened by Medicaid program. As a result persons insured by Medicaid scheme regularly are reported to have poorer health form when compared with the uncovered and those insured by private plans. An aspect linked with Medicare plan is barring physicians from receiving medical imbursement that exceeds the amount supposed to be compensated by Medicare recipients. Fraud and misuse, is an additional consumer risk that is linked with the two health care plans. With a large number of people being registered for these initiatives, fraud is a recurrent problem. The subject of misuse and fraud is common as a result of the fact that there is inadequate supervision to dealers, providers and other individuals who are involved in the health care programs (Holahan, & McMorrow, 2012).

Recommendations for improvement of each medical plan

There are several recommendations that may be of assistance in improving health care programs. The Medicaid plan is recommended to give better support to standardized eligibility. This would assist in solving the problem of unmarried patients’ prerequisite to be low-income earners in order to be covered. Another suggestion is for the plan to boost the amount of funds paid to doctors participating in the plan. This would enhance accessibility and the standard of medical services offered to patients covered by Medicaid plan. Owing to the fact that Medicaid program is more costly than Medicare, there should be attempts to trim down the costs. Consequently, this would reduce the consumer risk of augmented expenses.

On the other hand, the recommendation for the Medicare program is dependent on coverage, access and suitability conditions. Presently, only citizens aged 65 and beyond are qualified for Medicare program. Incorporating the rest of the citizens would endorse accessibility to medical treatment. Another proposal is lessening Medicare expenditure, which will assist in bringing down the fees of medical services for covered patients. It is also advisable for Medicare to increase the variety of services presented to beneficiaries. This should include long term medical services and additional ones such as transport services. This is due to the fact that the recipients are the aged populace and disabled children who may have inadequate access to transport amenities.


Grabowski, D. C. (2007). Medicare and Medicaid: Conflicting Incentives for Long‐Term Care. Milbank Quarterly, 85(4), 579-610.

Holahan, J., & McMorrow, S. (2012). Medicare and Medicaid spending trends and the deficit debate. New England Journal of Medicine, 367(5), 393-395.

Ridge, S. B. (2007). Medicare and Medicaid. In Fundamentals of Geriatric Medicine (pp. 73-79). Springer New York.

Sharing is: CARING

Are you looking for homework writing help? Click on Order Now button below to Submit your assignment details.

Homework Writing Help
We Can Help you with this Assignment right now!
Sample Paper on Similarities and Differences of Medicare and Medicaid Managed Care Plans

Are you looking for homework writing help on (Sample Paper on Similarities and Differences of Medicare and Medicaid Managed Care Plans)?Well, you can either use the sample paper provided to write your paper or you could contact us today for an original paper. If you are looking for an assignment to submit, then click on ORDER NOW button or contact us today. Our Professional Writers will be glad to write your paper from scratch.


We ensure that assignment instructions are followed, the paper is written from scratch. If you are not satisfied by our service, you can either request for refund or unlimited revisions for your order at absolutely no extra pay. Once the writer has completed your paper, the editors check your paper for any grammar/formatting/plagiarism mistakes, then the final paper is sent to your email.

Writing Features

Sample Paper on Similarities and Differences of Medicare and Medicaid Managed Care Plans

Privacy| Confidentiality

Sample Paper on Similarities and Differences of Medicare and Medicaid Managed Care Plans

We do not share your personal information with any company or person. We have also ensured that the ordering process is secure; you can check the security feature in the browser. For confidentiality purposes, all papers are sent to your personal email. If you have any questions, contact us any time via email, live chat or our phone number.

Our Clients Testimonials

  • I appreciate help on the assignment. It was hard for me but am good to go now

    Impact of pollution on Environment
  • Am happy now having completed the very difficult assignment

    Creative Message Strategies
  • Your writer did a fine job on the revisions. The paper is now ok

    Ethics: Theory and Practice
  • The paper was so involving but am happy it is done. Will reach you with more assignments

    Title: Privatization in or of America
  • I expected perfection in terms of grammar and I am happy. Lecturer is always on our head but was pleased with my paper. Once again, thanks a lot

    Title: Bundaberg Inquiry
  • The paper looks perfect now, thank to the writer

    Health Care Systems
  • You helped me complete several other tasks as you handled paper. wonna thank you

    Critique Paper on Political Change

Related Articles

Sample Paper on Similarities and Differences of Medicare and Medicaid Managed Care Plans

Analyze the Nursing Roles in providing Comprehensive care in a Variety of Community Health Settings

Community Settings This week’s graded topics relate to the following Course Outcomes (COs). CO3: Plan prevention and population-focused interventions for vulnerable populations using professional clinical judgment and evidence-based practice. (POs...
Read More

Case Study Assignment on Ethical Issues in Asia-Pacific business

Case study assignment on Ethical Issues in Asia-Pacific business For this assignment, students will write a case study report in 2,000 words based on a case identified with circumstance or...
Read More

Sample Report Paper on The proposed reward system and strategy for the big city university

A good reward system should motivate workers. It should also attract and retain the same workers. On the contrary, a bad reward system does not do either of these things....
Read More

Management of PCOS through Homoeopathy-A case report

Introduction PCOS is the acronym for Polycystic Ovarian Syndrome. It is the most common endocrine disorder of women in their reproductive period manifested by irregular menstrual cycles and polycystic ovaries,...
Read More

Get more from us…

Would you like this sample paper to be sent to your email or would you like to receive weekly articles on how to write your assignments? You can simply send us your request on how to write your paper and we will email you a free guide within 24-36 hours. Kindly subscribe below!

Email Address: