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Module 4 – Case

MEDICARE, MEDICAID, AND THE DELIVERY SYSTEM

Assignment Expectations

Watch this short video:

What Is Medicare? 6/4/14 [embedyt] http://www.youtube.com/watch?v=PamIqQfL_3k[/embedyt]

Having completed the assigned reading, you should now have a basic understanding of the role of Medicare and its impact on the delivery system. For the Module 5 Case Assignment, conduct additional research as needed and prepare a 4 page paper to address the following questions:

1. Briefly describe how hospitals and physicians are reimbursed under the current Medicare payment mechanism.
2. Discuss what Medicaid is, what it covers, and how physicians are reimbursed.
3. Briefly describe how Accountable Care Organizations (ACO) will be reimbursed under the proposed Medicare ACO rule.
4. In your opinion, what would be the key to the success of the proposed ACOs, possibly leading to a fundamental overhaul of the delivery system? List three factors you believe to be crucial and justify your answer.