Health Care System Evolution

Health Care System Evolution
Brook Rayworth
September 26, 2011
Health Care System Evolution
      CMS or Centers for Medicare and Medicaid Services is a public-sector program, and one of the major financers of health care servicing a very large portion of the United States population. CMS is part of the government’s role in the health care system. Medicaid, according to   “ the official U.S. Government Site for Medicare” (2001) is “a joint Federal and State program that helps pay medical costs for some people with limited incomes and resources” (para. 1). To receive a better understanding of how CMS has helped to evolve the health care system, in this paper the subjects to discuss are CMS’s benefit structure, a brief look at the origins of CMS, the competitive bidding program, and how CMS addressed congressional directives.
Benefit structure
Medicaid and Medicare are two different programs. Medicaid is a state governed program. Eligibility for Medicaid is intended for low income pregnant women, children under the age of 19, and for people 65 and over, are blind, are disabled, or in need of nursing home care ( the official U.S. Government site for Medicare, 2001). Medicare is a federal governed program. Eligibility for Medicare is intended for people who are 65 years of age and over, are permanently disabled to the extent that cannot work, or people of any age experiencing kidney failure or long-term kidney disease (" The Official U.S. Government Site For Medicare", 2001). Although Medicaid and Medicare are different programs, some people do qualify for them both and are referred as ‘duel eligible’.
Brief Origin
One way to learn how Medicaid and Medicare have influenced current health care systems is to learn the origins and focus of the programs. According to a PowerPoint presentation from the Henry J. Kaiser Family Foundation, Medicaid was “enacted in 1965 as companion legislation to Medicare (Title XIX) that...