• Research Paper on:
    Medicare Policy Change Proposal Memorandum

    Number of Pages: 2


    Summary of the research paper:

    A 2 page memo to Thomas Scully, Administrator, Centers for Medicare and Medicaid Services proposing a 6 – 9 month moratorium on health care provider reporting compliance. The purpose of this waiver will be to allow providers to design and implement operational changes designed to streamline their communications with CMS while enabling them to adopt the TQM (total quality management) principle of continuous improvement. The ultimate result is intended to be a more effective reporting and accountability system that the private sector – rather than taxpayer dollars – designs for CMS and for all of health care providers associated with Medicare. Bibliography lists 6 sources.

    Name of Research Paper File: CC6_KSmediPolChgMemo.rtf

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    Unformatted Sample Text from the Research Paper:
    Change Proposal Date: One attempt at Medicare reform has been implementation of the prospective payment system (PPS) designed to replace the fee-for-service  approach to payment under Medicare coverage. PPS addresses cost containment, but it also has caused many seniors to lose HMO coverage as providers choose not to seek to implement  yet another change in Medicare regulations. A goal of many government operations from the late 1980s has been to strive to operate the  business of government more like a business and less as a bureaucracy. By definition, bureaucracy is inflexible and unyielding; we are all well aware that such a structure is  incompatible with todays rapid evolution of the health care industry. One OB-GYN resident at the University of Tennessee Medical Center holds a $100,000  educational loan debt and will incur an immediate $100,000 malpractice premium upon entering private practice (Joyner, 2002). This young MDs goal was to take part in bringing joy into  new parents lives; she will begin her practice at more than a quarter million dollars in debt. She has no recourse but to charge amounts sufficient for retiring this  debt while meeting operational overhead expenses. As the federal government seeks to gain the benefits of increasing quality while simultaneously reducing costs -  the essence of Total Quality Management (TQM) - CMS also needs to extend the same opportunity to its health care providers. There is much controversy in what course Medicare  should take in the future, but one issue on which CMS and providers agree on is that each needs to have the freedom it needs to improve service while containing 

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