Impeding Medicare Problems

Introduction Medicare has two sources of funding as Academy of Actuaries (1996 p. 6) explains. The first and the major source is the allocation from the federal budget while the rest of funding is derived from deductions from social security funds and its premiums. Recently, Medicare has not been receiving sufficient funding from the above sources. Consequently, this program has encountered financial and other operational problems that have left its budget in huge deficit.Advertising We will write a custom essay sample on Impeding Medicare Problems specifically for you for only $16.05 $11/page Learn More There seems to be minimal action to take by responsible organizations in mitigating the impacts of these problems, leaving the future of this program at stake. This paper addresses some of these problems and the impact they have to the beneficiaries of Medicare program. In addition, it provides and suggests solutions that could be put in place to arrest the situation affecting Medicare program. Medicare problems Owing to the impeding problems, the Medicare program is not going to be sustainable in the near future unless significant measures are taken. To start with, the current funding of beneficiaries by this program does not take into consideration the diversity existing within the senior citizens population. As McKenzie and colleagues (2008, p 445) explains, it allocates Medicare benefits equally to the senior citizens who are 65 years and above. As such, this plan fails to consider that there are differences in health care needs for the senior citizens aged 80 from those who are 65 year of age. To be more specific, there is likelihood for a person aged 80 years to experience health problems more than a younger person aged 65. As a result, this plan is unfair not to the recipients alone but even to the doctors who offer these medical services. According to McKenzie et al (2008, p 445), as the number of senior citizens who are re tiring increases, the health care costs have been rising rapidly. Similarly, Medicare liabilities have been escalating with time. At the same time the funding of the health care benefits from the employers is decreasing with even some abandoning it. It is possible that people are going to lose as it becomes more and more expensive. According to the 1995 trustee report, (as cited in American Academy of Actuaries, 1996 p. 6), â€Å"in the 35 years (from 1995), the Medicare program income will be sufficient to pay only 47% of the program’s cost and only 35 % of its costs over the last 25 years of that period if the current trend persists.† It is possible to sustain the Medicare program services intact through the support of the federal budget. But as McKenzie, J. F et al (2008, p 445) explains, the federal budget is already experiencing crises with the existing liabilities of this program and there is no likelihood of such choice in the near future.Advertising Lookin g for essay on health medicine? Let's see if we can help you! Get your first paper with 15% OFF Learn More As the rate of healthcare spending increase, policy makers and third party payers will be forced to evaluate new cost-control solutions. As American Academy of Actuaries, (1996, p. 13) explains, legislators are already considering to effect cost cutting measures in future such as reduction of the number of people receiving benefits, reduction of the costs to the government and reduction of costs per beneficiary. Of course, this will have a great negative impact on the traditional delivery of health care. According to Mechanic (2006, p. 19), the supplementary Medicare insurance program does not have a separate payroll tax. Rather, it is financed through contributions from general revenues of the federal budget and direct premiums from the participants of this program. Thus, the funding of this program is determined every year. This translates into inadequacies in finan cing this program. In the next 10 years, the expenditure for this program is expected to triple. This will have a big impact on the federal budget Solution Media coverage can help to bring awareness and tress more about the problems facing this program to people. Through the media can we can be able to solve these problems by clearly bringing out the causes of the existing problems in this program to the American society. Of course, Medicare program benefits and is expected to benefit a great number of American citizens. Therefore, increased sensitization of this matter to the people is likely to easily elicit reaction from a bigger section of the society. This will help to push the government to play its relegated role in setting up policies that focuses on supporting Medicare program. Viable strategies by the government to strengthen this program will give assurance health safety future for all Americans now and in future, (Mechanic, D., 2006, p 19). Suggestions One of the options to address the problems facing Medicare is to increase age of eligibility, (American Academy of Actuaries, 1996 p. 6). Currently, the retirement age of Americans is 65. The normal retirement age for social security funds is scheduled to increase to age of 67. The main purpose of establishment of Medicare program was to provide benefits to individuals after retirement. It will thus be advisable to increase the eligible age for Medicare benefits to be consistent with the normal age of retirement. Though a significant number of those who retire early may not be covered by health insurance, this will help to eliminate a significant amount of already existing deficit. However, if the age of retirement and also age of eligibility for Medicare benefits increase to say 70 years, this would help to eliminate much of the existing Medicare deficit if not all. The second option to deal with the problems facing Medicare benefits is to eliminate some coverage services. Currently, Medicare is lim ited to deal with services that are necessary for the treatment of illnesses or injury, (American Academy of Actuaries, 1996, p. 6).Advertising We will write a custom essay sample on Impeding Medicare Problems specifically for you for only $16.05 $11/page Learn More But, some of the services involved could be considered unnecessary for the treatment of injuries or diseases. hospital insurance for health care agencies and nursing homes as well as the supplementary medical insurance payments meant for durable medical equipments can be terminated and help to solve at least two-fifths of the existing Medicare deficit. Another suggestion is to increase share of costs for the beneficiaries. This means that the beneficiaries’ can be increased as much as to help eliminate the existing deficit. As American Academy of Actuaries (1996, p. 6) explains, this can be achieved through increment of coinsurance and deductibles. If the increased sharing of costs is not covered by insurance, it means that there will be likelihood of reduced utilization. However, the savings form the utilization would be relatively small and affect supplementary medical insurance more. Financial problem facing Medicare may be mitigated by increasing recoveries from other insurance. Currently, Medicare is seen as a minor player to other forms of health insurance veteran administration benefits, workers’ compensation and employer-sponsored insurance. Stricter focus of Medicare as a secondary player by the present law compared to the others may help to reduce Medicare costs (American Academy of Actuaries, 1996 p. 6). Another suggestion is to growth of overall payments or to reduce the rates of repayment to the providers. Efforts by policy the government to constrain reimbursements have proved inadequate for restoring Medicare solvency (American Academy of Actuaries, 1996, p. 6). To achieve this objective, major reductions in the growth of Medicare payments would be required that could disrupt the providers severely. For example, a 1% growth in hospital reimbursement for each of the next 10 years will help to maintain solvency over 10 years. Such a change will be more effective if it is consistent the overall health reimbursement policy and also the practices of other players. Conclusion Medicare is and will remain being a popular program among the citizens. But the problems facing this program will be there both in the short and in the long-run if not addressed adequately and quickly. As the senior citizens retiring increases, costs associated with Medicare will continue to rise. Eventually, this will have a dire effect to the recipients and to the government. This explains why this program requires immediate action to its income and outlays into balance.Advertising Looking for essay on health medicine? Let's see if we can help you! Get your first paper with 15% OFF Learn More The public can help a lot in achievement of this end. Of course, this will require increased sensitization about what is happening to this program. The media can help a lot to reach to the public and stress this information to them. Still, to deal with financial problem affecting Medicare, there are various different options that can be employed. It is therefore the duty of the government to evaluate the many available options, put them into practice and save this program. Reference List American Academy of Actuaries. (1996). Solutions to Medicare financial problems: public policy monograph. Washington, D. C.: American Academy of Actuaries publications. Retrieved from https://www.actuary.org/sites/default/files/pdf/socialsecurity/socsec_m.pdf McKenzie, J. F., Pinger, R. R., Kotecki, J., E. (2008). Problems with Medicare and Medicaid: An introduction to community health. London: Jones Bartlett Learning Mechanic, D. (2006). The need for change and the forces against it, The truth ab out health care: why reform is not working in America. Piscataway: Rutgers University Press. This essay on Impeding Medicare Problems was written and submitted by user EdwardForrester to help you with your own studies. You are free to use it for research and reference purposes in order to write your own paper; however, you must cite it accordingly. You can donate your paper here.

Marketing Plan Assignment Sample

Marketing Plan Assignment Sample Marketing Plan Assignment Sample Marketing plan assignment sample is worked out to provide an example of the plan that will help to define the further directions of the company and identify its primary needs to achieve the stated aims. Marketing plan consists of the particular sections that include: market research (gathering and classifying the current data about the market of the the organization as well as its dynamics, customers, competition, and the current sales volume for the industry as a whole), market plan strategies (include advertising, direct marketing, training programs, trade shows, website), marketing plan budget (means that top managers need to review their current financial situation), and marketing goals (monitoring of the marketing plan results). Besides, the organization needs to identify the strategies that are working and those that are not working. Before performing the marketing analysis, an understanding of the core term has to be achieved. Thus, market research means gathering and classifying the current data about the market of the organization. Besides, a short introduction to the company itself has to be performed. The company PeopleAhead works with the improvement of the career advancement. Particularly, it provides a basis for the potential employees to find, advance, and develop the careers they already have by sharing their aims, holding conversations on their professional opportunities and development plans, and communication with other professionals in the related areas. On the basis of the examining of the market dynamics, customers, and the current sales volume for the industry as a whole, it has been revealed that the company currently helps people with the career advancement and improve the human capital in the organizations. The website of the company acts as a networking platform for the professionals and career matching. The market dynamics is reported to be positive. Besides, the company has its constant customers and productive sales. The examining of the competition will be focused on the small and medium businesses as these entities are underserved by the great competitors in the online recruitment market. Simultaneously, such choice stems from the fact that this demographic has a less effective recruitment procedure that would cause advantages mostly from the services of PeopleAhead. Within this segment, the HR managers are responsible for the sourcing of the applicants. The market plan strategies are the following: the company will become the leader of the career advancement online service where people would create a history and establish the connections in the place that would make the company a staple among the chosen websites. The company will deliver the professional development and the career opportunities to provide people with the opportunity to create the professional records and useful career advancement instruments. The marketing plan budget is the following: the overall cost structure would include the administrative and general operating expenses, the sales agent salaries, and marketing. The first year, marketing monthly costs are considered to be $6,250. Monthly overhead is expecting to achieve $24,750 and be constant. The marketing goals are: to use the brand matching technology; to establish a critical mass of the customers; to drive the traffic to the site through the marketing blitzes; and to start using the word-of-mouth advertising from the satisfied customers. Monitoring of the marketing plan results has to be performed as well. At you can buy a custom marketing plan online. All you need is to fill in the order form at your site.

Hitlers Table Talk, 1941-1944 Term Paper Example | Topics and Well Written Essays - 1500 words

Hitlers Table Talk, 1941-1944 - Term Paper Example Moreover, the conceptual accuracy of the statements in Picker’s book was notarized by Hitler’s personal aides, who witnessed most of the talks. Still, dubiousness to the book is given by the fact that the basic notes had been â€Å"finalized† by Henry Picker after the war, when he was captured by the British military forces. It is not impossible that the notes were entirely recomposed after the war and there is not doubt that such â€Å"revisions† were carried out under the order of British intelligence. The book still is in the middle of a fierce historical discussion. But no one denies that the book has a rational kernel, a grain of historical truth and is more than just the interesting fiction reading. A reader can notice immediately after reading that the book contains no answer to the most important question: How did it happen that the son of a petty official from the Austrian hinterland, poorly educated, with uncertain social background, inept and helpless, mastered all the dark forces and controlling them almost conquered the whole world? But the book is interesting in other ways. In the monologues, written in an informal setting, the leader of the Nazis is seen by the readers not only as a crazy dictator obsessed with mass murders, but quite often as a forehanded politician, understanding many areas of life, including individual and mass psychology. The book is nothing but the impressive collection of monologues and statements of Hitler, delivered in the most intimate circle, in the most private setting - during casual meals (lunch and dinners, but most often - the second dinners late after midnight) during the period 1941-1944. What is interesting in all this? The author clearly tries to study the development of Hitler’s thinking. This point is usually ignored by historians which is totally wrong. Personality of Hitler is revealed through

Jewish Cosmopolitanism in the Modern Era Essay Example | Topics and Well Written Essays - 1000 words - 1

Jewish Cosmopolitanism in the Modern Era - Essay Example The changes of the Jews shall be attributed to the main Anti-Semitic hatred forms that attributed the Jews as unique, thus deserving the hatred they received, and still to some reasonable measure, still receive. These are cultural, economic, religious, political, apocalyptic, and racial perceptions. Major cities in the world are cosmopolitan; meaning that they host diverse cultures, races, religions and tribes. Based on the Anti-Semitic belief by the Jews that predominantly having the desire to exercise the Jewish Culture would lead to the easy identification of Jews, much care is taken. There is also a belief that since the Jews were considered as the Chosen Lot, there was a tendency of them wanting to overturn any other culture and make people assimilate their culture. The result of this fear made the modern-day Jew take up the cultures of various cosmopolitan groups in the city, gifting them with diverse survival tactics that aped all the communities. This gave the modern Jews an upper hand as they were able to interact with all the groups. According to them, this was a survival skill they had to learn in order not to be distinct and conspicuous for any attack from the Anti-Semites. This was good, but eventually, Jews lose their touch with their culture.Judaism, the main Jewish religion, has had a long misunderstanding with Christianity ever since the emergence of Christianity. This misunderstanding arose from various factors that included the differences in beliefs about God.

Effects of Democratic and Autocratic management

Effects of Democratic and Autocratic management Different companies have different management systems. Every manager wants to use special management style for developing their own company. Managers personalities will influence the type of style adopted. Selecting the correct management style may lead to greater motivation and productivity the workers. There are many management styles, such as democratic, autocratic, consultative, Laissez Faire, and paternalistic. Every management style leads to each company has a different structure. If a company has a good management style, it will motivate its workforce. It may allow a company get more profits. If managers want to build a successful company, selecting a right management style is very important. Although each management style not only has advantages, for a company, they need to choose a management style carefully. If the management style cannot motivate workers, this company will have big problems, such as lower efficiency, hardly completed tasks or hardly execute managers decisi ons. Managers have many different ways to handle their labours. Some managers want to completely control the workers; some managers want to let workers more relaxed and have the freedom to finish their jobs. In this essay, I will compare and contrast two different management styles, which are democratic and autocratic, and evaluate how they can affect employees and motivate them. Firstly, I will explain democratic management style. This management style allows people joining manage the company and having their own ideas and ways for finish their jobs. However, workers must complete the job on time. Bill Gates is the most famous example of using the democratic management style. If the workers has different opinions, Bill encourage workers argue with him. (Ruth, 2008) Under this management style, when managers need to make important decisions, they will hold a meeting; listen to their workers ideas or suggestions. This way involves workers to manage the company; workers will think they are a part of company. Many people just work for money, if managers have no idea about how to motivate them; it may be result in lower efficiency. For a company to use, a management style of democratic which require worker have professional skills. And then, I will illustrate advantages and disadvantages about democratic management style. If the company use democratic management style, directors can get along well with workers, because between the boss and the workers, good communication is very important. Thus democratic management style helps them have a good communication. When important and complex decisions need to be made, the managers may be not able to consider all of the ways, so listening to other peoples ideas is very important. The democratic management style has the higher degree of motivation people. Although the democratic management style has many advantages, it also has some disadvantages. When the company has to make a decision, it will spend lots of time on collecting the workers ideas. They need hold to a meeting, and then choose the best solution. Another disadvantage is that if the workers have not enough skill and experience, potential mistakes are exiting, and sometimes, the manager cannot accepts workers ideas on each decision, workers will think the managers do not respect them. It will be harmful develop company. (Blurt it, 1999) Secondly, I will explain autocratic management style. This management style is totally different to democratic. Howell Raines and Martha Stewart is the classic example of how to use the autocratic management style to building a successful company. (Money-zine, 1999) Autocratic management style means the manager make all the important decisions, and require workers just need to complete tasks. In all the processes, workers do not take part in decision making. This will lead to workers is no sense of belonging, and workers cannot show their special abilities. Under this management style, workers just follow the directors commands. There are some advantages, the decision made quickly, because directors do not spend time on collecting workers ideas, and so, the tasks will be completed on time. Another advantage is that autocratic management style helps companies increasing efficiency when the company employ many lower skilled workers. On the other hand, this management style also has som e weaknesses. There is no two- way communication between managers and workers. Managers just require workers what they should do, but directors do not want to know what they think. Another disadvantage is that workers cannot always work hard for company. If there is another company can offer the higher salary, the worker will resign. This will become a problem for building a successful company. (Learn management2, 2000) Thirdly, I want to illustrate how to motivate workers? Workers are the basic resources of a company, so if managers want to build a successful firm, motivating them is very important. Motivating workers not only one way which increase salary, there are many ways for motivation labour. First, managers must have a good example for cheerful. Second, managers need to listen to workers think. Third, managers can draw a good picture of future showing for workers. Fourth, managers can not blind making decisions because of their personal like and dislike. Through above four methods, it can help motivate workers. In fact, not everyone works just for money. Many people think work is very interesting, so managers need to try to use another way to motivate them, other than increasing their wages. (Wiki how, 1999) Finally, I will compare which management style can more affect employee the most. Every style has good aspects for the companies. In this part, I will mainly compare democratic management style and autocratic management style. Democratic management style allow people to join decisions making, although the company need to spend more time collecting ideas, this way can improve workers enthusiasm. Once people have a sense of belonging, people will work harder. They will think the company is like working for their family; they will have greater powerful for job. However, there also are risks for the company. If workers take part in decisions, they must have professional skills and enough experiences, if some people do not actually reach this level, the mistakes will be made. On the other hand, under the autocratic management style, managers make all the decision, people just follow the order working. In fact, this management style also influences workers. Despotic leader always think peo ple just work for money, so if they pay workers, the workers will follow their orders, and the job will be completed on time. If a manager chooses the autocratic management style, they think increase the salary can motivate them. Nowadays, almost managers choose to allow people take part in decision making, because when managers want to encourage employees attending decision making, the autocratic management style should be not used, and if the workers become repugnant, the autocratic management style are also not effective. (Money-zine, 1999) In order to reduce the risks, they through provide more professional training chance for workers, or cooperate with professional school for obtain labour. If building a company, the boss makes all the decisions, and controls everything. It will lead to the boss having to work all the time and the potential mistake will still exist. It may be bad for the company. Mr. Robbins said that work committees and meetings are tow most popular ways of encouraging workers participation. (Stephen, 2002) Therefore, although the company need to spend many times on collecting ideas form workers; almost managers choose allowing workers taking part in decision making, such as democratic management style or paternalistic management style, and try to other ways to reduce mistake or error. Whether democratic or autocratic, managers just want to choose the best management style for their company. I think all managers want to motivate workers and increase efficiency. However, they choose different way to achieve their goal. The democratic management style and the autocratic management style are totally opposite management style. The democratic management style allow workers attend to make decisions, making workers feel they are a part of the company, and making them know development of the company is also their responsibility. However, the autocratic management style, managers make all the decisions, workers just complete managers commands. This allows workers do their job, and get their salary. Whether the company develop or not, they will not care. In the long term, their enthusiasm decrease. If managers want to motivate them, it may be by through increasing their income, but this is not the best way for motivation. If managers want to build a more efficiently company, motivating workers is become the most important thing.

Financial Planning Essay

A successful company has to have skilled workers in each level of the organization from top management to regular employees. A successful company must have good working relationship with suppliers and customers outside the organization as well. A successful company has to have enough funding to be able to execute the company’s plans and operations. Financial planning is a process that estimates the capital required and determining the company competition. It is important for a company to have financial policies in place for the organization to be successful. The objectives of financial planning are to figure out capital requirements because this will help determine cost of fixed and current assets. In the capital requirement process long and short term requirement has to be evaluated. A company must determine the capital structure of their organization, such as composition of capital and what capital needed for the business (Heer, 2012). In a business it is important to have a system in place to protect the lending and cash control situations. One of the positions that can help with financial planning is a financial manager, which is a manager that can make sure the resources of the company is being utilize to their best of the company ability. Financial planning is an important process that each company needs to use created objectives, implement policies and procedures. It is important to have adequate funds for the organization. Financial planning helps companies keep track of outflow and inflow of funds, which can create stability for the company (Ehrhardt & Brigham, 2011). It is vital for the company to make sure the suppliers investments are put back into the company. Financial planning is a process that can continue to help the company grow and expansion at the rate necessary for the company success. There is a lot of uncertainty with companies’ financial abilities but with the proper financial planning the uncertainty can be avoided. A company’s financial plan is used to help make the day-to-day decision within the company operations (Vietz, n.d.). By using the right financial information can determine the health of the company financially. No matter  what company a person has it is important to have financial plan in place. A company must plan right because financial burden come up and the company needs to be in a position to have funds available for the burden. A company must have capital to survive in the business world. A business knowing the proper way to financially keep the company making profits is a crucial step in doing business. A business use financial planning to help determine when revenue is up for the period and when revenue is down for the period. This is an important process because this will help determine when to buy product or services and when not to buy. It is vital for the owner to take these low points of revenue into account because expenditures will need to be tight (Ehrhardt & Brigham, 2011). If the company has poor cash management, the payroll can be affected. By having a financial plan in place will help keep financial stability for the company. A company can have a competitive advantage by being financially ready to purchase inventory at a reduced price. Financial planning helps long-term business decisions work through planning and time management. The planning process can maintain financial stability for the company growth and make sure the company is moving in the right direction (Murphy & Yetmar, 2010). It is vital for the company to implement a strong financial plan for the company’s future growth. Growth is an opportunity for the company to stay competitive in the markets and develop strong financial ideas. A business needs to compare actual results to quantifiable targets in order to be able to know if the financial plan is working for the company. An example of the financial plan working effectively would be the company gives the marketing department an increase in the advertising expense account, which leads to a large jump in sales (Vietz, n.d). This is financial planning at its best, working to improve the company’s profits. When the profits are growing then the business can continue to grow and develop. For some small businesses financial resources must be monitor and provided when needed because finance can be used quickly in small businesses.  Financial planning can help a business owner understand the different projects going on and how much funding is needed. Some projects will be more important than others. Many companies use financial planning to improve efficiency, productivity, and market increase (Heer, 2012). Financial planning is a process that every company needs to invest money and resources into. Conclusion A company is in business to make money. This is why financial planning has high value to many companies. Financial planning is a guide to help make day-to-day decisions for the company. Financial planning has help with cash management through knowing the short and over of cash transactions. Short and long terms decision has to be made for a company to have success. Financial planning has help spot trends within the business operations. The owners knowing the right expenditures the company is pursuing can help operations stay growing. By having the right financial planning system in place will develop the company into a success. References Ehrhardt, M. C., & Brigham, E. F. (2011). Corporate Finance: A Focused Approach. South- Western Cengage Learing. Heer, R. (2012). How agile is your planning? Find out by measuring the ROI of your planning Software. Strategic Finance, 45. Murphy, D.S., Yetmar, S. (2010). Personal financing attitudes. Management Research Review, 33, (8). 811-817. Vietz, O. (n.d.). Financial Forecasting Tools. Retrieved from http://smallbusiness.chron.com /financial-forecasting-tools-4583.html

Visualize Your Best Self

Type this in 12 point font, non bold, double spaced, paragraphs Indented, one Inch margins. Type your name at the top left hand corner. Write three or four paragraphs addressing the following questions: 1 . What type of learning style do I exalt the most? How did I develop this learning style? (Ponder†¦ Was your mom or dad the same kind of learner? Did your grade school teacher emphasize this learning style, or were you Just born this way? I feel I exalt a mixture of learning style.My most exalt learning style Is me being active while I'm learning. I like to have fun when I'm learning because that's the only way I feel I can retain Information. When things I'm learning seems boring, I tend to not focus and become uninterested no matter what It may be. My mom was the type who could learn thing no matter how they were presented. My dad learn things when it active for him to do so and hands on. I have to be literally doing something with what I am learning, otherwise it will take m e a while to grasp it.From what I was told by my parents, I was born active. I always watched something be done first, then I'm doing it minutes later. 2. When you thought about entering your program of study at ITT Tech, did your dominant learning style have anything to do with your choice? How do you think your dominant interests and dominant learning styles are connected? I was always into computers and technology, so it was easy to decide on what program I wanted to take at ITT Tech. I chose NSA because I felt like it fit into what I wanted to do for my career.NSA is not just a ‘sit at your desk† type career, it's a lot of moving around and hands on self that comes with it. With me having an active learning style, I felt NSA would be perfect for me. I enjoy training and teaching others to utilize computers and other technology. I also so felt that being in the NSA field, you have to not only be active, but have an active mind as well. By dowelling Directions: Type th is in 12 point font, non bold, double spaced, paragraphs indented, one inch margins.Type your name at the top left hand corner. Write three or four 1 . What type of learning style do I exhibit the most? How did I develop this learning exhibit a mixture of learning style. My most exhibit learning style is me being active feel I can retain information. When things I'm learning seems boring, I tend to not focus and become uninterested no matter what it may be. My mom was the type NSA is not Just a ‘sit at your desk† type career, it's a lot of moving around and hands