Get Answer: Social Security Established Question Guide
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What This Question Is About
This question relates to social security established and requires a structured academic response.
How to Approach This Question
Break the problem into smaller parts and analyze each logically.
Key Explanation
This topic involves social security established. A strong answer should include explanation, application, and examples.
Original Question
In 1965, the Social Security Act established both Medicare and Medicaid. Medicare was the responsibility of the Social Security Administration (SSA), but federal assistance to the state Medicaid programs was administered by the Social and Rehabilitation Service (SRS). SSA and SRS were agencies in the Department of Health, Education, and Welfare (HEW). In 1977, the Health Care Finance Administration (HCFA) was created under HEW to effectively coordinate Medicare and Medicaid. In 1980, HEW was divided into the Department of Education and HHS. In 2001, HCFA was renamed the Centers for Medicare and Medicaid Services (CMS), an agency of HHS. CMS maintains oversight of the survey and certification of nursing homes and continuing care providers (including hospitals, nursing homes, home health agencies, end-stage renal disease facilities, hospices, and other facilities serving Medicare and Medicaid beneficiaries) and makes information about these activities available to beneficiaries, providers and suppliers, researchers, and state surveyors. In November 2002, CMS began the national Nursing Home Quality Initiative (NHQI). The goals of the initiative are essentially twofold: (1) to give consumers an additional source of information about the quality of nursing home care by providing a set of Minimum Data Set (MDS)-based quality measures on Medicare’s Nursing Home Compare website, and (2) to help providers improve the quality of care for their residents by giving them access to clinical resources, QI materials, and assistance from the QIOs in every state (CMS 2019b). From the beginning of the NHQI, CMS has insisted that the quality measures be dynamic and continue to be refined as part of CMS’s ongoing commitment to quality. To be eligible for Medicare and Medicaid reimbursement, providers must become Medicare-certified by demonstrating compliance with the conditions of participation. Certification is the process by which government and nongovernment organizations evaluate educational programs, healthcare facilities, and individuals as having met predetermined standards. The certification of healthcare facilities is the responsibility of the states. However, Section 1865(a)(1) of the Social Security Act specifies that facilities accredited by the Joint Commission and the AOA must be deemed in compliance with the Medicare conditions of participation for hospitals; those accredited are said to have deemed status (CMS 2016). Summarize into 3 paragraphs Discuss how Medicare certification affects healthcare delivery based on the Conditions of Participation.
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