Medicare risk adjustment

First of all, little definitions. What its medicare? That is one of the largest health insurance systems on the world. That system is used in USA as a basic. Annual amount of money spend on the financing program is about $200 billion. Without the doubt we are talking about America. In the numbers, we got 45 million citizens granting material benefits. Insurance is provided to Americans aged 65 and older or even younger with disabilities. As we can see, range of that insurance is huge. That’s why so much money need to be invested. Medicare obviously has it’s rules. Let’s take a look on Medicare risk adjustment. In general, Medicare has several sources of financing. Everything is regulated by law and special systems. Some risk adjustments? Insurance is eligible  for all persons 65 years or older who have been legal residents of US for at least 5 years. World at least must be underlined at this point. Also disabled people granting benefits from Social Security are able to receive insurance. In fact, medicare risk adjustment isn’t so large topic. Few major regulations and that is all. Unfortunately, this system has a lot of details. Details which determine that money not always are easy to get.  Medicare compliance requires accurate documentation in medical charts. The same rules as in fee for service apply when quality improvement interventions are implemented. Sometimes people have a lot of troubles with this documentation. Medicare requires all proves about medical care and whole documentation. Care management of chronic disease is encouraged in the risk adjusted payment model. Well, this can be really burdensome. Percentage of money spent on disabled people treatment is a big part in whole budget. Without the doubt, disabled people require help and care but mostly special equipments and medical care. It’s not for free. On this day, reforms are in progress. Medicare is health systems so must be open and variable. Progress is the basis. In each categories. Technology, including medical technology is moving up. Changes are needed and people responsible for them should know that. However medicare is only American system, Europe countries pay attention and acquire many thing from US. Other thing is that not everything from America is good and prospective. There is more and more voices of discontent. Government is losing control in financial condition. That’s why politicians want us to pay more and work more. Let’s step away from believing. Facts are the most important thing. Statistics say that Medicare reached success but isn’t that success only illusory? We, as outsiders take information from the media but media sometimes focus on citizens reports. These aren’t positive for Medicare. Voices “Too much” and “Too long” are everywhere. What is important for us? For sure little time to thing what is really good for us and if it’s worth to pay. We don’t need to pay if we don’t want.  It must just be simply documented.  But in nowadays, unpredictable world it’s better to have some kind of financial security.