Medicare Blog

how to educate patients on medicare benefits

by Laney Schumm Published 2 years ago Updated 1 year ago
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Tell patients which plans you participate in and share additional resources that discuss plan offerings. Provide objective information and let your patients make their decision. Resources such as Medicare.gov and Understanding Medicare & Medicare Advantage Plans can help patients navigate these plans.Aug 31, 2021

What is the role of the patient in patient education?

Sep 27, 2013 · CMS sought a creative and integrated outreach approach that would educate providers about these benefits and equip them with digital resources they could use to share information with their patients. Through one-on-one interviews with health care professionals, TMN identified tools that would appeal to the audience while meeting the government’s …

What can nurses do to improve patient education?

Dec 01, 2021 · The Medicare Learning Network® (MLN) The MLN provides knowledge, resources, and training for the Medicare Fee-For-Service provider community. Go to MLN Web-Based Training (WBT) for free 24/7 access to WBT courses. The Skilled Nursing Facility (SNF) Consolidated Billing (CB) WBT will be available later this year.

How can a teaching physician improve health care outcomes?

Jun 29, 2018 · Sometimes the healthcare provider needs to work with a patient’s parent, guardian, caregiver, or spouse and teach them how to assist the patient when the therapist isn’t around. This is called patient education, and yes, there is a way to bill Medicare for it. It’s very common for a patient to be prescribed daily exercises to help restore strength or their range of motion.

Can patient education and self-management improve health outcomes?

Physicians must recognize that informed medical choice is an educational process and has the potential to affect the patient-physician alliance to their mutual benefit. Physicians must give patients equality in the covenant by educating them to make informed choices. Patients must use the educational process to make rational health choices.

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How do you explain Medicare?

Medicare is the federal health insurance program for:
  1. People who are 65 or older.
  2. Certain younger people with disabilities.
  3. People with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD)

How does Medicare impact patient access to care?

February 03, 2021 - Medicare coverage increases seniors' access to care and reduces affordability barriers, a study published in Health Affairs discovered. “The Medicare program pays for roughly one of every four physician visits in the United States, and in 2019 it covered roughly 60 million people.Feb 3, 2021

What are the four parts of Medicare and what do they cover?

There are four parts of Medicare: Part A, Part B, Part C, and Part D.
  • Part A provides inpatient/hospital coverage.
  • Part B provides outpatient/medical coverage.
  • Part C offers an alternate way to receive your Medicare benefits (see below for more information).
  • Part D provides prescription drug coverage.

What are the benefits of Medicare?

The Parts of Medicare

Medicare Part B (medical insurance) helps pay for services from doctors and other health care providers, outpatient care, home health care, durable medical equipment, and some preventive services.

Whats the difference between Medicare Part A and B?

Part A (Hospital Insurance): Helps cover inpatient care in hospitals, skilled nursing facility care, hospice care, and home health care. Part B (Medical Insurance): Helps cover: Services from doctors and other health care providers.

What is not covered under Medicare Part A?

Part A does not cover the following: A private room in the hospital or a skilled nursing facility, unless medically necessary. Private nursing care.

What is the difference between Medicare Part C and Part D?

Medicare Part C is an alternative to original Medicare. It must offer the same basic benefits as original Medicare, but some plans also offer additional benefits, such as vision and dental care. Medicare Part D, on the other hand, is a plan that people can enroll in to receive prescription drug coverage.

What is the Medicare benefits schedule?

The Medicare Benefits Schedule is a list of fees for medical services set by the Government for eligible hospital treatment as a private patient. Medicare pays 75% of the MBS fee for in-hospital medical services and hospital cover pays the other 25% (sometimes more if the doctor agrees).

What are two major problems with respect to the future of Medicare?

Financing care for future generations is perhaps the greatest challenge facing Medicare, due to sustained increases in health care costs, the aging of the U.S. population, and the declining ratio of workers to beneficiaries.Oct 1, 2008

What are some of the biggest challenges with Medicare today?

Top Challenges for People with Medicare Identified by Nation's Largest Medicare Consumer Organization
  • Better education for newly eligible beneficiaries and for employers.
  • Streamline and align enrollment periods.

How can nurses improve patient education?

We cannot create more time for nurses. Some of the things nurses can do to improve patient education include: Delegate more responsibilities to their support staff and be more focused on patient education. Begin educating patients with every encounter from admission.

What is the role of a nurse?

One of the most important roles nurses have today is patient education . This was once reserved for the physician, but no longer. Today nurses assume more and more responsibility for educating patients and helping them to become responsible for their own health status. Patients need to take a proactive role in their own health care.

What is the role of a nurse in the health care system?

One of the most important roles nurses have today is patient education . This was once reserved for the physician, but no longer. Today nurses assume more and more responsibility for educating patients and helping them to become responsible for their own health status. Patients need to take a proactive role in their own health care. This means they need to comprehend their health status and work to stabilize and prevent or minimize complications from any chronic illnesses. Patient education needs to be comprehensive and easily understood. Health educators (in particular nurses) must understand that greater than 50% of Americans are health care illiterate. This has nothing to do with their ability to read and write; but rather their inability to understand health care information and what they need to do with that information.

How can nurses educate patients?

Hospital nurses can best educate patients by understanding that discharge planning begins with admission. Nurses have to ensure patients are effectively educated throughout their hospitalization so that they are prepared to care for themselves and don’t return for the same issue. Spending the last 20 minutes of a hospital stay discussing the patient’s illness and follow up care is not adequate. Handing him materials to read on his way home is most ineffective because he likely has little to no understanding of what he was hospitalized for and why he needs to follow up. Without proper education he will return home and resume his previous life style until he has another episode. Preventing re-hospitalization is a huge responsibility for the entire health care industry. To accomplish our part of this task we as nurses need to constantly improve patient education.

When is Medicare open enrollment?

Make sure your loved one’s Medicare coverage still meets their needs. Medicare Open Enrollment is from now until December 7 , and it’s important to take a few minutes to review coverage and pick a plan that works for your loved one.

When is National Family Caregiver Month?

When you’re a caregiver, it can be hard to care for yourself. November is National Family Caregiver Month—a perfect opportunity to reach out for caregiver support if you’re caring for someone with Medicare.

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