Management of Medicare

Category: Society
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Management has been a serious issue affecting a large population of American workers. Despite the introduction of Obama care in America, its effectiveness is yet to be realized. This is because of management factors including political and organizational factors. Politics and medical care organization participated and influenced health care in the United States. This paper identifies the implications of the implementation of the proposed expansion Medicaid under the new Affordable Care Act in the United States. Inefficient healthcare organizations have been affecting the public health and have contributed to unequal distribution of Medicare resources. The instability emanates from the increased healthcare cost even with the introduction of Obama Medicare (McCullough et al, 2013, pg3). Poor organizational management also called for a need to have uniform distribution of doctors and hospital beds. The unequal distribution of healthcare resources and inadequate facilities has been a source to poor health care. There have been inefficient policies that contribute to deterioration of services within the healthcare centers. Poor management of health care accounts has resulted to dubious expenditures. In addition, poor management of Medicare has facilitated the adoption of unfair treatment to patients during their hospital stay (McCullough et al, 2013, pg 3).

Health care is undermined by the poor organization of respective health care providers; both government and non-government. As a result of these shortcomings, the Obama policy requires that Medicare to have several departments and structures in which its effectiveness is enhanced. This ranges from top management to divisions in Medicare provision by different medics. Departments ranging from emergency to intensive care units have cordial relation regarding the way they operate. Emergency departments are equipped with medics that are employed in the specialization of giving unique medical attention (Duckett & Peetoom, 2013, pg 44). This is articulated to avoid severe circumstances that are related to delay or normal medical attention. These departments have an interactive nature whereby medics are taken from one department to another to support care provisions. Various departments in medic care have a direct connection with the top managements.

Medicare organizational structure ranges from directors, executives, department administrators, patient care managers and service providers (ott, 2011, pg 45). Medicare is controlled by the board of directors and aims at controlling and ensuring provision of quality care. Board of director’s decision and authority is lefty under the care of executives. This is to ensure that Medicare is performed efficiently. Every hospital is entitled to have a chief executive officer who makes sure that there is operational efficiency. However, this group of executives is the central management of the hospital (miller, 2013, pg 57). Their representation goes further to administrators of various departments in a hospital. These individuals are responsible for specific medical service or operation. Additionally, this administrator has their assistant administrators who help in the implementation of operations.

Moreover, human resource initiatives have also increased equity and fairness in the health organizations. This is through the introduction of financial protection strategies that aims at targeting various needs and groups. Use of this measures and re-deployment of services are used by a human resource to increase equity. Human resources play an essential responsibility in the success of reforms in the health sector. They also ensure that communication and cooperation between Medicare workers and individual workers to enhance organizational growth (ott, 2011, pg 66). They also play a significant role in job analysis and staffing, measurement of appraisal of workforce performance, professional development of workers as well as maintenance of workforce.

The primary ways the budgeting part of the organizational structure Effective budgeting of Medicare organization has positively enhanced Medicare services. Proper budgeting of organization ensures that Medicare benefits from rebates that Medicaid receives from brand names and generic drugs provided to beneficiaries. This allows drug manufacturers to pay Medicare providers by their rebate levels. Organizational budgeting allows extension of qualified individual programs that pays the premium to the Medicare providers (miller, 2013, pg 66). It also allows removal of mandatory cuts that is related to budget control act. Additionally, proper budgeting improves payment accuracy for Medicare advantages. This is enhanced by checking overpayments that create differences in coding medical conditions by Medicare providers and those in traditional Medicare.

Analysis of political environment

Medicare has been much into political interference through creation and change of reform affecting Medicare providers. For instance, President Bush signed a Medicare drug prescription and modernization of health facilities act that authorized Medicare coverage of outpatients (McCullough et al, 2013, pg7). These changes of reforms and drug assistance have posed additional costs to taxpayers hence making the application of the provision costly. The political impact of Medicare has affected health care provisions. This is because the management will be forced to cope with the new bills that are directed to stabilize Medicare provisions. This will force the management to review and study the Obama provisions to improve quality of care (Duckett & Peetoom, 2013, pg 55). Politics and health care management are two intertwined aspects whereby the wellbeing of one depends on that of the other. This is affirmed by the fact the decisions made by the health care executives depends on rules and policies made by the politicians. However, political instability jeopardizes the way in which health care services are delivered. Political responsiveness poses a threat to health care management in terms of political interference that cripples good management and service delivery since they are mainly targeting the budgeting side. Political critiques have lead into reshuffling of money meant for health services. Such resources are embezzled by politicians due self-interest for their wellbeing. This has detrimental impacts since it lowers the working rate of Medicare providers. This budget reduction will hinder management operations since they will not be sufficient to buy drugs. Furthermore, the funds paid by the management to other casual hospital workers will also be reduced and there will be poor Medicare provision.

In conclusion, Human resource management has positively impacted Medicare service provision. In this regard, clinical and non-clinical staffs are responsible for public and individual health interventions. Service delivery and performance depend on their knowledge, motivations and skills. Human resource has enhanced efficiency through the employment of various initiatives. This is done through selecting service that converts labor expenditures into variable costs (ott, 2011, pg 67).


  1. Duckett, S., &Peetoom, A. (2013).Canadian medicare. Montreal: MQUP.
  2. McCullough, J., Parente, S., & Town, R. (2013). Health information technology and patient outcomes. Cambridge, Mass.: National Bureau of Economic Research.
  3. Miller, D. (2013). Medicare. Detroit: Greenhaven Press.
  4. Ott, C. (2011). Medicare hospice management. Danvers, Mass.: Beacon Health, HCPro.
  5. Postema, D. (2013). Navigating through Medicare.: Oxford press.
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Management of Medicare. (2021, Oct 18). Retrieved from

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