[Answered]: Ch

Ch. 6: In the 1960s, The Medicare and Medicaid programs were established as one of the first attempts to extend governmental health insurance to vulnerable populations. Describe 2 similarities and 2 differences in these programs. The state of Maryland is different from other states in the US because it has had a waiver from the Federal Medicare Program since the 1970s. How did the passage of the ACA affect this waiver (hint: something had to change) and what is the current name for this program in the state of Maryland? How effective has Maryland been in using new form of value-based reimbursement? NOTE: please review the information in the course platform on the Maryland Medicare Waiver program and how hospital inpatient and outpatient reimbursement is determined in this state to answer the 2nd part of this question. Ch. 9: Managed Care Plans (MCOs) have grown significantly since the passage of the 1973 HMO Act, and are the dominant form of health insurance provided on the state health insurance exchanges created under the ACA. Identify and briefly describe the three types of managed care (MCO) plans (hint: they have three letters in their name) and what are the three main payment mechanisms that they use (i.e., how do they pay providers who participate in their plan?). Identify and briefly describe at least two methods for utilization monitoring and cost control in MCOs.