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There was a big anniversary. Did you miss it? Medicare and Medicaid celebrated 50 years old. 

On July 30, 1965, President Lyndon B. Johnson signed into law the bill that led to the Medicare and Medicaid. In 1972 Medicare expanded to cover disabled, ESRD (people with end-stage renal disease requiring dialysis or kidney transplant and people 65 or older that select Medicare. More benefits such as prescription drug benefits have also been offered.

Medicaid initially provided medical insurance coverage for people that were getting cash assistance. Now the program also includes:

  • People of all ages with disabilities
  • Pregnant women
  • Low-Income families
  • People who need long-term care

In 1997 another program was developed to provide preventive care to approximately 11 million uninsured children. That program is called The Children’s Health Insurance Program (CHIP). This is well accepted as some working families that are uninsured earned too much to be Medicaid eligible. All 50 states, the District of Columbia, and the territories have CHIP plans.

More recently in  2010 The Affordable Care Act (ACA) introduced the Health Insurance Marketplace. Consumers can now go to a single place to apply for and enroll in private health insurance plans.   CMS (Center for Medicare and Medicaid Services) has produced a website I came across and is great resource for preparing for ICD-10. Go to the url  www.roadto10.org and you will find helpful information.

At the moment there are 4 webcasts available to watch, and then it looks like there are another 2 planned.  I think these will be useful to you in your preparations for the ICD-10 transition.

Published in PHCC News