Medicaid Reimbursement Analysis

Improved Essays
Part I: Medicaid Reimbursement: Cost of Patient

In the healthcare industry, everything is expensive; from medication, technology, and treatments that cost from hundreds to thousands of dollars. This have caused a stressful mental breakdown and burden by the charges and bills. For example, my mom surgery cost $25,000 total; surgery, medication, and three night stay at the hospital. Medicaid and its’ reimbursement program have cover majority of the bill. The existence of health insurance have given many a relief, a “free-ride” to hospital and meeting the health care needs and putting debt into monthly payment plans. Nevertheless, it was not enough for many; the problems are the high-cost of services, cares, and treatment are out of their reach.
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For example, new drugs are curing hepatitis C that corrode the liver, and eventually, lead to death. This new drugs are costly yet efficient, however, the state of Illinois is keeping the poor away from reaching the medication. Treating these kind of illnesses or diseases cause from ninety-thousand dollars to millions of dollars. Millions of people are now enrolling into Medicaid which caused financial difficulty, hesitation, and limit access to healthcare services, cares, medication, and treatments. In this situation, Medicaid reinforce it with their reimbursement plan, giving them access to treatment that are much cheaper than other treatment and medication rate. Though the effect is unknown, and cares may become an issue as physician may be dissatisfy with Medicaid reimburse pay rate. Nonetheless, the patient is still getting treated at cost that is within their and Medicaid …show more content…
It gives the people a sense of security, space to breath, and less stress on the finance. But the lack of access to healthcare causes trouble for many as Medicaid and the reimbursement program have its’ limit in coverage. The cost of patient are vary, it can up or down like a stock market. Depending on the treatment, cares, and services they receive, the cost can range from a hundred to thousands of dollar, and possibly millions if it becomes chronicle. Moreover, the lack of services and cares from physician is expected as they already feel dissatisfy with the “cost shifting”, and expecting more decline in the future (Hodges and Henson, 2009, pg. 10). This become an issue and uncontrollable situation as the possibility of declination among reimbursement for patient to expand larger in the

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