Medical Reimbursement Problem

Improved Essays
Medicaid is a combination of both Federal and State program that helps provide healthcare to low-income Americans, also to help individual or families with the cost of long-term medical bills that they cannot afford on their own. In the early 20th century some people could only dream about health care, it was almost a fairytale. If they were hurt or sick in anyway their best chance was the use of home remedies or whatever they could do to stop the pain, the chance of the poor people in American getting medical help with no way of paying for it was slim to none. Throughout 1890 to 1920s Americans fought for health insurance but nothing really changed. Theodore Roosevelt Bull Moose Party also gave it a try in 1912. A little more than 50 years …show more content…
One issue medical reimbursement is that Medicaid reimbursement rates for primary care physicians, specialists and dentists are very low (Arc, 20016). This is one major reasons why people with disabilities lack access to quality medical and dental care. This a big deal because these areas need the funding just as much as anyone else. If they get the funding they need they are able to catch diseases or sickness in the beginning stages before things get worst. Physicians may be able to catch malnutrition and provide you with the proper information or support needed to make the patient healthy. This is just one of the many situations that could be prevented by giving more federal funding to physicians, specialist, and dentists. It is impossible for every department to have unlimited funding but we can get better every day, the harder we work at it the more people we’ll be able to …show more content…
These are all the people who are unable to take care of their selves on their own, either they are disabled or they do not have the means to provide the proper care that they need. “Vulnerable populations include groups across the age spectrum. The elderly are, or may become, too old or sick to care for themselves. In addition, because they are too old to work, their income may decline. Children are too young to care for themselves and must depend on others to serve their best interests. Individuals with incurable illnesses are vulnerable. As their health deteriorates, they may become poorer and sicker and not have the resources to care for themselves. Individuals with disabilities may not be able to work, and thus have little income. Other vulnerable population subgroups that have been identified include minorities, low-income persons, high-risk pregnant women and their infants, uninsured and underinsured individuals, and under-served individuals” (including those who reside in inner cities, rural areas, or health professional shortage areas; migrant workers; refugees; and frontier residents) (Rev, n.d.). Medicaid provide care to about 40 percent of the vulnerable population, and at least 90 percent of all children with

Related Documents

  • Improved Essays

    This makes Mr. Smith vulnerable due to lower income status. Mr. Smith also lives in a rural community in which access to health care may be scares or not available to him. Lastly, being an African American male with hypertension and history of mild strokes, places him at great risk of death. This in return may put in in serious risk of not affording the health care he needs. According to Caring for the Vulnerable, half of the adult population in our county has poor to no skill to read, listening and understand our language.…

    • 378 Words
    • 2 Pages
    Improved Essays
  • Improved Essays

    Health Policy Case Study

    • 754 Words
    • 4 Pages

    1) From the case study, provide one example of each of the forms that public policies can take: laws, rules or regulations, other implementation decisions, and judicial decisions. Law: Social Security Amendment of 1965 is a public law 89-96. It was created to aid senior citizens with health insurance (Medicare) and to provide health care to indigent population and disabled (Medicaid). Rules/Regulations:…

    • 754 Words
    • 4 Pages
    Improved Essays
  • Superior Essays

    1. How will you contribute to the mission of the NURSE Corps Scholarship Program in providing care to underserved communities? Health illiteracy and lack of healthcare access in low income areas are well documented by my studies. This population is also known to have many comorbidities and a shortage of primary care providers. I want to make a difference in low income communities because they are underserved and improvised.…

    • 1235 Words
    • 5 Pages
    Superior Essays
  • Improved Essays

    Medicare and Medicaid are two programs funded by the federal government that provide health insurance benefits to people 65 or older, individuals with certain specific disabilities, and people with extremely low incomes. Income requirements for the program can vary from state to state, but most of them are based on federal poverty guidelines. Because they cover some vision expenses, these programs fall under vision insurance plans. In 2010, the maximum annual income for an individual to qualify for Medicaid was $10,830, while the income for a family of four was limited to $22,050.…

    • 387 Words
    • 2 Pages
    Improved Essays
  • Improved Essays

    While the ACA provides for additional funding for community health centers, perhaps allowing for expanded primary care access for undocumented immigrants, recent budget cuts have offset ACA funding to some degree. Hospitals are required by federal law to treat those with life threatening conditions without regard to insurance coverage. As a result, the costs of emergency care and other treatment for undocumented immigrants without insurance usually becomes uncompensated care. This will be an increasing concern under the ACA since supplemental payments to Disproportionate Share Hospitals (DSH) will decline which have historically assisted with uncompensated care costs. A small increase in coverage for life-threatening conditions for undocumented immigrants may occur under Emergency Medicaid in states that expand Medicaid coverage to all low-income adults regardless of family status.…

    • 1230 Words
    • 5 Pages
    Improved Essays
  • Improved Essays

    The most effective solution to fix the problem of the disparity in the Medicaid system is to reform the Medicaid program. By mandating that all states participate in the Medicaid program, many people who rely on Medicaid will have equal opportunities to receive Medicaid no matter where they live. Equally important, the federal government will be able to manage the funding to ensure that no one is left out due to a state’s lack of funds. In short, this reform can benefit both the state and federal governments. As an incentive for full participation by the state, the funds by the federal government would increase in order to help each state.…

    • 204 Words
    • 1 Pages
    Improved Essays
  • Improved Essays

    In this Scenario it talks about the effects that the Healthcare Reform Bill of 2010 has had on the American economy. Yes, there has been a tremendous amount of individuals who still lack the opportunity to be insured due to living below the poverty level or the lack of having the means, because even though it is offered from their employees the rates are still too expensive for them to be able to afford it for their entire household. Also, there is a stipulation clause that is set in place that puts an emphasis on whether or not one even is eligible for this new found insurance and if one does not meet that quota they are not eligible to even receive the new health insurance. Prior to 2010 this problem with the lack of coverage was in the…

    • 1229 Words
    • 5 Pages
    Improved Essays
  • Improved Essays

    Medicaid Pros And Cons

    • 479 Words
    • 2 Pages

    Medicaid is a health care program in the United States. The program helps families and individuals with low income. Health care is a social issues in today’s politics which resulted in the government providing the program for everyone to help pay for their health care. Low income is not the only requirement to receive Medicaid. For individuals to receive Medicaid is if their parents meet the requirements, pregnant woman, senior citizens, and children under the age of 18.…

    • 479 Words
    • 2 Pages
    Improved Essays
  • Improved Essays

    Social Disparities Essay

    • 1219 Words
    • 5 Pages

    Social disparities exist in every socio-economics status, the one that is most prevalent at this time in our nation is the lack of healthcare, which, is something that affects countless individuals. The Affordable Care Act, which, is also known as ACA or more commonly known as Obama Care was supposed to be the answer for individuals healthcare needs. Needless to say, there are still several issues, the most prominent issue exists with the negative shadow that is cast upon the Medicaid program. Medicaid is the healthcare system that individual receives when their income falls below the new standard of 133% of the federal poverty level (CMS.gov, 2013).…

    • 1219 Words
    • 5 Pages
    Improved Essays
  • Improved Essays

    Medicare Vs Medicaid

    • 200 Words
    • 1 Pages

    Medicare and Medicaid are two different government programs in response to the low-income Americans to buy health insurance. Medicare is the federal health insurance program for people who are 65 or older or have any type of disability no matter what the persons imcome. There are different kinds of services that Medicare offers. This Services are Hospital Insurance, Medical Insurance, Medicare Advantage Plans and Prescription Drug Coverages. Once of the benefits of Medicare is Nursing home and home services but limited.…

    • 200 Words
    • 1 Pages
    Improved Essays
  • Superior Essays

    Many Medicaid patients who lack a primary care doctor see the hospital as the place to get all their care." Also like doctors, hospitals are paid very little for seeing Medicaid patients," approximately 85 cents on the dollar" and what hospitals need is a flood of Medicaid patients rather patients with private insurance." Medicaid is a bankrupt…

    • 1605 Words
    • 7 Pages
    Superior Essays
  • Improved Essays

    Individualism is a core American ideology. A perfect example of it is the American dream; the idea that if one is determined, takes the initiative and works hard, then one will be successful and prosper in the United States. However, this ideology is starting to become undermined more and more every passing day. Dependence on the United States government is increasing among the American population. Even though the U.S. is in a state of economic recovery after the economic collapse of 2008, the number of individuals reliant on these social programs have not decreased but increased.…

    • 1296 Words
    • 6 Pages
    Improved Essays
  • Improved Essays

    Argument Against Medicaid

    • 697 Words
    • 3 Pages

    Medicaid, which is a state and federal funded program, provides health coverage to millions of Americans nationwide. Eligible recipients include low-income adults, children, pregnant women, elderly adults and people with disabilities. In the state of Michigan, there were 2,920,176 recipients who received Medicaid benefits in 2017 (State of Michigan, 2018). Although so many participants rely on Medicaid for health insurance, many of them are tremendously dissatisfied with the quality of health care themselves or their children receive. The reality is, many of the providers that do accept Medicaid patients, do not treat them with the same level of care as patients with private insurance.…

    • 697 Words
    • 3 Pages
    Improved Essays
  • Great Essays

    Statistically, only twenty-eight percent of Americans are insured through government-funded programs such as Medicare and Medicaid, implemented in the middle 1960s. Medicare commonly insures older people with acute care needs. “Medicaid is the joint federal-state government-sponsored program that pays for health services for poor children, pregnant women, and mothers of young children as well as mentally and physically disabled and very poor elderly individuals” (Emanuel 36). The most recent attempt to maintain a current medical assistance problem was a new law widely known as Obamacare. President Obama signed the Affordable Care Act into law on the 23rd of March 2010, putting in place comprehensive reforms that are meant to improve access to affordable health coverage for everyone and protect consumers from unfair insurance company practices.…

    • 1634 Words
    • 7 Pages
    Great Essays
  • Improved Essays

    Moral Model In Nursing

    • 855 Words
    • 4 Pages

    The demographic who are unable to access hospital/clinic for regular checkups develop medical problems such as diabetes and hypertension that may turn out untreated and undetected. The ethical dilemma I face in my career as a nurse when taking care of the under/insured is ensuring that they are given the care needed to maintain their health. The uninsured are not likely to have regular outpatient care, experiencing overall deterioration in health and so often hospitalized for health problems that could have been prevented (Mason, Leavitt, & Chaffee,…

    • 855 Words
    • 4 Pages
    Improved Essays