Tittle 2: The role of public program discussed cost expansion through the utilization of the Medicaid State program. Many individual who fall short of being qualified for state Medicaid program may become eligible because of the federal government mode of available funding for the expansion of the Medicaid program. It also the special program for uninsured children. Matching rate by the federal government for the funding of the CHIP program-tittle 2.…
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:…
Even though the ACA expanded the coverage of Medicaid, it was only for “most low-income adults to 138% of the federal poverty level” (State Health Facts, 2015) thus, still leaving some of the economically diverse population, as they continue to fall through the cracks because they do not qualify Medicaid. In June of 2012, the decision of the Supreme Court authorized each individual state to make their own decision, as to whether or not comply with the ACA Medicaid expansion reform. Only thirty-one states have adapted the Medicaid expansion, as of September 1, 2015. This means that an average of “3.6 million Americans who would have likely received Medicaid coverage under the new rules remain uninsured today because they live in states that opted out of the Medicaid expansion” (Brodwin, 2014). This leaves the poor and Medicaid population being group stereotyped against because of the various states who did not embrace the voluntary expansion to help and assist the poor population and also, the Medicaid population who will face the challenges of locating medical doctors and facilities who are not accepting Medicaid recipients, which the government currently has no plans in place to detour this from…
In the case of the states, the federal government is still paying for a large portion of the Medicaid…
According to the article, Health Coverage Under the Affordable Care Act explains the ways coverage through employers to help improve access and quality for employers and employees in the workplace. The ACA has projected to support and cover those with chronic medical illnesses. Where they can choose coverage in the employer’s plan or choose to unsubsidized insurance through another exchange from a non-group market. Providing eligibility for a tax credit because employees pay more than 9% of income for the premium in the employer’s plan to help them with better quality of care even during their employment.…
Volunteering at a free clinic in Lansing has exposed me to many patients who have serious and costly chronic conditions and are unable to afford insurance and have either no insurance or are under insured. I recall one specific incident where a patient came in for his life saving heart medication and his application was going to expire soon. We worked with the patient to create a plan to renew his application and find a way to expedite the processing. Uninsured patients have to jump through more hoops to get medication, if it is even available. If they have no way to pay for the medication then they have to decide what is more important.…
111-148) and the Health Care and Education Reconciliation Act of 2010 (P.L. 111-152) which is the expansion of the Medicaid program. The original policy was created by Congress in 1965 and signed by President Lyndon Johnson, it was the concept of a universal health plan that combined both Medicare and Medicaid to serve the elderly (Policy Basics, 2015). The funding for this program was orchestrated in a way that allowed states to ramp up, in order to take on such an enormous financial burden, but numerous states chose not to expand their Medicaid programs leaving our vulnerable populations still underserved (CMS.gov, 2013). States such as Alabama, Alaska, Florida, Georgia, Louisiana, Mississippi, Oklahoma, just to name a few. This population cannot afford to purchase healthcare and their employers most likely cannot either.…
Medicaid Expansion in Missouri People do not like getting sick. However, some Missourians forego preventive care, required doctor visits, and beneficial medicines because they cannot afford them. The people in the Medicaid coverage gap ($0 ? $15,417 yearly income) include people we all know--child care workers, restaurant employees, home health workers, and students, just to name a few.…
Medicare vs. Medicaid What I learned is that both are financed some way through the government paid via taxes and although they sound very similar that both have different benefits and eligibility requirements. From my understanding Medicare is a program for long term coverage for the elderly and Medicaid is supposed to benefit those with lower incomes. I noticed Medicare is done through social security and it has parts A-C and the newly added D in 2003. Medicare is also offered to everyone when they reach eligibility, while Medicaid is not.…
A. Analyze one federal government payer program for healthcare services making an impact on today’s healthcare ecosystem. “The United States has a unique system of health care delivery and it is unlike any other system in the world” (Ch. 1, n.d.). Most other countries around the world have a form of health care that is run by the government and paid for through taxes. In the U.S., one must enroll through an employer, agent, etc., and most pay monthly premiums to be able to have access to healthcare through their insurance.…
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.…
In “Mama Might Be Better Off Dead” we encounter a family’s struggle with the healthcare system, and how they are faced with disparities that could possibly be fixed with interventions. Three major ones were Medicaid, race, and lack of preventative care. Although Medicaid was created to assist the poor, its regulations on who is poor enough to receive it becomes problematic. Its income restrictions are very tight, that it only covers half of the poor people who need it.…
In reflecting on these questions in the context of what we’ve read and heard in lectures this week, I’m struck by the nature of how we make choices in meeting our healthcare needs as a nation. Ever since our political leaders applied the principles of federalism to their earliest policy-setting efforts, we’ve had counter-balancing factions line up on virtually every aspect of care, from the training of our physicians, to our investments in facilities and technology, how we cover the costs of care, manage research and then deliver care to anyone who needs it. Our options throughout time stem from that early default to federalism—so uniquely American, that state governments’ sovereignty is juxtaposed against the national government, which brings a more global perspective in the ongoing…
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.…
Universal healthcare could benefit the United States in several different ways since the affordable care act is still a financial burden to some of the American people. The need for it is growing substantially in the United States due to how many people are still uninsured. Universal healthcare is beneficial because it provides everyone coverage without financial hardship; promotes preventive care, which would contribute to less costly treatments; and improves quality of healthcare, leading to fewer deaths per year. Through universal healthcare everyone will receive coverage without a financial hardship.…