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…
Abraham exposes the flaws in our healthcare system; through the experiences of one Chicago family we can see that it all comes down to money equals health. With that in mind, the book paints a ground up picture of how the health care fails to take care of those in most need. Abraham’s central message is “Not only do the poor get sicker but the sicker get poor” (39). With the statement above, Abraham is talking about the vicious cycle that the poor have to live with. Abraham is describing those…
Another way of receiving incentive payments is under Medicaid if you are a MDs, DOs, NPs, and PAs, however under Medicare NPs and PAs are not eligible. ( Furlow, B, 2012) Everything from improving the population healthcare, and increasing the efficiency on how we do things is what the higher leaders has been fighting for, and we are coming a long way. Another word that is also important to us because it goes hand in hand with the EHR is interoperability. It 's two systems that can exchange and…
The United States and countries around the world are facing a new challenge with the looming retirement of the Baby Boomer generation. As this generation approaches retirement, the United States will have to overcome many factors to align the financial cost of providing SSI benefits, Medicare and Medicaid. The grown in Medicare eligible individuals is projected to out- number to projected workforce of individuals between the ages of 16-65 by 33 %( Wiener & Tilly, 2002). In addition this will…
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). The new federal poverty level is beneficial is the sense that it is covering a wider population…
all states to have a process for screening children for Medicaid eligibility if federal CHIP funding runs out. Those that are ineligible for Medicaid must then be enrolled in marketplace coverage that has been certified comparable to CHIP by the Secretary of the U.S. Department of Health and Human Services (HHS). 9 As of July 2014, HHS has not released guidance defining the requirements for Secretary Certification. This leaves some uncertainty about how these former separate CHIP children will…
a selected group of disabled people gain access to quality medical care services. In addition, has facilitated medically necessary visits to certain individuals, home based health care services, outpatient home visits, as well as other services to both the disabled and the aged. As such, this program has facilitated equitable health resource allocation. Medicaid The Medicaid legal guideline is provided for in the title XIX of the social security act. Notably, Medicaid denotes a federal state…
Nutrition Assistance Program (SNAP), Women, Infants, and Children (WIC), School Meal Programs, The School Breakfast Program (SPB), Special Milk Program, Medicaid, Supplemental Security Income (SSI), Earned Income Tax Credit (EITC), Head Start, Tax Credits, The Low-Income Housing Tax Credit Program, and Community Development Block…
health insurance, but prior to 2010 44 million American did not maintain consistent coverage (Kaiser Family Foundation, 2016, p.1). Studies have shown that uninsured individuals are less likely to have a primary physician, therefore, relying typically on the emergency room for care (DeMichele, 2016a, p.1) . In addition, these individuals frequently do not practice preventative care, nor do they receive medical attention in a timely manner (DeMichele, 2016a, p.1) . These contributing factors…
80 percent of their expenses for hospitals and physicians. It also covers people with disabilities under age 65 plus people on dialysis. In 2006 it was expanded to cover the cost of drugs for seniors. Also in 1965 Medicaid also became available. It covers medical expenses only for poor people, such as those on public assistance, children of poor parents, poor seniors, people with disabilities and adults with mental illness. Eligibility and coverage vary by each state. Medicare does not…