Medicaid

community pharmacies for specialty drugs. As we previously noted, addressing both the cost of the drug product and the cost of dispensing is critical to maintaining patient access to Medicaid pharmacy services, especially when considering the increasing cost of providing specialty drugs and services to the Medicaid population. We are requesting this meeting to speak to you to discuss possible options for CMS to provide further direction and/or guidance to the states in this policy area. We…

me to the ER. Insurance saved us from the burden of a hospital bill. For the uninsured, medical bills provoke fear. Society must provide insurance for those who cannot afford it. The ACA touted Medicaid expansion as the solution. However, North Carolina and 18 other states have refused to expand Medicaid. If passed, expansion could insure 500,000 North Carolinians. The uninsured avoid consulting doctors until an emergency occurs. The insured seek prevention rather than reactive treatment…

Medicine (IOM), healthcare costs and quality issues have risen in the last ten years (Linsley, & Morton, 2014). Healthcare is provided through both public and private health agencies. Public healthcare agencies are provided by the government such as Medicaid. Private healthcare agencies are non-government providers such as Blue Cross Blue Shield (BCBS). Both agencies have set rules of addressing cost and quality of care to the community. This paper will address these quality issues, initiatives…

Obama in 2010 would forever bring change to healthcare in the U.S. We will discuss three of what I believe to be some of the most impactful changes that occurred because of the ACA: Individual mandate, extension of dependent coverage and expanded Medicaid coverage. Specifically we will look at what these provisions did and what kind of effects they caused compared to before the ACA. Individual Mandate The individual mandate requires all U.S. citizens to obtain health insurance or to pay a fine…

The Affordable care act wants to provide health insurance to every American and that means adding 46 million Americans to the health care system. With many Americans on Medicaid the government is seeing abuse with the emergency room." Medicaid patients feel that their insurance card entitles them to health care anytime they want it". Also, the United States emergency rooms are overflowing at alarming rates." The number of emergency rooms in the United States…

Medicare and Medicaid are both key programs in the social insurance program. However, they are different from each other and they are indeed vulnerable in different ways. Medicare originally served as an insurance for the old people just like Social Security. People would see it as an entitlement as they would think it would be great if we can get health care in exchange for the service we provide for the country. There are two parts of the Medicare at the beginning, part A which is hospital…

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…

Texas Governor Greg Abbott announced that the state will defund the Planned Parenthood through the Medicaid program. The Health and Human Services of Texas informed the organization of its decision via a letter. The letter to the Planned Parenthood notified it of a series of health violations, that could potentially lead to spread of infectious diseases, as the undercover videos released by Center For Medical Progress (CFMP) showed the fetal body parts handled by the staff and buyers without…

from these expenses. It is important, as Pharmacists, to discuss the different types of insurance and understand how they work, who funds them, eligibility for the insurance, and what makes them different. For our purposes, we will discuss Medicare, Medicaid, State Children’s…

between quality and competition is theoretically ambiguous in nursing home settings where prices are set by Medicare and Medicaid (Grabowski, Towns, Grabowski, & Town, 2011). However, if prices could be administratively set and greater than marginal cost, greater competition would increase the quality of healthcare (Grabowski, Towns, Grabowski, & Town, 2011). Medicare and Medicaid set the market prices for skilled and long-term care services for semi-private and private beds, price is set at one…