Example Of The Medicaid Benefits - 1046 Words

They are expected to pay a portion of their health care costs. Keep in mind though that these are elderly and disabled citizens, usually on fixed and very limited incomes. These Medicare members will always more than qualify for Medicaid benefits. The Medicaid program differs by state. There are dozens of ways to qualify for this state and federally funded health insurance program. There are Medicaid programs for the low-income, disabled, elderly, children, and long-term care. â€Å"Since its inception in 1965, the Medicaid program has evolved to become the largest single source of health coverage in the United States† (Crowley Golden, 2014). From its beginnings the goal of single payer health care is on a slow roll for all citizens. Some†¦show more content†¦Private Insurance Private insurance is a way to help mitigate the rising cost of health care in the US. Health care and health insurance get used interchangeably in the US but they are vastly different. Pri vate insurance is generally paid by a combination of employer and employee contributions. This helps reduce the impact of the cost of health care for those who have it. The analogy that researchers use is that the stereotype is that a privately held hospital will assist you much better because they have the money to do so. A nonprofit hospital will be less beneficial in treating patients because they lack the equipment and staff to do so. This article argues that nonprofit organizations can be inferior to for profit, even if markets are incomplete. This is beneficial to the paper because it will show the structure financially what privately and non- profit hospitals must offer (Kessler, McClellan, 2002). The profit that private insurance creates supports the economy and continues to help invocation in treatments. However private insurance does not cover all of the cost of health care. Research shows that â€Å"US adults’ exposure to costs results from insurance benefit gaps as well as a high percentage of adults without insurance. Adults who had been insured the entire previous year were about as likely to spend US$1,000 or more as were those who had been uninsured. Among US adults under age sixty-five, 38 percent ofShow MoreRelatedThe Oregon Health Services Commission1647 Words   |  7 PagesThe Oregon Health Services Commission addressed budget cuts in 1990 by proposing a list of Medicaid services. The list was ranked by priority, based on a cost-effectiveness analysis. Access to particular services became limited, but coverage was increased from 67% to 100% of the poverty line1. Much protest broke out in regards to how the treatments were prioritized on the list. Some of the dissatisfaction was of preceding events, such as the death of 7-year old Coby Howard following funding cutsRead MoreThe Extension / Restriction Of Medicaid / Medicare1632 Words   |  7 Pagesmakes an authorized privilege to health benefits for the elderly and disabled. It also undermines the right of workers to control their retirement savings and the freedom of elders to control their own health care. On the other hand, Medicaid creates an entitlement to health benefits for the poor. While I realized that Medicaid and Medicare were federal programs offered by the U.S. government, I did not know whether some states expanded or restricted Medicaid/Medicare. For this issue analysis, I setRead MoreStrategies For Implementation Of Health Care Reform Within Criminal Justice1595 Words   |  7 PagesMany correctional professionals believe that the Patient Protection and Affordable Care Act have provided a major change to the way justice involved populations’ access health care in the community. Being able to secure health insurance especially Medicaid allowing more access to health care including behavioral health programs that will improve outcomes and positively impacts by reducing rates for returning to jail or prison. This should be an int egral part of reentry programs. Having health insuranceRead MoreRationale Of Health Insurance Expansion1025 Words   |  5 Pagesfamilies, seniors, businesses and more (HHS, 2014). This law also was intended to change the Medicaid programs by providing federal funding for states to adopt a national Medicaid income-based eligibility standard, improve Medicaid reimbursement for primary care services, maintain the existing Medicaid and CHIP eligibility requirements, and improve the Medicaid enrollment process (ACP, 2013). There are many benefits of the ACA such as, free preventive care, prescription discounts for seniors, small businessRead MoreSocial Security During The United States1518 Words   |  7 PagesSocial Security in the United States I. Introduction Social security in the United States is a federal system run by the Social Security Administration to provide monetary benefits, or welfare, to citizens who are retired, unemployed, or disabled. In 1935, President Franklin D. Roosevelt enacted the Social Security Act which limited the dangers of old age, unemployment, disability, and families with dependent children within the United States during the great depression. In order to obtainRead MoreThe Oregon Health Services Commission1535 Words   |  7 PagesThe Oregon Health Services Commission addressed budget cuts in 1990 by proposing services for Medicaid services in order of priority based on a cost-effectiveness analysis. Access to particular services became limited, but coverage was increased from 67% to 100% of the poverty line1. Much protest broke out in regards to how the treatments were prioritized on the list. Some of the notable results of the draft were prioritization of minor over serious services and the death o f 7-year old Coby HowardRead MoreMedicaid Essay1231 Words   |  5 PagesAs I understood Medicaid are those personal cares services which are fundamental, non-acute services provided to facilitate recipients who require assistance with the activities of daily living to remain in their home or community, maintain their current health status and prevent, delay, or minimize deterioration of their condition. Personal care services are intended to supplement care provided by a recipient s family or primary caregiver, not replace it. Services may be provided in the home orRead MoreCompare and Contrast Two Medicaid Plans Essay1107 Words   |  5 PagesCompare and contrast two Medicaid plans from different states. Discuss your opinions regarding each state being able to choose how they administer the Medicaid program for their state. Does this leave some Americans at a disadvantage? Explain. All of the health care programs in Michigan have an income test and some of the programs also have an asset test. These income and asset tests may vary with each program. For some of the programs, the applicant may have income that is over the income limitRead MoreMedicaid Fraud1530 Words   |  7 PagesMedicaid Fraud HCS/545 July 9, 2012 Medicaid fraud comes in many forms. A provider who bills Medicaid for services that he or she does not provide is committing fraud. Overstating the level of care provided to patients and altering patient records to conceal the deception is fraud. Recipients also commit fraud by failing to report or misrepresenting income, household members, residence, or private health insurance. Facilities have also been known to commit Medicaid fraud through false billingRead MoreThe Affordable Care Act Expansion Essay1019 Words   |  5 Pagesthe state of Texas which has not elected to expand Medicaid as part of the Affordable Care Act (ACA) and now has been notified that the state leaders have taking into reconsideration their recent decision during an upcoming session in order that we begin gathering data on the benefits of adapting the Medicaid expansion. As a health policy analyst our goal is to assure data quality, interpret data, and discover new information in the data. Medicaid is a fed eral and state partnership with shared authority