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Informative Essay On Medicaid

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Medicaid is the largest source of funding for health services, covering about 67 million people in the United States. Medicaid is a financial program that assists with medically necessary health services for low-income families and individuals. The Federal and State government jointly fund this effort. As part of the Social Security Act, President Lyndon B. Johnson in Independence, Missouri created the Medicaid program on July 30th, 1965. Medicaid makes payments, or reimbursements, to healthcare providers for their services on behalf of the beneficiary on a fee for service contract. There are specific population groups that Medicaid covers with various services. There are over twenty-five different criteria that allow an individual to be eligible for Medicaid. In general, you have to be a United States Citizen, be a resident of the state in which you apply, and have a Social Security number. The Federal government requires states to cover particular population …show more content…

This is one of the largest healthcare reforms and contributed to a substantial Medicaid transformation. It a complex legislative plan that intends to increase access to quality care by increasing health insurance eligibility and to cut the United States health care spending. Many provisions have been made by the ACA. One is guaranteed issue, which disallows insurance companies from denying coverage due to pre-existing conditions. All individuals will be mandated to have coverage by Febuary 15th, 2015 and those who do not comply, will incur tax penalties that have started to be phased in already. Large employers must offer health insurance to cover their full time workers, or pay tax penalties. Since the Affordable Care Act’s implementation, there has been a significant increase in the amount of individuals and families covered by affordable health

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It provides comprehensive health care, including hospitalization, physician services, prescription drugs, and long-term nursing home care to all who qualify as needy under TANF and SSI. Unlike Medicare, there are no limitations, an in 1986 Congress extended coverage to pregnant women and children whose earnings were less than 133% of the official poverty level. Medicaid is financed by both the national and state governments and awards more financial support to poor vs. wealthy states according to a per capita assessment. Each state sets its own eligibility standards within the boundaries of national guidelines. As for the future, the portion of the budget going to Medicaid is only increasing, which will lead to the proportion of funding for other programs being reduced unless some remedial action is

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Medicaid is a Federal-State partnership wherein the federal government absorbs the bulk of the expenditure. States are given the flexibility to manage their Medicaid programs as long as minimum federal requirements are met. This arrangement allows states to provide coverage based on their specific structure and needs. 28 States and the District of Columbia signed up for the Medicaid expansions under the affordable care act (David et.al). The states that opted out of the expansions have the most number or uninsured and poor residents.

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This includes employer sponsored insurance, private insurance, and government programs such as Medicaid, Medicare and CHIP (Children's Health Insurance Program). Below are some of the ways in which low income Americans can access coverage that complies with

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To help cover this expense, Medicaid, a critical government assistance program, provides medical coverage to those low-income individuals and families. This ensures that essential health services such as doctor visits, hospital stays, prescription drugs, and other services are available. Medicaid is intended to promote the overall well-being who would otherwise face significant financial challenges to accessing critical medical treatment, limiting their capacity to seek higher education and job progression. Medicaid assists employees in this by providing a healthcare safety

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Medicaid and Medicare are both government run programs that were created in 1965, for low income and older people to get private health insurance. Although these are both government programs, they are not the same. Medicaid is health insurance that provides coverage for low income families, this is also a federal and state program. Whereas Medicare you need to be 65 or older or have a major disability and income is not a factor.

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862 Words | 4 Pages

The eligibility rules for Medicaid have been criticized as confusing. Medicaid is a state administered program and its rules vary across states. That can present a significant problem to someone enrolled in Medicaid that moves across state lines. The 2012 Patient Protection and Affordable Health Care Act (ACA) included some changes in Medicaid enrollment procedures. President Lyndon Johnson was responsible for the creation of Medicare and Medicaid in 1965 (Berkowitz, 2008).

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661 Words | 3 Pages

• Health Insurance Exchanges: If you do not have insurance through your employer or the government, you will either purchase it through the federal exchange or your state's exchange. • Low Income Subsidies: Individuals and families with a low income who purchase health insurance through an exchange will be eligible for a subsidy (end note) from the government. • Medicaid Expansion: Medicaid is a state-administered program that was created in 1965 to provide healthcare services to the poor. One of the major provisions of Obamacare was an increase in the Medicaid income, which is used to determine if an individual qualifies for the

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Eligibility is based on peoples’ income which is calculated related to a percentage of the Federal Poverty Level. Also, there are other non-financial eligibility criteria for example; individuals need to satisfy federal and state requirements regarding residency, immigration status, and documentation of U.S. citizenship. Medical bills are paid from federal, state and local tax funds. The federal government funds up to fifty percent of the cost of each state's Medicaid program, with more rich states receiving less funding than less affluent states. Because of this federal/state corporation each state has its own rules and regulations about who is eligible and who is covered.

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Background The Affordable Care Act (ACA) is officially referred to as the Patient Protection and Affordable Care Act was enacted into law on March 23, 2010. It is estimated that prior to the enactment of the ACA, 44% or 81 million people between the ages 19-64 were either uninsured or underinsured in the United States (Schoen, Doty, Robertson, & Collins, 2011). The populations most likely to be uninsured or underinsured are individuals with earning between 133-200 % below the established federal poverty guidelines (Schoen et al., 2011). Consequently, 80% of individuals with earning under $20,000-$39,999 were uninsured or underinsured (Schoen et al., 2011).

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The Affordable Care Act (ACA) was passed in March 2010 to deal with America's preexisting medical crisis (pg. 682). Before the ACA there were two main factors leading to the health care crisis, "the increasing cost of health care and the failure to deliver a decent minimum of health care to everyone in need of it" (pg. 693). Furthermore, the cost of health care continued to rise but unfortunately, the health of Americans did not match this trend (pg. 693). Also, because health care used to be tied to employment many people went uninsured because they didn't have employment or because the cost of an employee's insurance was too high (pg. 687). If a person had employment and was able to pay, he or she could still be turned away due to a pre-existing condition (pg.

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The ACA also worked to expand Medicaid, however, this decision was left up to the states. Wyoming’s state government elected not to receive federal monies for Medicaid expansion. The minimum level of benefits afforded to everyone under all coverage options according to the ACA are: ambulatory services, ER visits, maternity and newborn care, prescription drugs, lab tests, pediatric services, preventive and chronic disease care, rehabilitation services, mental health and substance use services, and

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1367 Words | 6 Pages

Right now, Medicare is America’s health insurance program for anyone over the age of sixty-five, people who have documented disabilities under the age of sixty-five, and people who suffer from End Stage Renal Disease. A countless number of people look towards Medicare as a sense of stability when they become elderly or sick. Although Medicare does cover numerous basic medical appointments, it fails to cover many long-term medical conditions. Ever since former President Barack Obama, passed the Affordable Care Act, also known as Obamacare, in 2010, over twenty million Americans have garnered medical insurance. Obamacare and Medicare put together helps this group of Americans pay for preventative services that eventually may save their life.

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482 Words | 2 Pages

Whereas more people are enrolling in Medicaid than Medicare, more executive orders of cutting Medicaid funds become common, while people who desperately need the assistance Medicaid gives them will become denied. Medicaid is a federal program that covers over 65 million people, those people being pregnant women, families and their children, the elderly, people with disabilities, and all people regardless of age who are near or under the federal poverty line. The largest group Medicaid covers is the elderly which are 10% of enrollees and ¼ of Medicaid spending. More than what Medicare, a federal health care program which only covers support block people of age 65 and over, spends. Federal law requires states to provide mandatory benefits

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428 Words | 2 Pages

People could find these insurances easily through the healthcare marketplace. To make sure every person is covered properly you can either keep you current plan or get a minimum coverage plan (obamacarefacts.org). If you don't have a health care plan by the end of the year a fee will be put on your year-end Federal taxes for each month you go without coverage (“obamacarefacts.org”). To avoid this fee you can get an exemption or just simply obtain a minimum coverage plan. Getting a private insurance or other kind of insurance, each person must apply in their enrollment periods, which are different for some (useconomy.about.com).

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411 Words | 2 Pages

Medicare and Medicaid are two very important terms in our health care system. Medicare is defines as the federal health insurance program for people who are 65 or older, certain younger people with disabilities, and people with end-stage renal disease. Medicaid is defined as a joint federal and stage program that helps low-income families pay for costs with long-term medical and custodial care, if they qualify (MacTaggart and Hyatt, 2013, p.3).

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