Medicaid Coverage Case Study

623 Words2 Pages
bulb-icon

Recommended: Expansion of medicaid essay

Should the state of Florida expand Medicaid Coverage? The purpose of this policy brief is to seek facts about Medicaid Expansion, and make a decisions if the state of Florida should expand their Medicaid. The policy brief describe the advantages of expanding Medicaid in all states, and the disadvantages of making it a requirement for every states in the United States. The state of Florida should expand Medicaid Coverage. Medicaid is social health care program that is funded by both the states and federal government. It helps with the medical cost for low income families, including people with disability, and the elderly. It’s been a law that everyone who falls below the poverty line should have access to health care regardless of their family status, however during the …show more content…

Supreme Court have rule differently. The U.S. supreme court have ruled that states now have the choice to pull out of the Medicaid Expansion. Florida is one of the state that has not made a decision to expand Medicaid. “According to the U.S. Census Bureau, Florida has the second-highest uninsured rate in the country, with 24.3 percent of residents lacking health care in 2013” (Reilly, 2015). The causes of Medicaid expanding it to make health care more affordable for millions of American, and it makes the eligibility requirements more broad. Medicaid expansion would provide people without dependent children a chance to apply for benefits, and pregnant women. Some of the consequences of Florida not expanding its Medicaid include the cost of hospital bill falling on taxpayers, leaving a lot of people uninsured, and the state’s rate of uninsured would remain the same. The competing ideology forming around Medicaid expansion is that States are pressured into expanding because they stand to lose more money by not expanding, and it

Show More
Related

  • Kaiser Permanente Case Study

    1708 Words  | 4 Pages

    Membership Services (MSD) at Kaiser Permanente used to be a modest department of sixty staff. However, over the past few years the department has doubled in size, creating minor departmental reorganization. In addition the increase of departmental staffing, several challenges became apparent. The changes included primary job function, as well as the introduction of new network system software which slowed down the processes of other departments. These departments included Claims (who pay the bills for service providers outside of the Kaiser Permanente network), and Patient Business Services (who send invoices to members for services received within Kaiser Permanente). Due to the unforeseen challenges created by the system upgrade, it was decided that MSD would process the calls for both of the affected departments. Unfortunately, this created a catastrophic event of MSD receiving numerous phone calls from upset members—who had received bills a year after the service had been provided. The average Monday call volume had risen from 1,800 to 2,600 calls per day. The average handling time for each phone call had risen as well—from an acceptable standard of 5.6 minutes to an unfavorable 7.2 minutes. The department continued to be kept inundated with these types of calls for the two years that these changes have been effect.

    Read More

  • It Is Time to Expand Medicaid Coverage in South Carolina

    1167 Words  | 3 Pages

    When it validated the constitutionality of The Patient Protection and Affordable Care Act in 2012, the United States Supreme Court also ruled that states could decide for themselves whether or not to expand their Medicaid programs (Sonfield, 2012). Predictably, South Carolina said no. The Palmetto State’s decision not to expand Medicaid in concert with the Affordable Care Act was wrong, and it is time to correct that mistake.

    Read More

  • Essay On Health Care Inequality

    1758 Words  | 4 Pages

    Under the Affordable Care Act one of the most important provisions is to expand health care to low income families through Medicaid. This could have an effect on over eight million people who do not have access to health care currently. However 25 states have decided against expanding Medicaid benefits, leaving 13.5 million people less likely to receive basic health care and preventative ...

    Read More

  • History Leading Up to Medicaid

    1714 Words  | 4 Pages

    What exactly is Medicaid? Medicaid is the largest health insurance in the United States, and it services many low-income families. This government health program is state regulated and varies among states due to having their own guidelines. Medicaid was signed into law on July the 30th, 1965. Medicaid’s guidelines come from the old Welfare law. “Medicaid has never matched that of food stamps, for which eligibility standards are linked to financial need alone. As Smith and Moore explains, the federal government, using its extraordinary demonstration powers under section 1115 of the Social Security Act, has allowed states to experiment with “decategorization” over the years, but Medicaid’s statutory bar against coverage of poor adults remains perhaps its most obvious failure” (Rosenbaum). Regardless of the many faults of this programs design, Medicaid helps close to 60 million low-income families in the United States. The people it helps would include: pregnant women, young children and their parents, the disabled, and the elderly, and other members of society that have low income. Medicaid is involved in many pregnancies and newborn care from a financial standpoint. It allows parents to have medical care for the child while in a low-income household. Medicaid has a huge impact on each states health systems and is used in a wide variety of ways.

    Read More

  • Pros And Cons Of Medicare

    744 Words  | 2 Pages

    Medicare and Medicaid are one of important government programs. According to Medicaid.gov site, there are more than 4.6 million low-income seniors enrolled in Medicare and about 8.3 million people that are enrolled in both Medicare and Medicaid. Anyone that enrolled with Medicare and limited income and resources are eligible to get assistance paying for their premiums and out-of-pocket medical expenses from Medicaid. Not only does Medicaid cover additional services, but, services covered by both programs are first paid by Medicare with Medicaid in the difference up to the state’s payment limit (Medicaid.gov, 2015) .

    Read More

  • Structural Competency In Mental Health

    1115 Words  | 3 Pages

    On the other hand, the social assistance program is not as effective as the social insurance model because it is means tested, its unstable and creates many bureaucratic red tapes for people in need of assistance. One policy that has especially affected me is the Medicaid. Medicaid is a social assistance program that tries to provide free universal healthcare to people that are low-income, with disabilities or under the age of 21. However, the program instead of promoting wellness to low-income people, they put them through inefficient services and inadequate health care systems that only affect low-income people in the long run. For example, just to get an appointment, I had to enroll myself in a waiting list that took 1 month for me to get checked out.

    Read More

  • The Pros And Cons Of Health Care

    639 Words  | 2 Pages

    ...ty to all individuals and families below the 138% federal poverty line. As of right now, twenty five states have rejected this idea of medicaid expansion. By rejecting this proposal, this will leave many Americans uninsured and up the cost of private insurance and taxes.

    Read More

  • Medicare Essay

    1043 Words  | 3 Pages

    ...ple less than or equal to 133% of the FPL, starting 2014 eligibility will be expanded to people that are 138% or les of the FPL. Also the expansion will cover more parents and expand to adults who are childless. Fore states that choose to accept the expansion this means that they will have to cover more individuals in their Medicaid programs. The government will provide 100% funding for the first 3 years of the Medicaid expansion; thereafter the states will have to figure out how they will fund the program with the absence of federal funding. The stipulation with expanding Medicaid that after the three years are up the state cannot modify the program to not cover the expanding individuals. States that in financial ruins before the ACA, now with the expansion they will need to find alternative ways that will serve the same purpose as Medicaid in order to lower cost.

    Read More

  • Medicaid Expansion

    1367 Words  | 3 Pages

    The author also believes that the Medicaid expansion extends beyond the politics, and has an aim to impact the life, health, and financial stability for the state and individuals. Medicaid expansion can be beneficial to many countries that have a large proportion of low-income people that are uninsured and or with disabilities. This can aid in saving the state money because much of the cost is provided and covered by the federal government, that encourages healthier behavior and results to a reduction in chronic disease due to lower health care costs. Although Texas opted out in adopting the expansion, legislators should decide on the advantage and disadvantage of participating in the Medicaid expansion to improve the welfare of the state. The expansion of Medicaid coverage will give low-income pregnant women the chance to reduce the rate in infant mortality and provide an opportunity for those that were unable to get coverage to be

    Read More

  • Medicare and Medicaid

    2099 Words  | 5 Pages

    Medicare and Medicaid are two of the United States largest broken systems, which must sustain themselves in order to provide care to their beneficiaries. Both Medicare and Medicaid are funding by a joint effort between the federal government and the local state government. If and when these governments choose to cut funding or reduce spending, Medicare and Medicaid take the biggest hit. Most people see these two benefits as one in the same, two benefits the government takes out of their pay check to help fund health care. While the government does deduct a sum from paychecks everywhere, Medicare and Medicaid are very two very different programs.

    Read More

  • Affordable Care Act: Portfolio

    1740 Words  | 4 Pages

    This paper will take into account the Affordable Care Act (ACA) Law and how all three branches of government are involved with the creation and analyze issues associated with the ACA. Subsequently the paper will describe the role of public opinion and lobbying groups. Thirdly this paper will evaluate the concepts of equity, efficiency, and effectiveness showcasing their role in the law and its passage. This paper will take into consideration the anticipated effects on cost, quality, and access, including discussing the balance of markets and the government. In closing this paper will highlight the anticipated effects on Medicare and aging as well as Medicaid and the poor. The ACA was signed on March 23, 2010 with the intention to offer all U.S. Citizens and residents a qualifying health care coverage plan. The law’s focus is to expand coverage, control health care cost, and improve health care delivery system.

    Read More

  • Health Care Case Study

    1406 Words  | 3 Pages

    Health Care workers are constantly faced with legal and ethical issues every day during the course of their work. It is important that the health care workers have a clear understanding of these legal and ethical issues that they will face (1). In the case study analysed key legal and ethical issues arise during the initial decision-making of the incident, when the second ambulance crew arrived, throughout the treatment and during the transfer of patient to the hospital. The ethical issues in this case can be described as what the paramedic believes is the right thing to do for the patient and the legal issues control what the law describes that the paramedic should do in this situation (2, 3). It is therefore important that paramedics also

    Read More

  • Children Growing Up Poor in America

    564 Words  | 2 Pages

    sponsored programs, such as Medicaid, that try and offset medical problems of the poor youth,

    Read More

  • Essay On Medicaid And Federalism

    788 Words  | 2 Pages

    Health reform and health policy has taken over in the United States in recent years. Medicaid is one of the top policies being implemented throughout our nation today. To understand how Medicaid and federalism cross paths with each other one must understand the basic definitions and concepts each one brings. Federalism is “system of government in which the same territory is controlled by two levels of government. Generally, an overarching national government governs issues that affect the entire country, and smaller subdivisions govern issues of local concern.” In short, federalism is a government system that has an overseeing central government over state government. While, “Medicaid is a health insurance program for low-income individuals and families who cannot afford health care costs. Medicaid serves low-income parents, children, seniors, and people with disabilities.” Medicaid is a test based welfare program for United States Citizens. Now the question is how does Medicaid intersect with federalism? These two intersect because Medicaid is a need-based program that is funded by the federal government and the state government and administered at the state level. The issue with Medicaid is that if it expands then a crowding-out effect may occur. Meaning, that the more the government spends on Medicaid then less they would be able to spend on other programs such as: education, transportation, or other state priorities. Medicaid is supposed to provide access to health insurance for approximately half of our nations uninsured citizens. Without Medicaid a vast amount of low-income citizens will go without having a healthcare insurance plan.

    Read More

  • The Affordable Care Act (ACA)

    1553 Words  | 4 Pages

    Present-day Medicaid guidelines command eligibility to be sustained automatically every time the state has adequate evidence to validate young adult to continue to be covered. This is important because it eliminates the state to conduct eligibility reviews and saves the state money in the long run. Since many young adults may move around the state or out of state, it gives him access to insurance regardless of his location and not have to worry about any documents to sign to review his eligibility (Houshyar,

    Read More

More about Medicaid Coverage Case Study

Open Document