The Medicaid in first place was created as safety net. It was created by President Johnson to help with medical services and make wider services for people of all ages (LBJ, 2012). He promised people that it would improve healthcare for Americans. It was created as a program that helped people deal with their medical cost if their income and resources were limited. Unlike Medicare, this program was created to help with more long-term and personal care services (CMS, 2015). It was created to help people with more everyday kind of service, more detailed and more specific. Mainly was there in first place to help and support Americans with low-income, and later on lot more guidelines and changes began happening to Medicaid. Medicaid’s plan …show more content…
In these services they would usually be offered help with activities of daily life, such as eating or bathing. Some home services also give them other benefits such as residential services, personal care or case management. To give more open details on experiences of Medicaid beneficiaries who need home and communities based services Musumeci and Reaves discuss nine seniors who are disabled and who live in different states. Those include people with different kind of disabilities which can be either developmental, physical or intellectual and issues such as autism, cerebral palsy, multiple sclerosis and their functional limitations that are there because they aged (Musumeci & Reaves, 2014). Based on interview that were given from these people to the Kaiser Commission in 2013 based on Medicaid and uninsured, these peoples’ profiles clearly show us how beneficiaries funds, well-being, status of their employment are affected by the coverage of Medicaid and the role these services play in their daily lives (Musumeci & Reaves, 2014). In the last years states are trying to work on rebalancing long-term care system by dedicating more spending to home and community care rather than institutional care. The reason is this being the efforts that are driven by beneficiaries who are
Medicare and Medicaid are programs that have been developed to assist Americans in attainment of quality health care. Both programs were established in 1965 and are federally supported to provide health care coverage to vulnerable populations such as the elderly, the disabled, and people with low incomes. Both Medicare and Medicaid are federally mandated and determine coverage under each program; both are run by the Centers for Medicare & Medicaid Services, a federal agency ("What is Medicare? What is Medicaid?” 2008).
The purpose of this paper is to give an overview of two federally and/or state funded programs. The programs that will be discussed are Medicare and Medicaid. In this paper will be information about who receives Medicaid/Medicare, the services offered by these programs, and those long term services that are not.
of the patient with controlling the costs of care, the issue of the uninsured began to grow. The concept of some sort of governmentally funded universal health care for all began over a century ago, however, never successfully implemented. From a historical viewpoint, individuals obtained health insurance by purchasing their own policy, as a benefit of employment, or through governmentally funded programs that required certain eligibility criteria be met in order to be eligible. If a person did not qualify for one of these types of health insurance, they generally were left without health insurance coverage.
Rules and policies constantly change over time with all types of industries, companies, and organizations. The results of these changes can affect a drastic number of outcomes or solutions to current issues within those businesses. One type of profession in particular, occupational therapy, is also included in these categories. The impact of not just current policy issues, but the social, economic, political, geographic, and demographic factors can all play a role in occupational therapy. The following paper discusses how the Affordable Care Act is positively affecting clients who are involved with occupational therapy.
Through the years people in the Unites States have struggle with issues dealing with having health coverage. In March 2014 Obama care also known as Affordable Care Act was sign into law making it possible for the lower and middle class to be able to afford health insurance. The affordable care act was in congress from 2009 to 2010.With the act been pass it made it easier for the people to qualify and get help and pay so little with no extra cost. Even thought the insurance is not free it is now affordable for people so now people have a wider range of coverage options. With the affordable care act been pass they are hoping with the affordable screening and preventive services they can be more proactive with people’s healthcare and delay
The Affordable Care Act (Patient Protection and Affordable Care Act), commonly called "Obamacare," is a federal statute that was signed into law in March of 2010 (PDF, n.d.; Van de Water, 2011). It basically requires the vast majority of people in the United States who do not have insurance coverage to acquire that coverage or face penalties. People who already have insurance through their employers or on their own will not be asked to change companies. Additionally, anyone who is on federally-funded insurance such as Medicaid or Medicare and still qualifies for those programs will not be removed from their insurance. They will still be covered and protected. In order to find out more about the Act and really understand its main points and principles, however, it is very important to be aware of how it became a law and any changes that have taken place to it from its inception all the way through where it is today. Only then can a person have a clear understanding of the Act and form an opinion as to the value it may (or may not) provide to the American public. There is still much speculation and a great deal of misunderstanding about the Act and what it involves.
Medicaid provides a comprehensive benefit package for those who enroll. The federal government requires coverage of thirteen services, including inpatient and outpatient hospital services, nursing home and home health care, and for children under the age of twenty-one. The benefits do not end there, Medicaid offers a
The Medicaid program is jointly financed by the federal government and states. The federal government pays states for a specific proportion of program expenses, called the Federal Medical Assistance Percentage (FMAP). FMAP varies by state based upon criteria such as per capita income. There are no intermediary like Medicare’s HMO and PPO, so payments are made directly to providers. Medicaid covers health insurance up to 400% of Federal Poverty Line for those who are under age 65 and poor and/or disabled through income and excise taxes. Elderly over age 65 who are poor are dual eligible for Medicare and Medicaid. There is an employer-based insurance (EBI) and cost share is between employees and employers.
The passage exhibits the 2010 Patient Protection and the Affordable Care Act (PPACA) in the U.S. that put the topic of health care reform and health care costs in the national spotlight again. Once employers starting abandoning in managing the care. The purpose of this paper is discuss the Health Care Reforms of the key issues, challenges, opportunities and is the health care reform good thing or not. The enactment of the health care reform comes from the path of dependence. The Health Care Reform, was passed by President Obama, this is a federal government’s role that is financed by delivering a health care system.
Medicaid is a government program that effects millions of people in the united states by providing health care. These individuals that receive these benefits include low-income adults, children, pregnant woman, the elderly, and people with disabilities (medicaid.gov). Because of the many different types of people that this program serves, it has the ability to effect many people across America. In the United States, each individual state administers and makes decision about their own medicaid program. There are certain services that the states are required to provide to a pateint with medicaid. A few, but not all, of these services are home health services, in and outpatient hospital services, X-ray services, family planning services,
In 1965 president Lyndon Johnson authorized regulation that established the Medicaid program. The program has since grown from its origins as a health coverage program for welfare recipients into a public health insurance program for the nation’s low-income population covering millions of additional children and adults in added categories living in or near poverty. Medicaid is administered by states, according to federal requirements. (Medicaid.gov, 2015) States and the federal government fund the program jointly. Although the Federal government establishes certain parameters for all states to adhere, each state administers their Medicaid program differently, resulting in differences in Medicaid coverage across the
Medicaid is a program designed for low income and disabled people. By federal law, states must provide coverage for very poor pregnant women, children, elderly and disabled. It is jointly financed by the state and federal government through taxes and administered by each state. Coverage varies because states have established different requirements for eligibility; hence people in certain states receive a more generous benefit package under Medicaid than those in other states. In 2010 Medicaid expanded to allow private health insurance companies to offer affordable health insurance to low income people who would not qualify for Medicaid but do not make enough to pay for private health insurance. This was called the Affordable care Act and intended to provide coverage for free to people with income below the federal poverty level. However some states chose not to expand so eligibility in those states are more strict whereas it’s more lenient in states that opted into the Affordable care Act.
It has officially been over a year since the Affordable Care Act (ACA), also known as Obamacare, took the nation by storm. Along with its inception came a deeming quality as one of the most ambitious, as well as provocative, instances of health care reform the United States had ever seen. The basic premise of the law is an attempt to ensure that affordable health care is made available for all American public. This is accomplished by providing tax credits on health insurance plans offered by the government, such as Medicaid, to those who remain at a certain Federal Poverty Level and could previously not effort it. The idea is that these discounts would suddenly allow said people to have a better chance at doing so. In addition, the law protects patients with preexisting medical conditions or who suddenly fall ill, forbidding insurance companies from dropping them. It also allows young adults to stay on their parent’s plans until the age of 26 and lowers rates for seniors. Those opposed to the law have retaliated, citing increased taxes, allocation of Federal and State funding, mandatory health coverage and, new, unnecessary obligations that insurance companies must follow. It is important to remember that ACA’s background, as well as its general support, is Democratic while, the majority of those who oppose it are Republican. The clashing views of
Policies and services such as; Medicare home health, Medicaid home health, and Medicaid waiver services are programs and assistant services that provide care and resilience to homebound careers’ and caregivers. Expanding or partnering these programs with likewise program in local communities may increase the careers’ mental health and safety at home, decrease stress of being a caregiver, and overall improve the relationship between caregivers and careers’. While these programs are often discussed as having upcoming cuts and being costly to taxpayers, having older adult stay at home with these programs would be most cost effective compared to the alternative of facility level care on taxpayers and individuals alike. Savings from providing more
Medicaid is a federal system of health insurance for people who require financial assistance. A person would think that a person in poverty has many resources to support themselves, but in reality those resources can only help to some extent. For example, as it states in this article, “The nation's health care system is often likened to a balloon: squeeze one part of it and another portion expands. This is true in Medicaid as well. Eliminate dental care for adult patients, for instance, and you may wind up treating them for malnutrition or reducing their chances of finding a job that might take them off of Medicaid. Reduce the number of asthmatics who receive preventive treatment through Medicaid, and the same people may wind up in the emergency room for a far more expensive bill" (Adams). This mens and helps explain the real problem of having the help of health insurance; which is that even if a person does attain health insurance it only helps a person to some extent and in some cases it only helps to pay some amount of the bill that is needed to be payed. This matters, because at some point the bill will build up to the point where a person will eventually become overwhelmed with the