Federal government matching funds are provided to the states based on their per captia income. The majority of medicaid beneficiaries are children. One in four children in the United States is covered under Medicaid. The remaining recipients that are involved of more than eighty million noneldery (54 years and under) adults with children at home. In the United States, spending on Medicaid's forty million beneficiaries is projected to an overall of two hundred twenty billion during the fiscal year of 2001. In the year 1998, the federal government's share of medicaid expenditures averaged about fifty-seven percent in every state. Eleven percent is the average rate the Medicaid spending grew during the years between 1980 to 2000. Moderate spending caused a concern to both the federal legal and regulatory efforts aimed at states use of financing mechanisms. For example most states used a huge amount of disproportionate share hospital payments, intergovernmental transfers, and provider taxes and donations. However, this did not impact the enrollment of people to Medicaid due to a strong economy along with state welfare reform and fewer expansions in eligibility. Services provided to Medicaid recipients were provided at costs that remained constant due to moderate health care price inflation along with expanded use of managed care and increased use of home and community-based alternative to costly institutional long term care. The federal and state governments are trying to find a way to managed their Medicaid by reducing costs and improving the amount of quality the Medicaid provides. Both federal and state governments are trying to eliminate unnecessary services and rely more on their primary care and the coordination of care. sta... ... middle of paper ... ...creased amount of flexibility and control over expenditures. It also gives the state to limit annual contributions, create a waiting list, or stop enrollment once the funds have been exhausted. The State Children's Health Insurance program succeeded on its mission by reducing the number of uninsured children. It started of slow in increasing the number of children that are insured but developed and improved throughout the years with resulting to a three million children who got insured. The Guam health Canter provides different types of medical service towards people who benefits from Medicaid. It includes laboratory and X- ray services, in and out-patients (people who are suffering from recent or long term illness). The Guam Community Health Centers also provides heath screening for children or different types of shots to prevent future illness like tuberculosis.
Kaiser Permanente’s mission is to provide care assistance to those in need. As a health maintenance organization, Kaiser Permanente provides preventive care such as prenatal care, immunizations, diagnostics, hospital medical and pharmacy services. Also, they take responsibility and provide exceptional training for their future health professionals for better clinical performance and treatment for the patients. The organization is to ensure fair and proper treatment towards their employees for a pleasant working environment in hospital and to provide medical services especially in a growing population in suburban communities, such as Tracy and Stockton in California.
For decades, one of the many externalities that the government is trying to solve is the rising costs of healthcare. "Rising healthcare costs have hurt American competitiveness, forced too many families into bankruptcy to get their families the care they need, and driven up our nation's long-term deficit" ("Deficit-Reducing Healthcare Reform," 2014). The United States national government plays a major role in organizing, overseeing, financing, and more so than ever delivering health care (Jaffe, 2009). Though the government does not provide healthcare directly, it serves as a financing agent for publicly funded healthcare programs through the taxation of citizens. The total share of the national publicly funded health spending by various governments amounts to 4 percent of the nation's gross domestic product, GDP (Jaffe, 2009). By 2019, government spending on Medicare and Medicaid is expected to rise to 6 percent and 12 percent by 2050 (Jaffe, 2009). The percentages, documented from the Health Policy Brief (2009) by Jaffe, are from Medicare and Medicaid alone. The rapid rates are not due to increase of enrollment but growth in per capita costs for providing healthcare, especially via Medicare.
There are several issues concerning the uninsured and underinsured patient population in America. There are many areas of concern the congressional efforts to increase the availability of health insurance, the public image of the insurance industry illustrated by the movie "John Q", the lack of good management tools, and creating health insurance coverage for all low income Americans. Since the number of uninsured Americans has risen to 43 million from 37 million in the flourishing 1990s and could shoot up even more severely if the economy continues to decrease and health care premiums keep increasing (Insurance No Simple Fix, 2001).
sponsored programs, such as Medicaid, that try and offset medical problems of the poor youth,
In order to make ones’ health care coverage more affordable, the nation needs to address the continually increasing medical care costs. Approximately more than one-sixth of the United States economy is devoted to health care spending, such as: soaring prices for medical services, costly prescription drugs, newly advanced medical technology, and even unhealthy lifestyles. Our system is spending approximately $2.7 trillion annually on health care. According to experts, it is estimated that approximately 20%-30% of that spending (approx. $800 billion a year) appears to go towards wasteful, redundant, or even inefficient care.
Barton, P.L. (2010). Understanding the U.S. health services system. (4th ed). Chicago, IL: Health Administration Press.
One of many solutions to help families to be able to afford health care is public option. This is an alternative solution to affordable healthcare for all. This works by having a government-run healthcare program which are exclusively available to two groups that lack employer provided health insurance. This program is also available to low income families or individuals. This program is sold just like how private companies sell their insurance in a New Health Insurance Exchange. The system is designed so that private companies are not able to take advantage of customers and opening a wider range of choices to choose from. Keeping costs down and premiums low helps avoid the problem of losing customers.
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
Medicaid is a broken system that is largely failing to serve its beneficiary’s needs. Despite its chronic failures to deliver quality health care, Medicaid is seemingly running up a gigantic tab for tax payers (Frogue, 2003). Medicaid’s budget woes are secondary to its insignificant structure, leaving its beneficiaries with limited choices, when arranging for their own health care. Instead, regulations are set in order to drive costs down; instead of allowing Medicaid beneficiaries free rein to choose whom they will seek care from (Frogue, 2003)
Medicare is a national social insurance program in the United States. It is administered by the federal government. It provides health insurance for citizens aged 65 years and above. These citizens must have initially worked, and paid into trust funds. Moreover, Medicare covers dialysis patients, or those with an end-stage renal disease. This program was established in 1966. Medicaid, on the other hand, is a social health program for both families and individuals, who are low income earners in the United States. It covers citizens of all ages, whose salaries are not enough to cater for healthcare. Those eligible must be U.S. citizens, who are of low income, and also the disabled.
In the United States, there are more than thousands of Americans who do not have the means to support themselves, hence they seek government benefits. Also, many people cannot afford proper insurance. For the Americans who are on public assistance, one of the biggest forms of assistance that the government offers is Medicare. Medicare is one of the many matters that are controversial ...
Reforming the health care delivery system to progress the quality and value of care is indispensable to addressing the ever-increasing costs, poor quality, and increasing numbers of Americans without health insurance coverage. What is more, reforms should improve access to the right care at the right time in the right setting. They should keep people healthy and prevent common, preventable impediments of illnesses to the greatest extent possible. Thoughtfully assembled reforms would support greater access to health-improving care, in contrast to the current system, which encourages more tests, procedures, and treatments that are either
Access to health care refers to the ease with which an individual can obtain needed medical services. Many Americans face barriers that make it difficult to obtain basic health care services. These barriers to services include lack of availability, high cost, and lack of insurance coverage. "Limited access to health care impacts people's ability to reach their full potential, negatively affecting their quality of life." (Access to Health Services, 2014) Access to health services encompasses four components that include coverage, services, timeliness, and workforce
...ue to numerous medical errors. With the amount of medical errors that currently do occur which is a current health care issue it cost the health care billions of dollar each year to fix the mistakes that were made.
Health care has always been an interesting topic all over the world. Voltaire once said, “The art of medicine consists of amusing the patient while nature cures the disease.” It may seem like health care that nothing gets accomplished in different health care systems, but ultimately many trying to cures diseases and improve health care systems.