English 1103 Research Presentation

8/13/2019 English 1103 Research Presentation

1/18

HOW BENEFICIAL ISMEDICAID? SHOULD IT BEEXPANDED IN ANYWAY?English 1103

Professor Malcolm Campbell

By Zna Le grand October 23, 2013


2/18

WHAT IS MEDICAID AND ITSPURPOSE?Medicaid is a means-tested health and medical servicesprogram for certain individuals and families with lowincomes and few resources. Primary oversight of theprogram is handled at the federal level, but each state:

Establishes its own eligibility standards,

Determines the type, amount, duration, and scope ofservices,

Sets the rate of payment for services, and

Administers its own Medicaid program

(MNT: Medical News Today)


3/18

A BETTER UNDERSTANDIWHAT MEDIC


4/18

MEDICAID


5/18

MEDICAID AND ITS KEY

PROVISIONSStates have relied on the form of Medicaid to meet standards thatcorrelate to both reform and demands. These standards are based services that the Government automatically provides as well as theservices that the States are capable of providing.

Government provided (required) services:

o Inpatient hospital serviceso Outpatient hospital services

o Prenatal care

o Vaccines for children

o Physician services

o Nursing facility services for persons aged 21 or older


6/18

REQUIRED SERVICESCONTINUEDFamily planning services and supplies

Rural health clinic services

Home health care for persons eligible for skilled-nursing services

Laboratory and x-ray services

Pediatric and family nurse practitioner services

Nurse-midwife servicesFederally qualified health-center (FQHC) services and ambulatoryservices

Early and periodic screening, diagnostic, and treatment (EPSDT) sefor children under age 21



7/18

STATE MEDICAID SERVICESince States have the eligibility to establish its own standards, determine the typamount, duration, and scope of services, set the rate of payment for services, aadministers its own Medicaid program. They also have the opportunity to providservices that are optional for the use of Medicaid.

Optional services:

o Diagnostic services

o Clinic services

o Intermediate care facilities for the mentally retarded (ICFs/MR)

o Prescribed drugs and prosthetic devices

o Optometrist services and eyeglasses

o Nursing facility services for children under age 21

o Transportation services

o Rehabilitation and physical therapy services

o Home and community-based care to certain persons with chronic impairm



8/18

WHATS THE NEED FOR ANEXPANSIONIf all states rely on Medicaids provided services and theres been aexpand the program, there must be something missing. Services ? Oway that the services are provided? What exactly are the demandsstandards that States have for the Medicaid Program.

Provided coverage for people with disabilities working in labor mpeople living with AIDS, children with notable health needs, and community based long-term care (LTC).

The improvement of mortality rates in recognition of children.

The development of new car coordinated models.

(Laura Tobler Program Director, HealthNCSL)


9/18

MEDICAID FEA

Eligibility varies widely among states because, although states mufederal minimum requirements such as covering certain people aspecific benefits, they may also choose to cover additional optipeople and services. Provisions of the Patient Protection and AffoCare Act (PPACA) expanded Medicaid to all Americans under awhose family income is at or below 133 percent of federal povert

($14,484 for an individual and $29,726 for a family of four in 2011) 2014. Under PPACA, states failing to participate in this expansion losing their entire federal Medicaid allotment.

(NCSL)


10/18

CONTINUED FEA

The optional expansion is not the only PPACA-related Medicaid change stapolicymakers face. The law also made several changes that influence Medoperations and the programs cost to states. The federal health reform law

Requires that states maintain eligibility standards that were in place as of M

Provides all newly eligible adults with a benchmark benefit package that mminimum essential health benefits that will be available in the new health inexchanges.

Requires states to improve outreach and enrollment for Medicaid and to c

Medicaid eligibility with the new health benefit exchange, which must be o2014.

Reduces Medicaid disproportionate share hospital (DSH) allotments.

Increases primary care provider payments fora two year period.

Expands state options for home and community-based services.

(NCSL)


11/18

WHAT MEDICAID IS REALL

Pros Nursing Facility Services

Family Planning Services

Physician Serivces

Inpatient/Outpatient HospitalServices

MEDICAID OR FRAUD Cons COST?

QUALITY OF CA

COVERAGES?


12/18

OPPOSED REA

1.The uninsured already have access to necessary health care, even fo

2.Medicaid harms health.

3.Expansion is expensive for states.

4.Moreover, populations currently eligible for but not enrolled in Medicaout of the woodwork. [I fail to see how this is an argument against expaworks in concert with number 10 below.]

5.Expansion is expensive in general, as is health reform. The money shouother ways.

6.Medicaid is part of the welfare state that promotes social dysfunctionthis.)

7.States can extract concessions from the federal government in exchaexpansion, so it is rational to resist until the terms are right.


13/18

CONTINUED OPPOSED RE

8.Republican electoral constituencies do not, on average, benefit from

9.Medicaid should be block granted; states should be afforded greater

10.Resisting expansion undermines reform, which is good for RepublicanNovember.

11.Medicaid reduces the incentive to work.

12.Medicaid expansion crowds out private coverage. 13.The expansion comes with cost-increasing coverage mandates.

14.Medicaid expansion will exacerbate the effects of a shortage of primphysicians.

(Austin Frakt)


14/18

AGREEABLE REA

1.A large proportion of low income individuals are uninsured.

2.Even some low income people with disabilities dont qualify for

3.Medicaid is good for health (more here).

4.Medicaid offers financial protection.

5.Expansion costs states very little; most of the cost is covered by

government.

6.More broadly, health reform saves many states money.


15/18

CONTINUED AGREEABLE RE

7.Medicaid expansion supports the economy.

8.Medicaid addresses the uncompensated care problem.

9.Politically powerful interest groups (health care providers amonsupport expansion.

10.It would reduce cost shifting.

11.Expansion supports the broader reform, helping to legitimize it function better. Its good for Democrats in November.

12.Providing access to affordable coverage, as well as people tathat coverage, is our moral duty.

(Austin Frakt)


16/18

OTHER QUES

Here are questions that are extremely relevant to us college studen

How beneficial will the expansion of Medicaid be on students(re

What would be the proposal for providing Medicaid for eligible s

To be an eligible student, what will it take?


17/18


18/18

WORK

"Current Status of State Medicaid Expansion Decisions The HenFamily Foundation." Current Status of State Medicaid Expansion DFederal Government, n.d. Web. 21 Oct. 2013.

Frakt, Austin. "The Incidental Economist." The Incidental Economis11 July 2012. Web. 21 Oct. 2013.

"Medicaid Benefits." Medical News Today. MediLexicon Internatio2013. Web. 21 Oct. 2013.

"Medicaid." NCSL. National Conference of State Legislatures, 201Oct. 2013.

"Understanding Healthcare Costs: Medicaid." Milliman. US Millima21 Oct. 2013.

English 1103 Research Presentation

Documents

Transcript of English 1103 Research Presentation