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Medicaid Kyla Hull, Sam Igel, Annalise Jouett, and Andrew Kollmann
MedicaidKyla Hull, Sam Igel, Annalise Jouett, andAndrew Kollmann
Medicaid - Basic Overview
● Gov’t insurance program for low income families
● Created in the Social Amendments of 1965
● Under Lyndon B Johnson
Qualifications● US Citizen or Legal Resident● Income below poverty level
Categories● Different states have different categories;
some include:● Blindness● Disability● Pregnancy● Assets● Resources● Age● Citizenship
Federal Benefits● Inpatient, Outpatient Hospital Services● Home Health Services● Physician Services● Rural Health Clinic Services● Laboratory Services● X-Ray Services● Family Planning Services● Pre-Natal Care● Tobacco Cessation Services
State Benefits● Pharmacy Benefits● Clinic Services● Physical Therapy● Occupational Therapy● Respiratory Care● Mental Health Services● Dental Services● Optometry Services
Controversy
● The states and the federal gov’t could not agree on the amount of money each should pay for the program when it was first suggested.
Controversy Today● It has been in the news recently because of
the eligibility requirement changes made in 2013.
● It is now controversial because the Obama Administration has offered to pay for any new people that the states can put on Medicaid.
Modifications● The Patient Protection and Affordable Care
Act, passed in 2010, will expand Medicaid eligibility starting in 2014.
Overseer● The US Department of Health and Human
Services oversees Medicaid.● It is up to the states to administer the
program.
Program Cost● The program’s cost varies from state to
state.● The State pays 50% of the cost and the
federal gov’t pays for the other 50%.
State Participation● State participation is voluntary● All states have participated since 1982
State Administration● States may bundle the administration of
Medicaid with other programs, therefore the the same organization that handles Medicaid within a state may also manage additional programs.
Managed Care● Managed care allows states to reduce costs
without reducing benefits.● Changing the system allows states to cut
high payments to pharmacies.● States worry that they would lose federal
rebates for medications and would be unable to negotiate with pharmacies for lower prices if they moved to managed care.
Multiple Choice #1
States are happy because…A. cost for medicine is getting lower.B. cost for medicine is getting higher.C. States are not happy because the price of medicine is getting higher.D. several states have reduced Medicaid spending.
Answer
The correct answer is C
Multiple Choice # 2
What does managed care do?A. Provide money for health care.B. Offer possible guidelines for health care.C. Demand guidelines for health care.D. Force all states to conform to certain guidelines.
Answer
The correct answer is B.
Multiple Choice #3
What do states worry about when it comes to managed care?
A. They would lose federal rebates for medications.B. States would reduce costs therefore reduce benefits.C. Higher payments to pharmacies would be required.D. States would have to negotiate with pharmacies to get lower prices.
Answer
The correct answer is A.
Multiple Choice #4
What year was Medicaid established?A. 1970B. 1997C. 1963D. 1965
Answer
The correct answer is D.
Multiple Choice #5
Who was president when Medicaid was established?
A. Richard NixonB. John F. KennedyC. Lyndon B. JohnsonD. Gerald Ford
Answer
The correct answer is C.
Sources● www.ncpa.org/pub/5a566● www.medicaid-help.org● www.en.wikipedia.org/wiki/Medicaid
