Medicaid is a joint program shared between the state and the federal government to provide help with medical cost for those with low income and resources. The program itself has grown to become one of the largest expenditures in the budget, spending over $553 billion in 2016 (The Henry J. Kaiser Family Foundation 2017). Medicaid started under the Johnson administration when he signed amendments to the Social Security Act on July 30, 1965 (Koba 2014). Medicaid was apart of Johnson’s movement towards social reform known as the “Great Society”, it aimed towards eliminating poverty and racial injustice (Koba 2014). Today, funding for Medicaid works by the federal government giving grants to the states, it provides health insurance to over 74 …show more content…
The methods in obtaining this information mostly came from the internet through SUNY Plattsburgh’s library catalog. Using key terms like ‘finance’, ‘funding’, ‘expenditures’, ‘tax revenue’, ‘medicaid’, ‘political influence’ and a whole lot of other terms that would fit under the topic. The SUNY Plattsburgh database provides thousands of scholarly article and journals that support this topic. In addition, Medicaid.gov give a resource to many policies and program topics that help lead the way in learning what Medicaid is about. For example, the website had a page on cost sharing and how states have the choice to impose premiums and set up out of pocket spending (cost sharing) necessities for Medicaid enrollees (cite). Another governmental website that contributes to this literature review is the New York State Department of Health website. This helps in a way of distinguishing New York’s Medicaid policies and programs from other states. For instance, the website provides the New York State Medicaid State Plan, which is an official document that explains the structure and scope of a state's Medicaid program. The state plan is over a thousand pages and includes information like acceptable claims that act as a request for compensation for medical aid that was performed for an eligible Medicaid recipient (cite).Another area to find the material is from credible
Medicaid has help many qualified Americans who were historically unable to access health care. At the same time, it has raised questions and controversies as how efficient is the plan overall. Various research studies were conducted and contradicting results were presented. According to Paradise and Garfield (2013), some said that having no coverage at all is better that having a Medicaid coverage. On the other hand, some expressed that Medicaid paved a way to improved health due to increased access to services that provides prevention of diseases, health maintenance, and effective treatment (Paradise & Garfield, 2013). As for me I am in favor of the later, health care access for all. It comes down to equitable distribution of resources
The Social Security Act of 1965 established Medicare and Medicaid which are health insurance programs for the poor and elderly people of the United States. It is funded by a tax on the earnings of employees and contributions by the employers. “It is now broadly apparent that those who opposed Social Security in 1935 and Medicare in 1965 were wrong in their fears…” (Nicholas Kristof “The Wrong Side of History”).
Medicaid is defined as being a jointly funded state-federal health care program administered in Texas by the Health and Human Services Commission. Medicaid was established in 1967 and also stemmed from Patient Protection and Affordable Care Act P.L. 111-148 (Strategic Decision Support Team, 2010). Some of the goals and objectives within Medicaid are to make it less of a struggle for clients to get care, protects against out-of-pocket through the roof cost, and also to achieve cost savings for the state and federal government through the many improvements in coordination, as well as care (Eighty-First Texas Legislature, 1967).
With slight similarities, federal matching grants were provided by Medicaid to finance medical cost for the low income who were on welfare, disable, and elderly (Rowland, Summer 2015). At first, Medicaid was initially for the welfare population but was extended to be used by other low-come individuals that needed health insurance for medical care (Rowland, Summer 2015). Throughout the years, Medicaid has grown with an array of services it provides and with its population of those utilizing it and has extended to provide coverage to low-income individuals, the permanently disable, and those in need of Long Term Care (Rowland, Summer 2015).
Throughout the early 1980’s and 1990’s the Federal Medicaid program was challenged by rapidly rising Medicaid program costs and an increasing number of uninsured population. One of the primary reasons for the overall increase in healthcare costs is the
In 1965, President Johnson signed Title XIX of the Social Security Amendments, which enacted Medicare and Medicaid (CMS, n.d.). Now, Medicaid is the single largest publically funded health coverage in the United States. The Medicaid program is federally and state funded. Currently, Medicaid covers 70 million Americans. Over 33 million children, 19 million low-income adults, and 16 million elderly or disabled persons are insured through the program. Medicaid also provides assistance to select Medicare beneficiaries, which is currently about 10 million individuals. Long-term care assistance is also a role of Medicaid, with 1.5 million institutional and 2.9 million community-based residents assisted. As visualized in Figure 1, of the almost 70
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.
In 2010, the President of the United States signed the Patient Protection and Affordable Care Act (PPACA) into law (Luther & Hart, 2014). As written, the PPACA will be the most extensive change in the financing and provision of healthcare in 50 years (Luther & Hart, 2014). The stated purposes of the legislation are to decrease the number of medically uninsured people as well as decrease the cost of insurance and healthcare for those already insured (Shi & Singh, 2015). Medicaid expansion is significant element of the PPACA and is designed to provide health insurance to the lower income population (Vincent & Reed, 2014). The purpose of this paper
Medicaid is a federal and state program that helps with medical costs for some people who have a low income and limited resources. Medicaid is the largest source of funding for medical and health related issues in the United States. It provides medical care for nearly 60 million Americans (Medicaid History). Even though the program is joint between federal and state, the state decides how someone could be eligible for Medicaid.
Medicaid has been around for more than 50 years and is still a highly debated in Federal and State government. In a 2014 speech at the Presidential Library of Lyndon B. Johnson in Austin Texas Barack Obama recognized the impact that the Great Society bills had played on the future generations that came after they were created and signed into effect. "Because of the Civil Rights movement, because of the laws President Johnson signed, new doors of opportunity and education swung open for everybody, they swung open for you, and they swung open for me. And that's why I'm standing here today -- because of those efforts, because of that legacy" (Kevin, 2014). Obama is pointing back to LBJ with the affordable healthcare act. These choices and actions have mandated United States citizens healthcare to lift society to a higher standard of living so that everyone has the opportunity to start at the same starting point.
When President Barack Obama ran for office in 2008 he vowed to revolutionize the healthcare environment as it stood. With overwhelming election resuts Obama took the helm as the leader of our nation’s Medicaid program and immedialty begain lobbying for legislation to expand. Not since 1965 had our nation seen such a demeand from a president to change the landscape of healthcare for consumers and providers alike. One of the crucial elements of The Patient Protection and Afordable Care Act (Obamacare) was the need for states to expand eligibility to Medicaid in a bid aimed at improving the health of the welfare of the country Medicaid is a component of what the federal government enacted in the year 1965 that seeks to finance the delivery of better and affordable health care services to those designated “needy families” and to children. The program required states to expand the eligibility criteria to 138 percent of the federal government poverty levels to allow for the increased coverage of the children and an increase in the number of low-income earners. However, the Affordable care Act made the decision to expand the eligibility criteria the discretion of the States resulting in different state level governments opting for different approaches as some chose to expand while others decided not to expand. The subject is essential since it provides a clear insight into the effects policies pose to the healthcare sector and how people are affected. This study also allows one
States are being pressured to expand Medicaid to families earning up to $30,000 a year, just like the Affordable Care Act permits. While several respected governors have agreed to expand the program, many other governors and state legislators are cautious. These officials do not want to deny Americans their access to health care, however they do want to slow the expansion of a program that will provide them with limited access to quality care while destroying state budgets. One of the strongest arguments that can be made against the expansion of Medicaid is the fact that States simply can not afford it. The appeal to states to expand Medicaid is that the federal government will cover 100% of the cost through 2016 and eventually lowering to
The Medicaid program has impacted our hospitals and the economy of the state of South Carolina. There are a lot of pressures for most of the hospitals in the state dealing with bad credit, pay cuts, and financial pressure. According to U.S. News (2012), "the Supreme Court upheld the President, Patient Protection, and Affordable Care Act because it was the big key to a health care law expansion of Medicaid." This program is based on lower-income individuals and children that are below
Medicaid and Medicare are two different government programs. Both programs were created in 1965 to help older and low-income families be able to buy their own private health insurance. These programs were part of President Lyndon Johnson’s “Great Society” plan, a commitment to helping meet the needs of individual health care. They are social insurance programs, which allow the financial load of patient’s illnesses to be shared by other healthy, sick, wealthy, and lower income individuals and families.
A part of the problem of cost was the establishment of “free” healthcare for those eligible for Medicare and Medicaid, between 1965 and 1971 where there was no limitation on benefits. The cost of healthcare increased from 39 billion in 1965 to 75 billion in 1971. Providers had no concern for the cost of their care seeing that SSA recipients had no limits