AHS-6 Federalism/Medicaid
- 1. Medicaid Kyla Hull, Sam Igel, Annalise Jouett, and Andrew Kollmann
- 2. Medicaid - Basic Overview ● Gov’t insurance program for low income families ● Created in the Social Amendments of 1965 ● Under Lyndon B Johnson
- 3. Qualifications ● US Citizen or Legal Resident ● Income below poverty level
- 4. Categories ● Different states have different categories; some include: ● Blindness ● Disability ● Pregnancy ● Assets ● Resources ● Age ● Citizenship
- 5. 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
- 6. State Benefits ● Pharmacy Benefits ● Clinic Services ● Physical Therapy ● Occupational Therapy ● Respiratory Care ● Mental Health Services ● Dental Services ● Optometry Services
- 7. 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.
- 8. 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.
- 9. Modifications ● The Patient Protection and Affordable Care Act, passed in 2010, will expand Medicaid eligibility starting in 2014.
- 10. Overseer ● The US Department of Health and Human Services oversees Medicaid. ● It is up to the states to administer the program.
- 11. 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%.
- 12. State Participation ● State participation is voluntary ● All states have participated since 1982
- 13. 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.
- 14. 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.
- 15. 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.
- 16. Answer The correct answer is C
- 17. 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.
- 18. Answer The correct answer is B.
- 19. 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.
- 20. Answer The correct answer is A.
- 21. Multiple Choice #4 What year was Medicaid established? A. 1970 B. 1997 C. 1963 D. 1965
- 22. Answer The correct answer is D.
- 23. Multiple Choice #5 Who was president when Medicaid was established? A. Richard Nixon B. John F. Kennedy C. Lyndon B. Johnson D. Gerald Ford
- 24. Answer The correct answer is C.
- 25. Sources ● www.ncpa.org/pub/5a566 ● www.medicaid-help.org ● www.en.wikipedia.org/wiki/Medicaid