Hi! Ms. Deras is undocumented. She does have an emergency Medicaid. On Tuesday, October 11, 2016, client went to Woodhull Hospital to fill Seroquel script medication drug. As per the client the Pharmacy didn’t accept her Medicaid. I’m confused to the reason why Woodhull didn’t accept her Medicaid Card. I will follow up with the…
1: Complete a one page position paper (your opinion) about current health and human services reimbursement.…
From these chapter I have gain the knowledge of know, the delivery of health traditionally evolved around the individual relationship between the provider and patient/consumer. The payment was either provided by a health insurance company or paid out of pocket by the consumer. This fee-for-service system or indemnity plan increased the cost of healthcare because there were no controls on how much to charge for the providers service. As healthcare costs continued to spiral out of control throughout the decades, more experiments with contract practice and prepaid service occurred randomly across the U.S. healthcare system (Shi & Singh, 2008)…
In 2013 the states were given the opportunity to expand on Medicaid under the affordable care act. With this expansion the government would pay a 100 percent for the first three years and reduce down to 90 percent over ten years. Many of the southern states chose not to expand and went on to search for private insurance companies to help cover the cost they would be losing in the future years. These states include Texas, Florida, Georgia, Missouri, North Carolina, Virginia, Louisiana, Oklahoma, and Wisconsin. Two state that are undecided is Tennessee and Indiana. Texas was all for making sure people were insured in health and wellness but they had their own idea of covering them.…
This assignment is to discuss the major provisions of the Massachusetts health care reform laws of 2006. In April there were about fifty eight which were put in to the law. By putting these into effect they made a stand for the health care reform. It was then that Massachusetts could provide affordable health insurance for its residents. When the legislation met they came to a compromise in which it was reached by the then Governor Mitt Romney who was a republican, and was also joined by Robert Travaglini and Salvatore Dimasi. It was discussed and believed that everyone in the state should have health insurance, but they were in hopes that it would be affordable. They finally decided to make insurance affordable as long as they could use…
One of the most significant changes that resulted from the ACA was support for seniors. In 2015, “63,200 Medicare beneficiaries in Maryland hit the donut hole, or gap in Medicare Part D drug coverage” (“The Affordable Care, n.d.”, p. 1). As a result, seniors received no additional money to cover the cost of prescription drugs. The Affordable Care Act will provide additional discounts for seniors on Medicare to defray the cost of prescription medications and will close the gap by 2020 (“The Affordable Care, n.d.”). Also, all 741,000 seniors in Maryland will receive free preventative services which include wellness exams and preventative screening for cancer at no cost (“The Affordable Care, n.d.”). These are examples of policies being…
The sales are made directly by the online agency in which they allow the customers to apply, buy and print the bonds on their own. The second method of sales involves an agent that partners with the agency. The agent partners' web space offers automated bond application, underwriting, and…
Pregnant women and children who are within five years of obtaining a certain legal status will be considered for Medicaid and CHIP program. However, illegal immigrants are not eligible for any form of health insurance plan. Most of the uninsured population is made up of the young and healthy. It could have been cheap to insure the young and the healthy. In that regard the uninsured immigrant population is made of the young and the healthy. In that manner health insurance premiums could be lowered and thus benefit everyone who is covered under the provision of the Affordable Care Act (Capps, 2014; Medicaid, 2015).…
Medicaid helps millions of older adults pay for long-term medical and health care needs. The government-sponsored program helps low-income seniors pay for doctor visits, hospitalizations, home health care and nursing home facilities.…
Throughout American history congress has had to resolve problems that arose nation wide. Pell Grants, created in 1972, and the Affordable Care Act of 2010 are just two of the legislations created to solve some of the United States economic problems. Although these two solutions were both initiated to boost America’s economy and to support low income families, the reason for the intervention of the government and their results differ.…
Affordable Care Act is enjoyed mostly by pro low and middle income Americans, especially in states that expanded Medicaid eligibility. Since Affordable Care Act works on a sliding scale, Affordable Care Act gives to about 30 million of 44 million uninsured Americans access to health insurance and expand Medicaid over 15 million previously uninsured low-income individuals and families below the 138% FLP mark. In the past, many of these low-income…
The Affordable Care Act will cut the number of uninsured Americans by more than half. The insurance coverage will cover ninety-four percent of the American population, which reduces about thirty one million uninsured people. One of the substantial changes to our health care system includes having individuals carry health insurance and prohibiting insurers from denying health insurance coverage due to preexisting condition. It will change the focus of our nation’s health care system from treating sick people to prevention, increasing access to care and ensuing quality health care for everyone.…
The affordable Care Act Also known as Obama Care has been the most controversial topic that most Americans debate on. It wasn’t clear whether this would be beneficial for everyone. The main aim of the ACA was to increase healthcare access for low income Americans by providing affordable healthcare coverage, to improve the quality of healthcare, to reduce healthcare cost, and to regulate the healthcare insurance companies. Since the act was passed millions of uninsured Americans were able to get affordable healthcare coverage. However, millions of Americans are still uninsured for many different reasons.…
Without instilling the Medicaid expansion within the states, the numbers of people would remain uninsured and without healthcare. The Medicaid expansion is set to start in 2014 and will be funded by the federal government 100% to every state that is participating throughout the startup period. As a result of the expansion, more adults will be able to receive healthcare they were previously not able to obtain. In trying to formulate a more systematic healthcare for the nation, it faces the challenge of the varying Medicaid eligibility each state has. Another challenge in producing a uniform system is that states with higher levels of poverty will have a higher percentage of additional participants within the Medicaid expansion program. The states with a lower levels of poverty will have a lower percentage of additional participants. The final negative factor in the expansion might be if a state opts in but later decides to back out or if the federal funding stops. The Supreme Court ruling does not make previsions for that situation and states run the risk of losing total funding for their Medicaid program. One of the trustees that was appointed by President Barack Obama gave a warning to the states he or she felt it was a “near certainty” government support would likely be cut in the future. (Ingram, 2013). If this were to become a…
Presently, individuals over age 65 are almost universally insured, while children and adults between 18 and 65 still suffer from high uninsured rates (7.6% and 19.9%, respectively; Smith & Medalia, 2014). Whites have the lowest uninsured rate at 9.8%, followed by Blacks at 15.9%, and Hispanics at 24.3% (Smith & Medalia, 2014). Additionally, lower household income is associated with lower rates of insurance coverage (Smith & Medalia,…