Case 3 Medicaid the single-largest source of health insurance coverage in the United States

Using the information in the required readings, as well as some additional research in peer-reviewed sources, complete your Case assignment by answering the following:

1. Examine the benefits and eligibility of the Medicaid program. Who can be covered, and what are the specific income restrictions when qualifying via financial status? How did the Patient Protection and Affordable Care Act change the income determination methodology?

2. Describe how the Medicaid program is financed. How much do the individual states (including your home state) contribute?

3. Determine how the average Medicaid reimbursement level specifically compares to the average reimbursement for private insurance. How can these reimbursement levels affect the bottom line at your facility?

Assignment Expectations

1. Conduct additional research to gather sufficient information to support your analysis.

2. Provide a response of 4 pages, not including title page and references

3. There are multiple required items to be addressed herein; please use subheadings to show where you are responding to each required item and to ensure that none are omitted.

4. Support your paper with peer-reviewed articles, with at least 4 references. Use the following link for additional information on how to recognize peer-reviewed journals:

Angelo State University Library. (n.d.).Library Guides: How to recognize peer-reviewed (refereed) journals. Retrieved from https://www.angelo.edu/services/library/handouts/peerrev.php

5. You may use the following source to assist in formatting your assignment:

Purdue Online Writing Lab. (n.d.). General APA guidelines. Retrieved from https://owl.english.purdue.edu/owl/resource/560/01/

Module 3 – Background

MEDICAID ELIGIBILITY AND FINANCING

Required Reading/Viewing

1. Dillender, M. (2017). Medicaid, family spending, and the financial implications of crowd-out. Journal of Health Economics. Vol. 53, 1-16.

 

2. Kaiser Family Foundation. (2019). Ten things to know about Medicaid: Setting the facts straight. Available at https://www.kff.org/medicaid/issue-brief/10-things-to-know-about-medicaid-setting-the-facts-straight/

 

 

3. Perez, K. (2017). The fiscal realities of a single-payer healthcare system. Healthcare Financial Management, 71(11), 108-109.

 

4. Petrou, P., Samoutis, G., & Lionis, C. (2018). Single-payer or a multipayer system: A systematic literature review. Public Health, Vol. 163, 141-152.

 

 

5. Robert Wood Johnson Foundation. (2019). Medicaid: The basics. Available at https://www.rwjf.org/en/library/research/2019/02/medicaid-the-basics.html