Government Involvement in Health Care Part Two. State Govt Fed Govt Medicaid Title XIX of the Social Security Act Health Care program for certain low.
Published byModified over 5 years ago
Presentation on theme: "Government Involvement in Health Care Part Two. State Govt Fed Govt Medicaid Title XIX of the Social Security Act Health Care program for certain low."— Presentation transcript:
State Govt Fed Govt Medicaid Title XIX of the Social Security Act Health Care program for certain low income persons (NEED based program) Administered by each state –Federal mandates –State options Funded by Federal and State Government
Medicaid Groups Eligible – Mandatory –Children < 6, pregnant women, family income ≤ 133% FPL (FPL on next slide) –Supplemental security income (SSI) Aged Needy, Blind Needy, Disabled Needy –Children <19, income ≤ FLP –Some foster care children –Certain Medicare beneficiaries, low income Many states are expanding eligibility (SCHIP) State Govt Fed Govt
2007 HHS Poverty Guidelines Size of Family Unit 48 States Alaska Hawaii 1$10,210$12,770$11,750 2$13,690$17,120$15,750 3$17,170$21,470$19,750 4$20,650$25,820$23,750 5$24,130$30,170$27,750 6$27.610$34,520$31,750 7$31,090$38,870$35,750 8$34,570$43,220$39,750 Fed Gov t
Medicaid Federal Government pays 50-83% of costs depending on the state Federal Match in Nebraska is ~ 60% (57.9% for fiscal year 2007) For other states & more statistics, please see the following web-site: http://www.kff.org/mfs/index.jsp State Govt Fed Govt
In Nebraska: 60 % of recipients are children, low incomes –< 22% of the dollars go here 21% of recipients are aged or disabled –Consume 56% of the dollars Large Medicaid expenditure–long term care (46%) State Govt Fed Govt Medicaid
NE Medicaid Expenditures 2004 www.kff.org/MFS/www.kff.org/MFS/ (Accessed 9/6/07) www.hhs.state.ne.us/med/reform/expenditures.htmwww.hhs.state.ne.us/med/reform/expenditures.htm (Accessed 9/6/07) State Govt
U.S. Medicaid Expenditures 2004 www.kff.org/MFS/www.kff.org/MFS/ (Accessed 9/6/07) Fed. Govt.
U.S. Expenditures Compared to Number of Enrollees- Medicaid (2004) www.kff.org/MFS/www.kff.org/MFS/ (Accessed 9/6/07) Fed. Govt.
Fed. Govt. Other major Federal Health Coverage Plans Veterans Administration Dept. of Defense (Military Services) & Tri- Care [Formerly CHAMPUS] (Military Dependents) Federal Employee Plan Indian Health Service / U.S. Public Health Service State & Local Plans for poor and uninsured.
Government Involvement in Health Care This concludes Part Two