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.

Slides:

Advertisements

Similar presentations

Figure 0 K A I S E R C O M M I S S I O N O N Medicaid and the Uninsured Medicaid: The Basics Diane Rowland, Sc.D. Executive Vice President Kaiser Family.

Advertisements

Understanding Medicaid Rodney L. Whitlock Health Policy Advisor Senate Finance Committee Briefing sponsored by The Alliance for Health Reform & The Kaiser.

Medicaid By: Allen Jiles.

Medicaid State Plan, Waivers & Quality Assurance

Medicaid Reimbursement for TB Services Carol J. Pozsik, RN MPH Executive Director National TB Controllers Assn.

K A I S E R C O M M I S S I O N O N Medicaid and the Uninsured Figure 0 Medicaid: The Basics Diane Rowland, Sc.D. Executive Director Kaiser Commission.

Medicare-Medigap-Medicaid Gabriella Hayes  Chantel Ochoa ^_^ Kelle Marshall :D Annysia Hoffman (:

1 Health and Disability Policy Briefing The American Public Human Services Association July 2007.

Introduction to Medicaid Roger Auerbach Rutgers Center for State Health Policy Regional Housing Conference September 10, 2003.

CHAPTER © 2012 The McGraw-Hill Companies, Inc. All rights reserved. 11 Medicaid.

“Medicaid Made Simple” in West Virginia House Government Organization Committee February 2, 2012 Renate Pore, Health Policy Director WV Center on Budget.

Medicaid and Medicare are two governmental programs that provide medical services to specific groups of people in the United States. Although the two.

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.

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.

Government Involvement in Health Care - Medicare and Medicaid Craig A. Pedersen, R.Ph., Ph.D. School of Pharmacy Ohio State University and Mary Haven.

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.

Government Involvement in Health Care - Medicare and Medicaid Craig A. Pedersen, R.Ph., Ph.D. School of Pharmacy Ohio State University and Mary Haven.

Overview of the U.S. Health Care System American Medical Student Association.

The Health Care Industry Part 2 - Medical Insurance Karen F. Nichols, MSA School of Allied Health Professions University of Nebraska Medical Center.

Overview of the U.S. Health Care System OU Pre-med Club/AMSA September 27, 2006.

555_l21© Allen C. Goodman, 1999 Equity, then Social Insurance … © Allen C. Goodman, 1999.

Medicaid A State and Federal Partnership

1.03 Healthcare Finances Understand healthcare agencies, finances, and trends Healthcare Finances Government Finances Private Finances 2.

Medicaid, TRICARE, CHAMPVA, Workers’ Compensation, and Discount Card Programs Chapter 5 © 2010 The McGraw-Hill Companies, Inc. All rights reserved.

 Medicare: $549 Billion in federal spending in 2012  Established 1965  Funded by the Social Security payroll tax  Recipients are those over 65 or.

FINANCING SYSTEMS OF CARE Part 1 Mary B. Tierney, MD Primary Care Senior Advisor TA Partnership August 7, 2003.

HCA 701: Paying for Health Care Private Insurance, Medicare, Medicaid & Managed Care.

Health Insurance.

Component 1: Introduction to Health Care and Public Health in the U.S. Unit 4: Financing Health Care Lecture 4 This material was developed by Oregon Health.

Comprehensive Health Insurance Billing, Coding, and Reimbursement Copyright ©2009 by Pearson Education, Inc. Upper Saddle River, New Jersey All rights.

North Dakota Medicaid Expansion Julie Schwab, MNA, MMGT Director of Medical Services North Dakota Department of Human Services.

Health Insurance. Objectives for today Explain the origins of insurance Differentiate among types of insurance Explain reimbursement mechanisms Explain.

OSHA Unit 4. 2 Occupational Safety and Health Administration l Formed in 1970 l Prevent workplace injuries and illness l Death rate cut in half since.

© 2010 Principles of Healthcare Reimbursement Third Edition Chapter 4 Government-Sponsored Healthcare Programs.

1 What does the Bush Administration’s Medicaid Reform Proposal Mean for Home and Community-Based Services? Joan Alker Senior Researcher Institute for Health.

Medicaid Eligibility l Low-income by federal poverty level (FPL) l Us citizen or lawful immigrant l Pregnant Women and newborn l Children 18 years and.

Medicare, Medicaid, and Health Care Reform Todd Gilmer, PhD Professor of Health Policy and Economics Department of Family and Preventive Medicine 1.

THE AMERICAN MEDICAL SYSTEM C. Antonio Jesurun, MD Professor Pediatrics.

Medicaid Eligibility Low-income by federal poverty level (FPL) –$17,960 for family of 1 (2003) Us citizen or lawful immigrant Pregnant Women and newborn.

George A. Ralls M.D. Health Services Department December 1 st, 2009 Medicaid Update 2009.

The Consortium for Infant and Child Health Pinch of Prevention Module: FAMIS Pinch of Prevention Module: FAMIS Updated: Spring 2009.

Federal-State Policies: Implications for State Health Care Reform National Health Policy Conference February 4, 2008.

Health Economics & Policy 3 rd Edition James W. Henderson Chapter 14 Policies That Enhance Access.

COBRA EXPANSION How It Impacts You. What Is COBRA? The opportunity to continue group health coverage when there is a “qualifying event” that would result.

Copyright © 2008 Delmar Learning. All rights reserved. Chapter 15 Medicaid.

Medicaid Lecture 15A Medicaid Established in 1965 along with Medicare Medicaid is a federal and state program that helps low income and disabled individuals.

1.03 Healthcare Finances. Health Insurance Plans Premium-The periodic amount paid to an insurance company for healthcare or prescription drugs Deductible-Amount.

This research is funded in part through a U.S. Health Resources and Services Administration, State Planning Grant to the Hawaii State Department of Health.

1.03 Healthcare Finances Understand healthcare agencies, finances, and trends Healthcare Finances Government Finances Private Finances 2.

Medical Coding & Insurance Unit 8 Seminar. CMS Centers for Medicare and Medicaid Services (CMS) Centers for Medicare and Medicaid Services (CMS) Purpose:

This research is funded in part through a U.S. Health Resources and Services Administration, State Planning Grant to the Hawaii State Department of Health,

© 2007 Thomson - Wadsworth Chapter 1 Health Care Systems and Reimbursement.

Idaho Medicaid Overview Disability Rights Idaho. Idaho Medicaid Overview ▪Medicaid is a federal/state partnership program designed to provide the benefits.

Health Care Reform IT’S COMPLEX! Jeffery Thompson, MD MPH Chief Medical Officer Washington State Medicaid.

 Medicare: $549 Billion in federal spending in 2012  Established 1965  Funded by the Social Security payroll tax  Recipients are those over 65 or.

Medicaid, Crowd-Out, and Long-Term Care Insurance Chapter 23.

K A I S E R C O M M I S S I O N O N Medicaid and the Uninsured Figure 0 Medicaid’s Origin Enacted in 1965 as companion legislation to Medicare (Title XIX)

UNIT 2 HEALTH INSURANCE BASICS

An Introduction to Health Care and Health Policy in the United States

Health Care Systems and Reimbursement

Children’s Health Insurance Program (CHIP)

HEALTH CARE POLICY AND THE STATES

FINANCING HEALTH CARE AND HEALTH INSURANCE

Financing Health Care And Health Insurance

Public Health Financing

Health Care Systems and Reimbursement

Ohio Medicaid March 13, 2019.

Component 1: Introduction to Health Care and Public Health in the U.S.

National Health Law Program

Presentation transcript:

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 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 Mandatory Services –Hospital services (inpatient and outpatient) –Physician services –Diagnostic services –Skilled nursing facility services –Rural Health Clinic services –Prenatal care/vaccines-child –Family planning –Nurse practitioner services Optional Services –Clinic services –Dental –Eye glasses –Intermediate care facilities- mentally retarded –Physical therapy –Prescription drugs –Rehabilitation services –Transportation services –Some home/community services State Govt Fed Govt

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: 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 (Accessed 9/6/07) (Accessed 9/6/07) State Govt

U.S. Medicaid Expenditures (Accessed 9/6/07) Fed. Govt.

U.S. Expenditures Compared to Number of Enrollees- Medicaid (2004) (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