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The Politics of Medicare and Medicaid

One of the significant challenges for Medicare and Medicaid is not necessarily the implementation of the program but the influence of the political climate with regard to both the financial support and control of the programs.

Choose two Articles related to the politics of Medicare and Medicaid from the list below.

Aaron, H. J., & Butler, S. (2008). A federalist approach to health reform:
The worst way, except for all the others. Health Affairs, 27(3),
725-735.
Kaiser Family Foundation. (2011). Federal core requirements and state
options in Medicaid: Current policies and key issues. Retrieved
from http://www.kff.org/medicaid/upload/8174.pdf
Kronick, R., & Gilmer, T. (2012). Medicare and Medicaid spending variations
are strongly linked within hospital regions but not at overall state level.
Health Affairs, 31(5), 948-955.
Kronick, R., & Rousseau, D. (2007). Is Medicaid sustainable? Spending
projections for the program's second forty years. Health Affairs,
26(6), 271-287.
Mann, C. (2003). The flexibility factor: Finding the right balance. Health
Affairs, 22(1), 62-76.
Weil, A., & Scheppach, R. (2010). New roles for states in health reform
implementation. Health Affairs, 29(6), 1178-1182.
Choose an issue mentioned in these articles pertaining to the politics of Medicare or Medicaid. Use the following as a guide to develop a report on the selected issue:

Explain the main points of the articles.
Explain in detail the issue as it pertains to the politics of Medicare or Medicaid.
Discuss the impact of the issue relative to the provisions for services to Medicare or Medicaid recipients.
In a Microsoft Word document, create a 2- to 3-page report on your analysis of the selected issue.

Solution Preview

I chose the article http://kaiserfamilyfoundation.files.wordpress.com/2013/01/8174.pdf
Kaiser Family Foundation. (2011). Federal core requirements and state
options in Medicaid: Current policies and key issues. Retrieved
from http://www.kff.org/medicaid/upload/8174.pdf

Explain the main points of the articles

Medicaid is a federal program that "covers low-income families who lack access to other affordable coverages, persons with disabilities, and low income individual to assist with gaps and premiums in coverage. Medicaid enrolles are usually sicker, poorer, and more disabled than those with private insurance. Medicaid covers a wide array of services including health and long term services and supports. Both the federal government and states are joined partnership.

How Medicaid is Finance

The federal government provides the dollars for the state to spend on eligible individual for Medicaid. The states make payments for eligible services for qualified enrollee. The federal government pays 57% of the program costs, but matching rates across states range from 50% to 75% in 2011 with poorer states receiving more federal assistance. The federal government has increased the matching rate to provide fiscal relief to states during economic downturns. Under the Amercian Reinvestment and Recovery Act of 2009( ARRA) , states were provided an increase in the FMAP throught December 2010 that later extend through June

Program Administration

The states must have a state Medicaid plan on file with CMS to participate in the program. Each state is responsible for setting up eligibility and enrollment processes and systems, determining the scope of benefits that will covered. The states must have shared responsibility with the federal government to ensure that state and federal funds are spent properly and efficiently. The states must collect and report information necessary for effective program administration and accountability.

Federal Core requirement

To fulfill Medicaid's statutory purpose of providing medical assistance to certain individuals who ...

Solution Summary

This solution discusses the politics of Medicaid, a federal program that covers low-income families who lack access to other affordable coverage, persons with disabilities, and low income individuals to assist with gaps and premiums in coverage. Those who enroll in Medicaid are usually sicker, poorer, and more disabled than those with private insurance.

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