...Review of the Children’s Health Insurance Program The Children's Health Insurance Program (CHIP) is a United States program developed in 1997 intended to cover uninsured children of families with incomes that exceed Medicaid guidelines, but cannot afford private insurance. Families who qualify for CHIP will receive medical coverage at a free or low cost fee. It is a federally funded, state run programs that allows states to set their own eligibility requirements and policies within broad federal guidelines. In some states, CHIP covers pregnant women, however, each state determines CHIP coverage, and works closely with its state Medicaid program (Centers for Medicare & Medicaid Services, n.d.). Healthcare coverage is critical for children...
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...Medicaid and the Children’s Health Insurance Program Student Name Name of Instructor University Location of School Date Introduction The Children’s Health Insurance Program (CHIP) was initially created in the U.S. in 1997 in an effort to respond to the needs of millions of children that lacked health insurance coverage. Although the primary focus of the program was to assist in improving the access to health care services among children, it was also a relief to parents who became more motivated to take care of the additional needs of their children. While Medicaid was introduced as a publically funded health care program to assist people seeking access to health care services, CHIP was specifically tailored to meet the health care needs of children. The main purpose of this essay is to present an exploration of Medicaid and CHIP. One of the key areas to explore includes examining the legislation that introduced Medicaid and its funding sources. Medicaid Legislation and Funding One of the key areas to examine with regard to Medicaid is the legislation that introduced this particular program and its funding sources. The legislation of Medicaid, Moore and Smith (2006) observe that it took advocacy groups like Trade Unions, Advocates, and Public Welfare Associations to enhance the visibility of medical concerns that were evident in the population. One of the challenges that seemed to persist before the legislation of Medicaid is the fact that not many...
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...Associate Level Material Appendix A: U.S Health Care Timeline Use the following timeline or create a timeline of your own with eight major events, including the four provided below, from the last 50 years. You may change the dates in the box to match the dates of your events. Include the following in your timeline: • Medicare and Medicaid • HIPPA of 1996 • State Children’s Health Insurance Program (SCHIP) • Prospective Payment System (PPS) |1953 |The department of Health Education and Welfare was the forerunner of the Department of| |1954 |Health and Human Services, and it was established under President Eisenhower. | | |This is when President Eisenhower, as a strong advocate of private Health insurance | | |signs the Internal Revenue Act. | |1964 |The Economic Opportunity Act was signed by President Johnson as part of his | |1965 |administration”s “War on Poverty, a series of legislative efforts to address high | | |levels of unemployment and poverty. | | |Under the auspices of this “Great Society” reforms, President Johnson signs...
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...Associate Level Material Appendix A: U.S Health Care Timeline Use the following timeline or create a timeline of your own with eight major events, including the four provided below, from the last 50 years. You may change the dates in the box to match the dates of your events. Include the following in your timeline: Medicare and Medicaid HIPAA of 1996 State Children’s Health Insurance Program (SCHIP) Prospective Payment System (PPS) 1955 | In 1955 the then Indian Health Services took a new shape as it was taken away from Department of Interior. It was handed over to H.H.S. I learned from ihs.gov that in the past tribal Indians had to submit their land to get health services from US government. The Indian population could get healthy services and this is how their mortality rate decreased. When the services were reassigned to H.H.S. the Indians got more rights to get health services. | 1965 | Medicare and Medicaid came into being on July 30, 1965 as the Social Security Act got revised by the then President L. B. Johnson. The new healthcare programs are federal in type and are mainly for people of 65 and above. People below 65 may be covered if they have some particular disabilities. With these programs people with low or no income get care and | 1971 | The National Cancer Act Law was enacted by President R. Nixon. This law came as governmental war to overcome cancer. If our government paid no attention to this issue, scientists and doctors could not continue their...
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...Health care policy goals toward the society are delivery and financing of health care services. Health policy generally clarifies the movements occupied by governments---local, state, and national---to improve the society's health. It is a policy that stays focus more on discussing the health needs on majority of the population. The United States of America is the foremost spender on health care than any other country on earth (policy almanac, 2010). For a number of years, health care expenditures grew at a far more rapid rate than the Gross Domestic Product (GDP), using majority of the country‘s capitals. The cost of health care and the determination to control the intensification in spending is a major conflict. The upsurge in cost and spending of health care affects many policies as well as the consumer, physicians, government, children, and senior citizens. The focal focus is based on the first three phases of how the procedure works with Medicare/SCHIP. Policies are dynamic. There are three interconnected phases of health care policy making: the formulation stage, legislative stage, and implementation stage. These three important organized stages occur in the process in order to convert a topic such as Medicaid, into a policy. To begin, the formulation stage is a planning cycle by stating a theory. It is the main and frequently most challenging stage in obtaining proper decision methods. The obligation of this stage is to set priorities, set objectives and goals, define...
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...Material Appendix A: U.S Health Care Timeline Use the following timeline or create a timeline of your own with eight major events, including the four provided below, from the last 50 years. You may change the dates in the box to match the dates of your events. Include the following in your timeline: • Medicare and Medicaid • HIPPA of 1996 • State Children’s Health Insurance Program (SCHIP) • Prospective Payment System (PPS) |1960 |Prospective Payment System (PPS)- The mid-1960's brought about the view that access to| | |good quality health care could be provided for the U.S., regardless of ability to | | |pay. The PPS is a means to determine insurance payments for Medicaid plans. It is a | | |Medicare system that pays hospitals a set amount for covered diagnostic or treatment | | |services offered under Medicaid. | |1965 | | | | | | |Medicare and Medicaid- Medicaid is a federal program that provides insurance for low| | ...
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...October 27, 2013 EXERCISE 40 Questions to be Graded 1. According to the “Introduction,” what categories were reported to be statistically significant? The introductory paragraph of the article shows that the three groups in income, working status, and education, health status of the adult and child, and the utilization of health care are statistically significant. 2. In Table 1, is the No. In household reported as statistically significant among the three groups (uninsured, Medicaid, and privately insured)? Provide a rationale for your answer. The results in table 1 suggest that the number of households with a magnitude of 3.79 is statistically insignificant. The reason behind this is that there is no sign mentioned on the magnitude. This means that the significant value for this magnitude would be greater than the level of significance mentioned in the article. 3. Should the null hypothesis for Marital Status (%) be rejected? Provide a rationale for your answer. The result in table 1 suggests that the null hypothesis for the Martial status should be rejected. As the magnitude of X2 i.e. 3.79 is insignificant. Insignificant results indicate that the null hypotheses are supported or accepted. 4. How many null hypotheses were rejected in the Salsberry (2003) study? Provide a rationale for your answer. Six of the overall null hypotheses were rejected since six X2 values were significant, as indicated in Table 1. Significant results indicate that the...
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...Associate Level Material Appendix A: U.S. Health Care Timeline Use the following timeline or create a timeline of your own with eight major events, including the four provided below, from the last 50 years. Provide details on these events to help explain why they are important in the health care timeline. You may change the dates in the box to match the dates of your events. Include the following in your timeline (the other four events are up to you!): • Medicare and Medicaid • HIPPA of 1996 • State Children’s Health Insurance Program (SCHIP) • Prospective Payment System (PPS) |1960 |Propective Payment System – 1960 | | |This system was created to set standard rates based off you insurance also to avoid | | |over paying doctors and hospitals Making sure that test and procedures are needed for | | |diagnoisis and treatments. | | | | | | | | |Medicare and Medicaid - July 30, 1965 ...
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...unsustainable growth in health care costs, there is general agreement on the need to eliminate unnecessary spending in health care--and among the leading candidates are fraud and abuse. Despite ongoing, concerted efforts, making meaningful inroads has not been easy."Fraud" refers to illegal activities in which someone gets something of value without having to pay for it or earn it, such as kickbacks or billing for services that were not provided. "Abuse" occurs when a provider or supplier bends rules or doesn't follow good medical practices, resulting in unnecessary costs or improper payments. Examples include the over-use of services or the providing of unnecessary tests. (Another area, "waste," refers to health care that is not effective, and will be the subject of a separate Health Policy Brief.)Endowed with new powers under the Affordable Care Act and the Small Business Jobs Act of 2010, the Centers for Medicare and Medicaid Services (CMS) has been adopting new tools to curb fraud and abuse in the Medicare and Medicaid programs. The new approach amounts to a paradigm shift from the earlier model, in which CMS paid providers first, then sought to chase down fraud and abuse after the fact--a process known as "pay and chase."This policy brief focuses on eliminating fraud and abuse in Medicare and Medicaid and explores the challenges involved in putting the new tools into place. | What's the background? | The true annual cost of fraud and abuse in health care is not known. In...
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...An example of social construction is money. In reference to my topic of social welfare, I will talk about social welfare spending. Social welfare spending deals with programs that support low income households. These programs include health initiatives such as Medicaid and state child health insurance programs (SCHIP); cash assistance programs such as Aid to Families with Dependent Children (AFDC) or cash payments under AFDC’s replacement, Temporary Assistance for Needy Families (TANF); and a wide variety of other service programs providing child care, foster care, low-income energy assistance, services to the homeless and those funded by the Social Services Block Grant (SSBG). I believe that states of less fiscal capacity spent less per capita spend less on social welfare than states of higher fiscal capacity. Medicaid for example spending grew rapidly among all states in the late 1980s and early 1990s, even after controlling for the high rates of inflation in health care services. But the strongest growth occurred among the poorest states, probably a consequence in part of federal Medicaid expansions in eligible populations, services, and special funding for health care providers during those years. A flurry of policymaking around AFDC waivers and TANF cash assistance occurred in these and many other states in the middle and late 1990s. By 2003, however, TANF and its policies drew little attention from legislators in these six states and changes in earned income...
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...Children’s Health Insurance Program Tracy D Cotthoff Western Governors University Table of Contents Abstract 3 History of Children’s Health Insurance Program 4 The Impact of Licensure, Certification and/or Accreditation on CHIP 7 CHIP Reimbursement 8 Clinical Quality 9 Patient Access to CHIP 10 CHIP Impact on the Workforce 11 References 13 Abstract Americans have always had an insurance gap, but the hardest hit seem to be the children. There was a program created to try to fill that gap. Children’s Health Insurance Program was created to insure children that would otherwise be without health coverage. This program was started under Medicare to ensure that children would have medical, dental, vision, prescription, substance abuse and some mental benefits. History of Children’s Health Insurance Program The following is the history and facts of the Children’s Health Insurance Program: * In 1997, The Children's Health Insurance Program (CHIP) was created via federal law. For children’s families that have income above the Medicare limits, this program helps states to provide health insurance to uninsured, low-income children living with families. * The original CHIP funding for fiscal years 1998 thru 2008 was between $3.1 billion and $5.0 billion. The federal and state governments share in the cost for CHIP, and states have leeway in setting criteria for eligibility and which healthcare services to cover. * By 2007, 13 states had expanded...
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...Uninsured and Underinsured children in America are one many vulnerable groups that impact the financial aspect of health care. This paper will discuss the financial impact and delivery of the United States health care system. It will also discuss the different types of funding that are available to uninsured and underinsured children. Last, the paper will discuss issues and challenges of this vulnerable group along with some solutions that government has come up with. Uninsured/Underinsured Children in the United States Health care is financed by different means. There are public and private financing. Public financing options are through the government and states and consist of Medicare, Medicaid, and Children Health Insurance program. Private financing options consist of group insurance, self-insurance, and Managed Care Plans. Uninsured and underinsured children can get the help they need from many public financing groups whereas the private options tend to turn them down. Financial Impact Uninsured and underinsured children have a major financial impact on the economy. “The health costs of the uninsured have become an economic burden of the business community through property taxes, higher health insurance premiums, and lost productivity of workers with sick family members” (Edelman, 2009, para. 5). In other words someone has to pay for the health care of the uninsured and underinsured children in the United States. When parents are off work with their sick...
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...U.S Health Care Timeline Use the following timeline or create a timeline of your own with eight major events, including the four provided below, from the last 50 years. You may change the dates in the box to match the dates of your events. Include the following in your timeline: Medicare and Medicaid HIPPA of 1996 State Children’s Health Insurance Program (SCHIP) Prospective Payment System (PPS) 1935 | Medicare was signed in 1935; however it did not pass into law until 1965. (ssa.gov, 2012). Medicare was first used for retirement payments only. In later years disability was added to the program.Medicaid was adopted around the same time as Medicare. It was initially meant for the elderly for hospital coverage. In 1965 they added other programs for the Medicaid such as low income families to help receive health coverage. | 1982 | Prospective Payment System (PPS) was created to help control the cost/payments. Medicare would send payments to the hospitals. With the PPS admissions and doctor’s visits were put into categories. (Phillips, 2001). | 1985 | Consolidated Omnibus Budget Reconciliation Act (COBRA), was introduced in order for employers who had insurance coverage to have the option to continue the coverage if they had a job loss. (Paschall, 2010). | 1996 | HIPPA of 1996 was passed in 1996. The reason for HIPPA is to protect people about their health information. Under the HIPPA law no one is permitted to give out information about a person’s health for...
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...Title: What is the healthcare prospect for indigent population in Florida? According to the Department of Health and Human Services (2015), despite alarmists, there is sufficient evidence to support the benefits of federal financial assistance on for the economy. With this fact in mind, Group 7 will focus our research on three programs that are critical to the indigent population of Florida. They are as follows. Government services, including Medicaid, the State Children’s Health Insurance Program (SCHIP) and Accessing Community Care through Eastside Social Services (ACCESS). These programs enable eligible low-income individuals and their families to seek medical assistance reducing uncompensated care and hospital costs. The primary source of funding for uncompensated care is government dollars. The government collects taxes to fund various public services. American taxpayers have every right and should be concern about how the money is being spent. Controlling tax expenditures poses a major concern especially when considering reducing deficit as well as reducing taxes for Americans. The federal government is by far the largest funder of uncompensated care. In 2013, the federal government provided $32.8 billion (61.5 percent) to help providers cover costs associated with caring for the uninsured. State and localities are the second largest, providing another $19.8 billion; the private sector is estimated to contribute $0.7 billion (Caswell, Coughlin, Holahan, & McGrath...
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...CHIP Executive Summary HCS 550 June 30, 2014 CHIP Executive Summary The process of implementing a health care policy involves important steps of legislation formulation before execution and monitoring for progression and improvements. Committees and subcommittees on levels of the government, state, and local legislation are inclusive in ensuring the policy is enacted both efficiently and effectively. To accomplish these goals and objectives legislators must develop rules and regulations that align with goals and objectives, and take precautions to form the proper language to explain the actions suitable toward a successful operation. Some steps in the process are repeated each time a modification in the policy occurs. Examination of the Children’s Health Insurance Program (CHIP), justification of the policy, the responsibility of legislative committees appropriated to the policy, the implementation process, and the impact on the community, are addressed in the contents of this paper. CHIP Policy Description The Children’s Health Insurance Program (CHIP) provides low-income families with health coverage because they are not eligible for Medicaid. Funds for this program derive from state tax collections, and are matched by the federal government. Individuals under the age of 19 may receive coverage for immunizations, routine examinations, office visits, hospitalization, diagnostics, prescriptions, emergency room services, vision, and dental care. CHIP coverage...
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