...Medicaid is the State and Federal joint venture that provides medical coverage to the eligible individuals. The purpose of Medicaid in Texas is to improve the health of people whose income and resources are insufficient to pay for health care. The Texas Health and Human Services Commission's (HHSC) Medicaid Office is responsible for statewide oversight of Texas Medicaid. The mission of the Texas Medicaid program is to improve the health of Texans by emphasizing prevention, promoting continuity of care, providing a medical home for Medicaid recipients and ensuring that each recipient can receive high quality, comprehensive health care services within the community. (6) Medicaid serves primarily low- income families, children, caretakers of dependent children, pregnant women, cash assistance recipients, people aged 65 and older, and adults and children with disabilities. Medicaid pays for acute health care (physician, inpatient, outpatient, pharmacy, lab, and x-ray services), and long-term services and supports (home and community-based services, nursing facility services, and services provided in Intermediate Care Facilities for Individuals with an Intellectual Disability or Related Conditions (ICFs/IID)) for people age 65 and older and those with disabilities. Texas Medicaid provides major portion of healthcare services through managed care model. (1) There are basically four Medicaid programs in Texas. The type of coverage an individual gets depends on his/her...
Words: 1829 - Pages: 8
...Investment Funds and Securities Bloomberg Exercises 1. Learn about the different types of funds and their classifications by going to the Bloomberg’s FUND screen: FUND <Enter>; click “Fund Functions” and “Fund Lookup”; or enter MFOD and click type: Equity, Debt, Money Market, Real Estate, Commodity, or Alternative. 2. The performances of funds by type (e.g., mutual, hedge fund, ETFs, and unit investment trust) can be found on the Fund Heat Map Screen, FMAP. Use the screen to identify the top performers based on total return for several types: FMAP <Enter>, Click “Fund Type” in “View By” dropdown. 3.) alternative) can be found on Bloomberg’s Fund Heat Map Screen, FMAP. Use the screen to identify the top performers based on total return for several objectives: FMAP <Enter>, Click “Objective” in “View By” dropdown. 4. Use the Bloomberg fund search screen, FSRC, to search for the following types of equity-type funds and ETFs: a. Fund Type: Open-End; Classification (Asset Class Focus): Equity; Fund Strategy: Growth or Growth and Income; Analytic criterion: Input total return for one year of greater than X% (e.g., 20%) b. Fund Type: Closed-End; Classification (Asset Class Focus): Equity; Country of Domicile: select (e.g., U.S.); Analytic criterion: input total return for one year of greater than X% (e.g., 20%) c. Fund Type: Open-end; Classification: Industry Focus: Select industry (e.g., technology); Analytic criterion: input total return for one...
Words: 793 - Pages: 4
...for the population of interest (Bernal, Jimenez-Chafey, & Rodriguez, 2009). There are several examples of cultural adaptations for Chinese and Chinese Americans. As mentioned earlier, Zhang and colleagues (1998, 2002) created CTCP to serve as a culturally appropriate treatment for Chinese individuals. Dai and colleagues (1999) evaluated a depression treatment in older Chinese-Americans. Shen and colleagues (2006) established a Cantonese CBT program for depressed Hong Kong immigrants. Huey Jr. and colleagues (2006) evaluated an adaptation of a phobia treatment for Asian-Americans. Hwang (2009) established the Formative Method for Adapting Psychotherapy (FMAP) to assist in the creation of a cognitive-behavioral treatment (CBT) adaptation for depressed Chinese-Americans. Chu and colleagues (2011) utilized Hwang’s FMAP to adapt problem-solving therapy for depressed older Chinese individuals. These adaptations all happen to be modifications of CBT treatments, which begs the question as to whether adaptations of CBT programs are the best fit for this group? Purpose Therefore, this dissertation will explore the suitability of Acceptance and Commitment Therapy (ACT) for Asian-Americans, particularly traditional and/or less acculturated Asian-Americans. Generally, the more acculturated Asian-Americans are believed to do well with the Caucasian normed treatments as they are culturally aligned, appear to be much more open to psychological services, and seek more help (Atkinson &...
Words: 666 - Pages: 3
...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...
Words: 1745 - Pages: 7
...Budgetary Analysis Heather Horning HCS/550 August 18, 2014 Elaine Bobo Budgetary Analysis The Medicaid program is one of the largest sources of health insurance in this country in addition to employer-based health insurance and Medicare. Medicaid delivers crucial medical related services to the most at risk populations in society. The importance of Medicaid's part in providing health insurance cannot be exaggerated; “the Medicaid program covers millions of low-income women, children, elderly people and individuals with disabilities” (U.S Department of Health and Human Services, 2000). Funding for Medicaid is limited through various federal policies, leaving much of the program’s budget burdened on the individual states to make necessary spending cuts in order to provide the funds needed for the demand of the program. Budgetary decisions need to be thoroughly reviewed before any immediate action is taken as these decisions can create a domino effect on other programs and their participants as sections of this paper will describe. Medicaid Overview Medicaid is a cooperative federal and state program with a common goal to provide a vital service for the general public. “Medicaid is the largest source of federal revenue for states. Medicaid funds support health care providers, jobs and state economies overall” (Kaiser Family Foundation, 2013). Every state institutes its own eligibility criteria, benefits platform, payment rates and program organization under the broad federal recommendations...
Words: 1949 - Pages: 8
...Consequences of Refusing Medicaid Expansion in Louisiana Perhaps the most significant of Barack Obama’s presidential achievements will be the passage of the Patient Protection and Affordable Care Act (ACA). He signed ACA, also frequently called “ObamaCare,” into law on March 23, 2010, but several milestones had to be overcome before the act went into effect in 2014. ACA was intended to increase the affordability and accessibility of quality healthcare to the American people. While these goals, at their most rudimentary form, appear to be benevolent enough, the law has been the source of many heated debates and lawsuits over the past few years. ACA was intended to use several mechanisms to increase people’s access to health insurance. (Dickman, Himmelstein, McCormick, & Woolhandler, 2014) The law called for states to set up online health insurance exchanges for people to compare and shop for health insurance policies. Individuals and families earning up to 400 percent of the Federal Poverty Level (FPL) would be eligible for a subsidy to help pay for their policy. The 2014 FPL for a family of four is $23,850. (2014 Poverty Guidelines, 2014) The law also required most uninsured people whose income exceeds 138 percent of the FPL to either purchase health insurance or be subject to penalties. Another condition called for states to offer Medicaid coverage to people with incomes below 138 percent of the FPL. This would mean a family of four earning $33,000, would make too much to...
Words: 2047 - Pages: 9
...Managed Care Organizations Managed Care Organizations Renetta Moses Brandon Hicks Cynthia Junious Kga 11/14/2011 Renetta Moses Brandon Hicks Cynthia Junious Kga 11/14/2011 Brandon Hicks HCM240 managed care Brandon Hicks HCM240 managed care According to “National Library of medicine “Managed care is programs or organizations intended to reduce unnecessary health care costs through a variety of mechanisms. There are economic incentives for physicians and patients to select less costly forms of care. Programs for reviewing the medical necessity of specific services; increased beneficiary cost sharing; controls on inpatient admissions and lengths of stay; the establishment of cost-sharing incentives for outpatient surgery; selective contracting with health care providers; and the intensive management of high-cost health care cases. There are many different types of managed care organizations here are few, Health Maintenance Organization, Fee-for-Service, Preferred Provider Organization and Point of Service Plan, with the evolving changing medical field these organizations will change as well. Health Maintenance Organization is the very first form of managed care. In the early 1970 the Health Maintenance Act was passed this led to the rapid growth of Health Maintenance Organization. The act was created for HMO organizations in which physicians, hospitals, and insurance plans are either closely affiliated or in the same organization. If a doctor works...
Words: 2468 - Pages: 10
...ABSTRACT Over the course of years with advancement in technology, medical science has developed into a field of continuous research and advancement in mechanisms to improve the health of society. This papers tries to find the relation with a minute but important application of this advancement; Prenatal Care for better growth and development of children. It tackles the question of whether the impact of prenatal care is significant on an infant’s health or not. The data used is a cross-sectional data of 1832 observations, with 29 variables. Controlling for different relevant variables like demographics, age, education etc. we try to find a causal relation between the impact of prenatal care and birth weight. And in the end we conclude our results that a positive relationship is indeed present and significant, leaving room for data limitations and possible solutions for future research. IMPACT OF PRENATAL CARE ON BIRTH WEIGHT Shehryar Amin Waqas Sheikh Hafiz Moazam Ali Nasir Javed Econometrics 2 Introduction Birth weight is a key factor for a child’s health and wellness. Not only it is important to prevent infant mortality rate but also a healthier birth weight helps reduce the increased risks of illnesses faced by babies born with low birth weight. Also in a statistical brief for the state center for health statistics of North Carolina1, it was found that compared with children born with normal birth weight, low birth weight children were more at a risk for poorer...
Words: 3155 - Pages: 13
...Trident University | MHM502, MOD 6, Essay | Health Care Finance | | Horal, Thomas J | 1/27/2014 | [Type the abstract of the document here. The abstract is typically a short summary of the contents of the document. Type the abstract of the document here. The abstract is typically a short summary of the contents of the document.] | MHM502 Health Care Finance has broadened my horizons not just on the financial aspect of the Healthcare system, but the Health Care system as a whole. This health care finance course has laid out clear and specific objectives, and insured that the student, has not just a broad overview, but a specific and detailed orientated understanding of all the topics covered. I now have a very clear understanding of not just how health care is financed, but also its distribution across all demographics. Not only is health care financed by both public and private funding, funding can even be broken down further by each state. I have also learned that there are some very key difference when one compares different states to one another. Health insurance coverage in the United States is drastically different among socioecomimic class, race, nativity, and age. I have also learned the differences in fully and self-insured plans and the risks associated with both. Through the modules I have a much greater understanding of the PPACA act and the changes that it imposes, though it seems like in order for this act to have solid effect on the people it...
Words: 1105 - Pages: 5
...Budgetary Analysis HCS/550 April 21, 2014 Budgetary Analysis Each state offers Medicaid and CHIP programs. There is approximately sixty million Americans with this health care coverage. Individuals with disabilities, parents, seniors, pregnant women and children are all eligible to receive the Medicaid plan. With federal minimum standards in place each state sets there individual criteria. Some federal laws in place are to cover certain population groups (mandatory eligibility groups) and gives them the flexibility to cover other population groups (optional eligibility groups). Medicaid, individuals must satisfy federal and state requirements regarding their current residency, immigration status, and documentation that they are a U.S. citizen. The Affordable Care Act of 2010 helped to expand Medicaid in 2014. “The Affordable Care Act provides Americans with better health security by putting in place comprehensive health insurance reforms that will: * Expand coverage, * Hold insurance companies accountable, * Lower health care costs, * Guarantee more choice, and * Enhance the quality of care for all Americans. Most recently, the MMA of 2003 included increases in DSH state allotments for 2004-2011 and added requirements for an independently certified annual audit. Figure 8.14 shows DSH funds as a percentage of the total Medicaid budget. The Affordable Care Act actually refers to two separate pieces of legislation — the Patient Protection...
Words: 1826 - Pages: 8
...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...
Words: 2618 - Pages: 11
...Abstract This paper address the challenges to determine what parts of the Affordable Care Act can apply to Puerto Rico and the impacting the Medicare, Medicare patient services and employees. Most of the people in the island think that the Affordable Care Act is giving more security and help to address the existing disparities in the healthcare system. With the new Patient Protection & Affordable Care Act, the insurance companies can no longer drop the coverage if one becomes sick, bill individual into bankruptcy because of an annual or lifetime limit, and they will not be able to discriminate against anyone with a pre existing condition. Most of the Medicare and Medicaid community suffers do to the imbalance in our healthcare system this situation affects the quality of care and places a financial strain on the government, individuals and families, employers and employees, and public and private providers. Most of the Medicare beneficiaries have to enroll in the MA program to help them to succeed and receive the adequate treatments without MA to help the disadvantaged seniors on the island, Puerto Rico's elderly citizens will be forced to turn to Mi Salud in larger numbers. Although Mi Salud is scheduled to receive an average of $690 million annually during the next five years, the widening deficit in MA funding is likely to create a net negative impact on federal funding for healthcare in Puerto Rico. The Health care Policies and Issues Ethical concerns and issues ...
Words: 10927 - Pages: 44
...TEMPLATE FOR CHILD HEALTH PLAN UNDER TITLE XXI OF THE SOCIAL SECURITY ACT CHILDREN’S HEALTH INSURANCE PROGRAM (Required under 4901 of the Balanced Budget Act of 1997 (New section 2101(b))) State/Territory:___________________________________________________________ (Name of State/Territory) As a condition for receipt of Federal funds under Title XXI of the Social Security Act, (42 CFR, 457.40(b)) ________________________________________________________________________ (Signature of Governor, or designee, of State/Territory, Date Signed) submits the following Child Health Plan for the Children’s Health Insurance Program and hereby agrees to administer the program in accordance with the provisions of the approved Child Health Plan, the requirements of Title XXI and XIX of the Act (as appropriate) and all applicable Federal regulations and other official issuances of the Department. The following State officials are responsible for program administration and financial oversight (42 CFR 457.40(c)): Name: Position/Title: Name: Position/Title: Name: Position/Title: *Disclosure. According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 09380707. The time required to complete this information collection is estimated to average 160 hours per response, including the time...
Words: 18927 - Pages: 76
...1. EXECUTIVE SUMMARY Public Securities Corporation (PSC), a wholly-owned stock brokerage firm of the AFP Retirement and Separation Benefits System (AFP RSBS) envisions itself to be one of the top stock brokerage firms in the Philippines. The company was acquired by the AFP RSBS from a group of private individuals in 1994 with the main objective of taking advantage of the favorable prospects in the stock market and at the same time, to generate income for the mother company. Value turnover at the Philippine Stock Exchange slowed by 30% and lost P383 billion from P1.2 trillion in 1997 to P817 billion in 1998 due to the Asian Financial crisis. The decline in value turnover resulted to less commission income generated from broking services that caused both local and foreign brokers to leave the Philippine equities market and applied for temporary suspension, while others opted to cease operations totally. Political instability also discouraged investors in Philippine equities during the Estrada Administration. Illegal trading activities, such as frontrunning, insider trading and “kiting” resulted to the loss of investors’ confidence towards the regulatory bodies, the Securities and Exchange Commission and the Philippine Stock Exchange. This paper presents three frameworks to analyze the effectiveness of the company’s current strategy. Among the frameworks employed was PEST Analysis or Political, Economic, Social and Technological Analysis which was used to...
Words: 23871 - Pages: 96
