...Texas’ Decision Should Texas have Medicaid or not? Texas has decided to refuse expansion of the Medicaid program under the Federal Affordable Texas Law. Now, the huge question remains, “Has Texas made the right decisions or did Texas move to fasting the decision making? “Medicaid helps the lower class families with the cost of Medicaid bills, but Medicaid is fun by states where coverage may vary. In an article “Texas”, Texas had 83.7% of people who participated in Medicaid in the year of 2015. There is Texas who support having Medicaid and people who is against Medicaid. I believe Texas should have expanded Medicaid because not everyone is fortune to pay out of pocket for medical emergency. Texas should have expanded Medicaid throughout the...
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...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...
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...assessing the actionability of the evidence, and (6) determining if the information is adequate (p. 325). As a facilitator for the use of evidence-based research in decision-making, the IDT assists decision-makers with estimating how operational and strategic decisions will have an effect on the organization. Evidence-based decision-making is not new to the health care industry. Clinicians have incorporated evidence-based research for years when making patient treatment determination. The use of evidence-based research for decision-making in other realms of healthcare is only logical. Case Study Example A manager of a Denton County, Texas, clinic that provides care to Medicaid clients has a department budget cut of 15%. A decision for eliminating or introducing clinical services to best address the healthcare needs of the Medicaid population is necessary. The decision should consider statewide health policy and a defined budget constraint. Framing...
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...Health Care Access Paper | Professor Barri Mallin | | Sheila Ford | 12/16/2012 | | The purpose of this paper is to inform you of a proposal that the Governor of Texas has proposed to the state, on how he feel about the health care reform. I will be talking about how the governor thinks by” issuing top-down mandates on a break-neck timetable is a surefire way to make things worse”. The health care reform legislation currently being considered not only poses a serious threat to patients and providers, but will also cost Texas taxpayers tens of billions of dollars. I will be explaining how the governor feels that President Obama’s plan will cause harm to the health care system,” by increasing taxes and escalate medical price inflation and add more than $285 billion to the deficit over the next 10 years”. “Gov. Perry: Federal Health Care Proposals to Cost Texans Tens of Billions of Dollars Tuesday, August 18, 2009 • Austin, Texas • Press Release Share” “Gov. Rick Perry today emphasized the importance of state developed health care reform rather than the costly, expansive, one-size-fits-all mandates being considered by the federal government. The governor spoke at a press conference announcing the results of a study about federal health care proposals conducted by the Texas Public Policy Foundation (TPPF)”. “It’s clear Washington has no interest in allowing states to develop their own tailored solutions to problems that affect their citizens,” “Gov. Perry...
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...Decision-making Case Study Tammy Paramore HCS/514 March 25, 2013 Norma Wright Decision-making Case Study Making decisions in the rapidly changing world of health care is stressful, possessing the correct information is crucial, determining the validity of information even more crucial. In addition, knowing where to obtain accurate information for making informed and reliable determinations will help make these decisions easier. A well informed decision made using the informed decision tool box increases the reliability for producing correct and profitable decisions. These actions will improve the efficiency of provided health care, increase stability, increase production, and decrease the amount spent on health care, in addition, improving the outcomes for both the organization and the patient. The Informed Decision Toolbox The informed decision toolbox (IDT), according to Rundell, et al, (2007), has six major steps to use when approaching difficult decisions. 1) framing the management question, 2) finding sources of information, 3) assessing the accuracy of the information, 4) assessing the applicability of the information, 5) assessing the actionability of the evidence, and 6) determining if the information is adequate (p. 325). The IDT system stems from a formal study to find ways to assist management in an efficient and more scientific approach to decision...
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...Expansion of Medicaid Name School Abstract On March 23, 2010, President Obama signed the Affordable Care Act (ACA) into law, allowing all Americans access to affordable health care. Despite the urgent need to provide health care to all Americans some Governors and elected Congressmen continue to debate over the necessity to expand Medicaid and the ACA. The Supreme Court on June 28, 2012 ruled in support of the ACA by upholding the individual mandate which require Americans to have health care insurance. Americans without health care insurance, because of this new health care policy will be able to either purchase insurance through the exchange market or through the expansion of Medicaid. Some states are against the expansion of Medicaid even though the government will fund 100% of the program for the first 3 years. The states that decide to opt out of the Medicaid expansion will heap some negative impact on several stakeholders. The ultimate goal of the ACA and the expansion of Medicaid was to provide quality health to the many uninsured. Expansion of Medicaid The implementation of an important component of the Affordable Care Act (ACA) is the expansion of Medicaid. The expansion of Medicaid ensures health care coverage for children, poor people, disabled people and some elderly citizens. Unfortunately, 20 states have decided to opt out of this policy leaving access to health care unavailable to millions of needy people. It remains unclear why so many...
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...I am for the expansion of Medicaid under the federal Affordable Care Act. Government should strive to assist its citizens who seek help and cannot escape poverty however; there are of course grounds as to why all states do not full support each and every citizen. This paper is supporting the expansion of Medicaid, providing counter arguments against Medicaid expansion, and stating why it is this paper is in support of Medicaid expansion. Medicaid expansion could assist “About 406,000 Texans with mental illness and substance abuse disorders…” this doesn’t even include those who just don’t have the required income to qualify (Chang, Medicaid). I am for the expansion of Medicaid. Medicaid aids those in need, those who struggle to maintain themselves,...
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...One of the major issues in the state of Texas is uninsured statistics of health insurance for minorities. Texas is known to be the uninsured capital of the United States with more than 4.3 million Texans, including 600K plus children, that lack possession of health insurance. Texas uninsured rate is about 2 times the national average, which is 9.1%, making it to create significant problems in the funding and distribution of health care to the state of Texas. Those who do not have insurance coverage typically experience worse health status than insured groups because of the lack of medical attention. The uninsured in Texas is a very mixed group that includes people who can’t afford private health insurance, work in businesses that do not offer...
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...31st, 2014, you will not be able to use the exchange till the end of 2014. It also includes that every person that does not have insurance could be charged a fee and could get cost assistance. It all will depend on what you make will be use to see how much of it that the individual has to pay. Perry has led the movement for the not in favor of the Affordable Care Act that will be taking place as the House Republicans state that they will delay government financing sometime this month lest currency will be removed form this program. Number of Republicans has gone as far as to threaten that the country's debts will not be paid unless Obamacare is not postponed and abandon completely. Governor Perry has ordered Rathgeber to make sure Texas navigators have an extra forty hours to go through training, go through a difficult state-administered exam; background checks (Marty Schladen, 2013) and commands the navigators to give names and additional information concerning individuals who have enrolled to the state and record the information. He also went on to instruct Rathgeber to include a payment for the expense to enforce these regulations. Josh Havens a spokesman for the Governor is quoted as saying in an email that “the governor was just doing what the Affordable Care Act permits” (Marty...
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...EFFECTS ON ENROLLMENT IN THE MEDICARE ADVANTAGE INSURANCE PLANS IN THE STATE OF TEXAS. Medicare is an insurance program provided by the federal government for people who are 65 years old or older, people of all ages with End-Stage Renal Disease, and certain disable people. Medicare is administered by the Centers for Medicare & Medicaid Services (CMS), an agency of the U.S. Department of Health and Human Services. Medicare has become America's leading health care insurance program, providing coverage for approximately 47 million individuals and costing more than $516 billion a year. Medicare nowadays is facing high popularity and an uncertain future. Some experts say that Medicare is expected to go bankrupt in 2017 (Clark, 2009). A Medicare Advantage Plan is another health coverage choice that eligible beneficiaries may have as part of Medicare. The plan is offered by private companies approved by Medicare. MA plans must cover all of the services that Traditional Medicare covers except hospice care. These plans are not considered supplemental coverage but may offer extra coverage such as vision, hearing, dental and/or health and wellness programs. Most include Medicare prescription drug coverage. Medicare pays a fixed amount for the beneficiaries every month to the companies offering the plans. These companies must follow the rules set by Medicare. The motivation to choose this topic comes from an internship or curricular practice training performed during the years 2010...
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...Department of Health and Human Services 465 Industrial Boulevard London, Kentucky 40750-0001 Jan 30, 2015 ABUBAKRELSIDDIG ABDELRAHIM 7260 Decoy Ln Fort Worth, TX 76120 Application Date: January 30, 2015 Application ID: 1150801600 Dear ABUBAKRELSIDDIG: You recently submitted an application to the Health Insurance Marketplace. We reviewed your application to see if you can get health coverage through the Marketplace and help paying for coverage and health services through: • A new tax credit that can be used right away to lower your monthly premium costs • Health plans that lower your out-of-pocket costs • Medicaid (Medicaid) and CHIP (Children's Health Insurance Program (CHIP)), which are joint federal and state programs that help with medical costs for people with limited income or special health care needs What are the results of my application? Review the table below with your eligibility results. Family Member(s) ABUBAKRELSIDDIG ABDELRAHIM Results • Eligible for a tax credit ($453.00 each month, which is $5,436.00 for the year). • Eligible to purchase health coverage through the Marketplace • Can choose a health plan with lower copayments, coinsurance, and deductibles (06) Next Steps • Choose a health plan and make first month's payment If you have questions: Go to HealthCare.gov/marketplace. Or, call 1-800-318-2596. TTY users should call 1-855-889-4325. The call is free. You can also find out how to talk to someone in person...
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...the long-term, the Medicaid expansion will save both state and federal government’s money while extending healthcare coverage to millions of lower-income Americans. Opponents say it is just another example of government overreach and that it is up to the states to determine whether they can afford such an expansion.” But my question to you is do you actually believe this? Because I don’t. I have come across the best argumental FACTS to help you better understand the reason Rick Perry does not want to expand Medicaid. Researchers Laura Dague, Thomas DeLeire, and Lindsay Leininger argue in a National Bureau of Economic Research working paper that… “Noted in February that Obamacare’s Medicaid expansion would reduce incentives to work and have a modest effect on the overall supply of labor. While there is a debate in the academic literature about the effects of the Medicaid expansion on labor supply, that debate has tended to focus on parents who enroll in Medicaid, rather than adults without kids. Dague and her colleagues conclude that if the Medicaid expansion enrolls about 21 million additional adults, anywhere from 511,000 to 2.2 million fewer people will be employed. Furthermore, they argue that the Medicaid expansion will knock almost a full point off of today’s labor force participation rate -- or share of the civilian population that is working -- a measure of economic health that is already at its lowest point since 1977.” That’s why people for Medicaid expansion need to take...
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...to afford to pay for the services or they do not have insurance. This clinic will offer the basic services to women at a very low charge or none at all. The services that will be free of charge are mammograms, pregnancy tests, cancer screenings, and STD testing. In the event that any of these tests are positive, they would then be referred to a specialist for the specific reason. For example, should a woman test positive for pregnancy, the clinic would help her find an obstetrician and help her apply for Medicaid. Under Texas requirements, if you are a pregnant teen or woman, you could apply and receive Medicaid as long as the other requirements are met. The same would apply to those who test positive for any other screenings. Other services to be included at the clinic are annual exams and contraceptive options. There are several reasons why this clinic would be considered special and different. While I do not know exactly how many clinics are like this in Texas, I do know have any clinics like this here in El Paso, TX. In doing research, I was able to find a clinic similar but only offered free pregnancy tests. Sierra Providence Teen Health Resource Center offers free pregnancy tests and prenatal education to teens who think they might be...
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...Deal to help the poor , unemployed, disabled, and elderly. There have many changes to the programs and the laws that govern them. After living in Missouri for most of my life and then moving to Texas, I have noticed many differences. Welfare is a term I heard a lot as child. Obviously, I never knew what it was until I was older. When I hear the word, I think of hearing people waiting to receive their “check” at the beginning of the month. I always saw it as something negative because I grew up knowing that you were supposed to work, not rely on a handout. Now that I’m a bit older, I understand that sometimes you need to have a bit of assistance during hard times. The term welfare not only refers to cash benefits, but also programs such as food stamps and medicaid. Food stamps, which are also referred to as supplemental nutrition assistance program or SNAP benefits, were established in 1939. This is a program that provides financial assistance to low income families to purchase food for their household. Medicare is another form of welfare. It is a program that helps low income families receive healthcare. Qualified participants in the medicaid program include low-income adults, their children, and people with some disabilities. Unfortunately, poverty alone does not qualify one medicaid. The main type of welfare is referred to as cash benefits, or TANF. TANF is a program called Temporary Assistance for Needy Families. Prior to 1996, the program was called Aid to Families with...
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...The Footprint of a Nursing Home Leader Many of us promised our parents that we wouldn't ever put them in a nursing home. Reality is that more than 3 million Americans rely on services provided by nursing homes at some point during a year and 1.4 million of these reside in the Nation’s 15,800 nursing homes on any given day (Bonner, 2013). In my position as Vice President of Operations with a publically traded healthcare company, I support twelve nursing homes. One such nursing home is a 194-bed for-profit Center that provides post-acute, rehabilitative, skilled nursing, and short and long-term care services. This Center is located in Texas approximately 5 miles from the border of Mexico. In an effort to support the Centers’ mission to “Make a Difference – Every Day, Every Time,” there are six key objectives vital to success: 1. Culture: Maintain a productive and positive employee environment. 2. Care: Provide quality care so residents may achieve their optimum level of functioning thus living an improved quality of life. 3. Census: Anticipate community health needs and develop business partnerships that help improve market share. 4. Cash: Ensure timely and effective collections. 5. Cost: Control operation costs. 6. Compliance: Comply with regulatory requirements. Strong leadership is essential for this Center to successfully reach its key objectives. While the leadership at this Center has a history of consistently attaining key objectives...
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