Medicaid basics

Medicaid basics - Figure 0 Medicaid: The Basics Kaiser...

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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 Kaiser Family Foundation “Ask the Experts” April 20, 2005
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K A I S E R C O M M I S S I O N O N Medicaid and the Uninsured Figure 1 Medicaid’s Origin Enacted in 1965 as companion legislation to Medicare (Title XIX) Established an entitlement Provided federal matching grants to states to finance care Focused on the welfare population: Single parents with dependent children Aged, blind, disabled Included mandatory services and gave states options for broader coverage
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K A I S E R C O M M I S S I O N O N Medicaid and the Uninsured Figure 2 Medicaid Today Medicaid provides health and long-term care coverage for over 52 million low-income people: Comprehensive, low-cost health coverage for 39 million people in low-income families Acute and long-term care coverage for over 13 million elderly and persons with disabilities, including over 6 million Medicare beneficiaries Guarantees entitlement to individuals and federal financing to states Federal and state expenditures of $300 billion—with federal government funding 57% Pays for nearly 1 in 5 health care dollars and 1 in 2 nursing home dollars
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K A I S E R C O M M I S S I O N O N Medicaid and the Uninsured Figure 3 Medicaid’s Role for Selected Populations Note: “Poor” is defined as living below the federal poverty level, which was $14,680 for a family of three in 2003. SOURCE: KCMU, KFF, and Urban Institute estimates; Birth data: NGA, MCH Update. 60% 44% 19% 50% 18% 20% 26% 40% 37% 21% Nursing Home Residents People Living with HIV/AIDS People with Severe Disabilities Medicare Beneficiaries Births (Pregnant Women) Low-Income Adults Low-Income Children All Children Near Poor Poor Percent with Medicaid Coverage: Families Aged & Disabled
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K A I S E R C O M M I S S I O N O N Medicaid and the Uninsured Figure 4 Minimum Medicaid Eligibility Levels, 2004 0% 74% 42% 100% 133% 133% 0% 100% 200% Pregnant Women Pre-School Children School-Age Children Parents Elderly and Individuals with Disabilities Childless Adults Note: The federal poverty level was $9,310 for a single person and $15,670 for a family of three in 2004. SOURCE: Cohen Ross and Cox, 2004 and The Kaiser Commission on Medicaid and the Uninsured, Medicaid Resource Book, 2002. Income eligibility levels as a percent of the Federal Poverty Level:
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K A I S E R C O M M I S S I O N O N Medicaid and the Uninsured Figure 5 Medicaid Benefits Physician services Laboratory and x-ray services Inpatient hospital services Outpatient hospital services Early and periodic screening, diagnostic, and treatment (EPSDT) services for individuals under 21 Family planning and supplies Federally-qualified health center (FQHC) services Rural health clinic services
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This note was uploaded on 04/28/2008 for the course CH 2 taught by Professor Mckissick during the Fall '07 term at Tufts.

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Medicaid basics - Figure 0 Medicaid: The Basics Kaiser...

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