These issues reached the national advocacy groups and welfare associations who passed it to the senate and house of special committees on the aging. In house and senate debates, Medicaid brought about controversy. Many welcomed it. Through a legislative debate, most members of the house were for medicare, not Medicaid. With time, Medicaid overtook medicare and became the largest entitlement program.Review current and pending legislative events or potential changesThe current and pending legislative events of Medicaid are that, the pressure to control deficit may reignite efforts to lower or end federal Medicaid expenditure. When governors release the budget for a financial year, it accounts for the uncertainties around Medicaid. About potential changes, all indicators show that the speculation of significant changes to Medicaid will remain in state and federal policymakers ‘sight.What is the overall cost to administer the program?The administration costs of Medicaid are among the lowest in the country. Its administration costs are lower than those of private health insurance plans. There is no insurer who has limited administration costs than Medicaid. In the United States, the Medicaid administrative cost is almost 31 cents of every dollar.How has cost changed over time?The administration cost of Medicaid has slightly been rising over time. The change is unnoticeable because of its nature of being small, that is by cents. It is at only 31 cents of a dollar since 1985.What is the cost to enrollees and/or employers?These are the expenses or costs related to the general running of the program. It is not in any way related to any private business function such as production and sales.What type of coverage do these plans offer their enrollees?The program is the chief source of long term care and coverage for Americans. It covers its enrollees and saves them from out-of-pocket costs. Medicaid also covers enrollees of additional optional services such as prescription drugs, physical therapy among other benefits.Are there different options for types of enrollment payment or coverage?
There are different options for types of enrollment payment or coverage by Medicaid. There are two type; fee for service and managed care.In fee for service, states set provider payments while in managed care, it provides the state with a predictability of the future costs.Discuss how quality of care is evaluated for participants in this insurance.Evaluating quality of care is important foundation for raising care and improving care is central. Medicaid’s strategy of evaluation involves the institute of medicine’s definition of the quality of care. Evaluation is done through the observation of the health standards of individuals are improving. Desired care outcomes can be measured through recipients satisfaction and can be used to predict access and outcomes.How is satisfaction evaluated by enrollees by the insurance plan?Enrollees evaluate satisfaction through cross-sectional survey of random beneficiaries in either fee for service or managed care plans and in the entire conventional Medicaid program.
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- Fall '19