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Management
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550 CASE MOD 3 Management Essay Research Coursework

Essay Instructions:

SEE ATTACHMENT FOR INSTRUCTIONS
Provide a response of 3-5 pages, not including title page and references
3. Use SUBHEADINGS to show where you are responding to each required item and to ensure that none are omitted.
4. Support your paper with peer-reviewed articles, with at least 3 references. Use the following link for additional information on how to recognize peer-reviewed journals:

 

5/7/20, 9)07 PM https://tlc.trident.edu/content/enforced/153691-MHA550-2020APR06…2lSessionVal=7zas5NpIwuSAH4idykx0r2jXk&ou=153691&d2l_body_type=3 Page 1 of 2 Module 3 - Case MEDICAID ELIGIBILITY AND FINANCING Assignment Overview Over 72 million Americans are currently covered by Medicaid (along with coverage by the SCHIP programs), which makes Medicaid the single-largest source of health insurance coverage in the United States. Depending on income, children, pregnant women, parents, senior citizens, and individuals with certain disabilities are able to access the health care system for needed services. In this Case Assignment, benefits, eligibility, financing, and reimbursement levels will be examined – including how the Patient Protection and Affordable Care Act impacted the program. How do the economics of Medicare reimbursement levels vs. private insurance reimbursement levels affect health care systems and providers? Case Assignment Using the information in the required readings, as well as some additional research in peer-reviewed sources, complete your Case assignment by answering the following: 1. Examine the benefits and eligibility of the Medicaid program. Who can be covered, and what are the specific income restrictions when qualifying via financial status? How did the Patient Protection and Affordable Care Act change the income determination methodology? 2. Describe how the Medicaid program is financed. How much do the individual states (including your home state) contribute? 3. Determine how the average Medicaid reimbursement level specifically compares to the average reimbursement for private insurance. How can these reimbursement levels affect the bottom line at your facility? Assignment Expectations Listen 5/7/20, 9)07 PM https://tlc.trident.edu/content/enforced/153691-MHA550-2020APR06…2lSessionVal=7zas5NpIwuSAH4idykx0r2jXk&ou=153691&d2l_body_type=3 Page 2 of 2 Privacy Policy | Contact 1. Conduct additional research to gather sufficient information to support your analysis. 2. Provide a response of 3-5 pages, not including title page and references 3. There are multiple required items to be addressed herein; please use subheadings to show where you are responding to each required item and to ensure that none are omitted. 4. Support your paper with peer-reviewed articles, with at least 3 references. Use the following link for additional information on how to recognize peer-reviewed journals: Angelo State University Library. (n.d.). Library Guides: How to recognize peerreviewed (refereed) journals. Retrieved from https://www.angelo.edu/services/library/handouts/peerrev.php 5. You may use the following source to assist in formatting your assignment: Purdue Online Writing Lab. (n.d.). General APA guidelines. Retrieved from https://owl.english.purdue.edu/owl/resource/560/01/. 6. For additional information on reliability of sources, review the following source: Georgetown University Library. (n.d.). Evaluating internet resources. Retrieved from https://www.library.georgetown.edu/tutorials/research-guides/evaluatinginternet-content

Essay Sample Content Preview:

550 CASE MOD 3
Student’s Name
Institutional Affiliation
550 CASE MOD 3
Benefits and Eligibility of the Medicaid Program
The Affordable Care Act (ACA) is described as the largest plan/program in the United States (U.S.) healthcare sector since the inception of Medicare and Medicaid. Medicaid is one of the essential healthcare programs in the U.S. It is a program that provides healthcare services to Americans. According to Bitler & Zavodny (2017), currently, the two programs cover more than 72.5 U.S. citizens including children, expectant mothers, parents, seniors, and persons with disabilities. Federal laws entail that states should cover particular groups of individuals in their Medicaid programs. It is a program that seeks to ensure that all needy Americans from different ages are covered (Bitler & Zavodny, 2017). It is a program that operates through depending on taxes collected both at Federal and State levels.
Income Restrictions for Financial Eligibility
The implementation of ACA in 2010 ensured that states expanded their Medicaid covers and enabled it to cover all-low income citizens below the age of 65. More so, children's eligibility was increased to about 133% of the federal poverty level (FPL) in all the states. In addition, states were provided with an option to increase adult eligibility for those with income lower by 133% of FPL. Furthermore, eligibility of Medicaid is determined by the use of various approaches such as financial eligibility, non-financial eligibility, and medically-needy program, among others. In this sense, Medicaid is a health program that covers Americans who have qualify through varying eligibility.
How ACA Changed Income Determination Methodology
The ACA also led to the changing of the income determination methodology to determine Medicaid eligibility. The implementation of ACA resulted in the introduction of a new methodology, which is based on Modified Adjusted Gross Income (MAGI) (Antonisse, Garfield, Rudowitz & Artiga, 2018). The methodology aims to analyze and determine Medicaid eligibility of tax credit premiums and reductions for the program. In this regard, ACA ensures that Americans enroll in the appropriate Medicaid program depending on their income counting rules (Antonisse et al., 2018). It is the methodology used to determine Medicaid eligibility for most children, pregnant women, parents, and adults. More so, MAGI is an approach that also determines Medicaid eligibility based on one’s taxable income and tax filing relationship (Antonisse et al., 2018). As a result, ACA is a healthcare program that resulted in changes in M...
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