Since its creation in 1965, Medicaid has become the largest source of medical and health-related services for U.S. Americans with a low income and limited resources. Unlike Medicare, which is a federal run and funded program, Medicaid is funded by both federal and state governments but is ru...
Is it California, the left’s bizarre alternative universe? Is it Illinois, the poster child for big-government excess? Nope, not even close. As a matter of fact, those two jurisdictions are among the 10-least dependent states. And if you’re guessing that the answer is New York, New ...
Medicare depends onthe Hospital Insurance (HI) Trust Fund and the Supplementary Medical Insurance (SMI) Trust Fund. The first fund is built on employee and employer taxes, Social Security benefits income taxes, trust fund interest, and Medicare Part A premiums. The second fund relies on allocatio...
CaliforniaIn California, there are multiple Medicaid (Medi-Cal) programs that provide assistance at home. TheHCBA Waiver, formerly called the NF/AN Waiver, is for individuals with more severe needs, theMSSP Waiverif for persons with lower levels of impairment. There is also the popularIn Home...
durable medical equipment, postacute care, and long-term care. In our Medicaid data, we were unable to differentiate between postacute and long-term care skilled nursing facility payments; thus, our outcomes measure included both types of Medicaid spending on skilled nursing facility ca...
Although Medicare Part B can’t cover the full cost of nursing homes, it can help coverchiropractic care, in addition to oxygen tanks and other durable medical equipment. Part B, or Medical Insurance, covers most diagnostic and treatment services and outpatient hospital services such as an emerge...
PEY7 COST OF GLAUCOMA TO THE CALIFORNIA MEDICAID (MEDICAL) PROGRAM BETWEEN 1995 AND 2002doi:10.1016/S1098-3015(10)62988-9LJ LeeAP YuYF YuMB NicholElsevier Inc.Value in Health
Given these medical challenges, it is not surprising that health care spending has remained far higher in the U.S. than in other high-income countries. “Yet the U.S. is the only [high-income] country that doesn’t have universal health coverage.”[171]...
However, in efforts to contain medical spending and improve care quality, MMC plans often selectively contract with providers to form narrow provider networks, which can limit MMC enrollees’ access to care.5-7 The access constraints imposed by narrow provider networks can be especially binding for...
6-8 Nevertheless, health plans may institute programs or procedures that limit access to necessary medical services. The poorly educated, low-income, and immigrant populations often served by Medicaid health plans likely have less ability to negotiate the sometimes complex requirements of managed care ...