The Medicaid Underdcount: Synthesis of Research

Wirtschaft & Finanzen Business

Presentation by Kathleen Thiede Call at the 2009 SHADAC State Survey Workshop in Washington, DC, January 13 2009.

The Medicaid Undercount: Synthesis of Research Kathleen Thiede Call University of Minnesota, SHADAC School of Public Health, Division of Health Policy and Management State Survey Workshop, Washington DC January 13, 2009 Funded by a grant from the Robert Wood Johnson Foundation

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According to this idea that gender is socially constructed, answer the following questions: 1. What does it mean to be a man in the U.S.? What does it mean to be a woman? 2. From what institutions do we learn these gender roles? 3. How do these clips demonstrate the ways in which gender is socially constructed in the U.S.? Do the concepts discussed in the clips resonate with you? Why or why not? In Persepolis, the main character Marji struggles to define her identity as an Iranian woman in a changing society. · What roles are depicted for women in Iranian society in the film? How do they change over time? · How does Persepolis demonstrate the ways in which gender and identity are influenced in many ways, by different processes across cultures? How are gender roles in Iran similar, or different to gender in the U.S.? · What are some of the stereotypes that exist about Muslim women and how does Abu-Lughod in “Do Muslim Women Need Saving” and Persepolis complicate these stereotypes? Answer the following questions 2 full pages Running head: MAJOR HEALTH CARE PROBLEMS IN THE U.S. 1 Major Health Care Problems in the U.S. Jane Doe ID: 1212121 MAJOR HEALTH CARE PROBLEMS IN THE U.S. 2 Major Health Care Problems in the US Problem statement: High and continuously rising cost of health care has been and still is one of the biggest challenges affecting the Health Care system in United States. Methods of Examining the Problem Both qualitative and quantitative research methods should be used to fully understand the issue of high cost of care in the US. Quantitative methods like surveys and experimentations will aid in estimating the prevalence, magnitude and frequency of the problem in different regions. On the other hand, qualitative methods like case studies and observation will help describe the extent and complexity of the issue. The two approaches need to work in complementation to obtain a clear understanding of this menace. Surveys, as a quantitative research method, is one of the most effective in the social research and present a more viable method of examining the cost of health in the country. They involve asking of questions in the form of questionnaires and interviews. Questionnaires are written questions to which the response can be open ended or multiple-choice format. This would be used to gain information about cost within determinants that are of disagree/neutral/agree nature. An example is if patients are contented with the cost of services they get or they deem the cost of cover worthy. Interviews, the researcher discussing issues with the respondents, are to be used to gain more details on already known aspects of the system. This may include gathering information to inform policies, administration and use of technology to minimize the cost of care. Since health cost in the US is not a new challenge and there have been studies about it, qualitative methods like .

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Introduction The introduction of the Affordable Care Act in America was highly beneficial since it increased the number of low-income covered by Medicaid. It ensures that they are able to acquire medical coverage and access to healthcare services. Essentially, they have an opportunity to increase their eligibility despite their poverty level state. The Act has been able to improve the quality of Medicaid in the country to the same level as Medicare. Currently, people who fall between ages 19 to 64 and below the federal poverty level of 133% can be covered under Medicaid.3 Before the introduction of ACA, such patients would not be eligible. Stakeholders The Medicaid program affects different groups of people in the country. Millions of people have a direct stake in the program, meaning any changes will directly affect their decisions on health care coverage. They include low-income earners, the federal government, private insurance companies, and healthcare providers. Overview The Affordable Care Act certainly affected the number of people covered under Medicaid. Moreover, the amount of healthcare coverage in the county had a direct correlation with the availability of the Act in the United Sates. Currently, questions have been circulating as to whether the Act should be revised. However, the pertinent issue that arises from such questions is the manner in which any changes in the Federal Law might affect the Medicaid program. The program covers approximately 50 million Americans from low-earning families.1 Medicaid involves a partnership between the Federal and local governments over funding. It is optional for states to participate in the program, but all local governments are currently involved in the partnership. For a state to participate, it has to meet federal requirements. One of the requirements is that the state cover a particular group of people and offer certain benefits. However, most of the eligibility in the program is dependent upon a person's income and the category in which he or she belongs. Many young adults with no children previously lacked coverage because they did not fall under the categories provided for by the program. However, the Federal poverty guidelines would help to solve this problem since it lists a cut-off point for young adults with low income. The program now has a component that facilitates reporting of quality through patient measurements. An example is patient satisfaction and adherence to treatment, which has reportedly dropped by 40%.2 The challenge is that the program may fail to be beneficial for patients who need it since they may be turned away by healthcare providers. The component entails utilizing the measurements to determine choices of reimbursement. There is a risk that providers might begin turning away patients from low-income backgrounds Analysis The program has come a long way since it was first enacted, but there is the risk that such a measure might lock out large sections of .

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Running head: STATISTICS RESEARCH DESIGN /METHODS 1 STATISTICS RESEARCH DESIGN /METHODS 2 Research/Design Methods STATISTICS RESEARCH DESIGN /METHODS The US healthcare system has had quite a number of flaws that have for a very long time been ignored due to the assumption that the two main methods of catering for healthcare in the US, Medicaid and Medicare, are sufficient and efficient. However, late developments have been made to cub the issues brought about by their inadequacies. These include the famous affordable care act famously referred to as Obamacare (Patient protection and affordable care act) (Pipes, 2013). A closer look at there issues with all over the country shows that the two most common methods of helping individuals cope with healthcare needs mostly ignore children. Medicare is for individuals that are beyond 65 years while Medicaid is not a guarantee not unless there is clear evidence of low income levels which unfortunately, is also not a guarantee. Children Healthcare Program at least is available for people that are considered to have an income too high to qualify for Medicaid. All these however aren’t supported by the data at the North Memorial Hospital of Minnesota. Children continue suffering compared to adults at least in comparison and the benchmark on government help through health funding. There is a great need to look at this close and find out whether these facts are so or it is an assumption and if the rest of the state of Minnesota is still in the same state. Availability of Medicaid reduces chances of children receiving health care from the medical canter. This research design is going to rely on Medicaid as the independent variable. Health care on children received through CHIP (Children Health Insurance Program) is going to be the dependent variable. Therefore, the problem under research here is: Availability of Medicare to (some) families undermine the probability of children to get access to CHIP and thus resulting to less affordability and availability of healthcare to children through the medical center. PURPOSE STATEMENT This research method document aims at establishing the relationships between various Healthcare products and platforms that are provided by the Federal government in association with the state of Minnesota and the way they interact to affect accessibility and affordability of healthcare with the case study of the North Memorial Hospital in Minnesota. It will identify the role of, and the statistics around, Medicare, Medicaid and Children Health Insurance Program and their interplay to understand if they have any effect on the healthcare affordability and availability to children. More to this is the number of children that are not covered by CHIP due to the role played by Medicare in bringing about assumptions that disadvantage the healthcare access o.

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1 3Defining the Problem Rigina CochranMPA/593 August 19, 2019 Peter ReevesDefining the Problem The health care system in Colorado is a composition of medical professionals providing services such as diagnosis, treatment, as well as preventive measures to mental illness and injuries ("Healthcare policy in Colorado - Ballotpedia," 2019). Health care policy involves the establishment and implementation of legislation and other regulations that the states use to manage its health care system effectively. Further, this sector consists of other participants, such as insurance and health information technology. The cost citizens pay for medical care and also the access to quality care influence the overall health care providers in Colorado. Therefore, the need for the creation and implementation of laws that help the state maintain efficiency in the health sector in Colorado. Problem Statement The declining standards of medical care within the United States has caused significant concern in the world. Due to these rising concerns, there have been various policies implemented, leading to mixed reactions among the different states. Some of the active policies implemented offer a long-term solution to this problem including Medicaid and Medicare. After acquiring state control, the Republicans dismissed the idea to expand and create medical insurance for Medicaid in Colorado. Sustaining the structure of the health care payroll calls for the deductions from the employees and the employers, which may lead to loss of jobs and increased burden of expenditure (Garcia, 2019). Identify the Methodology The main objective of this policy plan is to investigate the role of legislation in the management of the health care sector in the United States. Due to the need for achieving in-depth exploration, this paper uses a combination of both qualitative and quantitative methods of data collection by addressing both practical and theoretical aspects of the research. Based on the answers that the policy requires, choosing survey as the research design. This method involves collecting and analyzing data from a few people who represent the principal group within health care. However, the survey method faces some challenges such as attitudes and perception of the health workers leading to the delimitation of the study. The target population for the study includes the nurses within the health sectors in Colorado. The selection of the participants involved in the use of stratified random sampling. Identify your Stakeholders The major stakeholders in the creation and implementation of the policy plan include the legislatures, local government, patients, and other private parties such as the insurance companies. Collectively, these bodies are involved in the making of thousands of decisions, overseeing hospitals, making budgetary appropriations, assisting the health workers to acquire licenses, determination of services that the insurers cover, and the management of.

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