Give a brief description of Medicaid or Medicare (no more than 2 sentences). Then discuss 3...

Give a brief description of Medicaid or Medicare (no more than 2 sentences). Then discuss 3 specific (non-age; non-financial) criteria for services from the program, for an older adult client. Be sure to cover service, length of time, provider types that may provide the service, the channels through which the patient may obtain each service.

Expert Solution

MEDICAID

Medicaid is a public health insurance program in the united states that provides health care coverage to low income families or individuals.
It covers doctor visits, hospital stays, long term medical care, custodial care and other health related costs.
Medicaid is a jointly funded program by the federal government and the states.
It is operated at the state level and therefore coverage and administration of the program vary greatly from state to state
It is available only to individuals and families who meet specific criteria based on income.
It is only available to US citizens, permanent residents, or legal immigrants
As of may 2020, approximately 66.8 million people were covered by medicaid

SERVICES TO OLDER ADULT

Medicaid is the primary payer for essential long term services and supports.
Medicaid fills other gaps in medicare benefits
Medicaid makes medicare affordable for seniors with low incomes

PROVIDER TYPES

Ambulatory surgical centers
Ambulance services
Anesthesiologists
Clinical labs
Critical access hospitals
Durable medical equipment
Federally qualified health centers
Home health agency
Hospice
Hospital
Opiod treatment programs
Practce administration
Pharmacist
Physician
Rural health clinics
Skilled nursing facility

.CHANNEL THROUGH WHICH SERVICE IS PROVIDED

Medicaid waivers are channels through which states can deliver or pay for healthcare services through medicaid.
Waivers commonly support home and community based services.
Waivers offer coverage for services for people meeting certain qualifications.
Services covered by waivers may be funded at a different rate than states standard MA rate.

Nightingale answered 1 year ago

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Give a brief description of Medicaid or Medicare (no more than 2 sentences). Then discuss 3...

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