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In: Nursing

Select one domestic or foreign policy Prepare 250- to 300-word response explain: What are the key...

Select one domestic or foreign policy

Prepare 250- to 300-word response explain:

  1. What are the key features of this policy?
  2. How are Americans influenced by this policy?
  3. How do Americans influence the policy?
  4. Do you agree or disagree with the policy you have picked? Why or why not?

Solutions

Expert Solution

Medicaid - Domestic policy

key features

The health plan is then responsible for providing for all or most of the recipient's healthcare needs. Today, all but a few states use managed care to provide coverage to a significant proportion of Medicaid enrollees. As of 2014, 26 states have contracts with managed care organizations (MCOs) to deliver long-term care for the elderly and individuals with disabilities. The states pay a monthly capitated rate per member to the MCOs that provide comprehensive care and accept the risk of managing total costs. Nationwide, roughly 80% of enrollees are enrolled in managed care plans.Core eligibility groups of poor children and parents are most likely to be enrolled in managed care, while the aged and disabled eligibility groups more often remain in traditional "fee for service" Medicaid.

Because the service level costs vary depending on the care and needs of the enrolled, a cost per person average is only a rough measure of actual cost of care. The annual cost of care will vary state to state depending on state approved Medicaid benefits, as well as the state specific care costs. 2008 average cost per senior was reported as $14,780 (in addition to Medicare), and a state by state listing was provided. In a 2010 national report for all age groups, the per enrolled average cost was calculated to $5,563 and a listing by state and by coverage age is provided.

--> Americans are influenced by ,

  • More than half of Americans are connected to the Medicaid program—either through their own coverage or that of a family member or close friend—and are significantly more likely to view Medicaid as important and to support increases in spending, even among conservatives. This finding helps explain why Affordable Care Act repeal efforts faced (and will continue to face) strong public backlash.

  • Policymakers should be aware that although renaming programs within Medicaid may have increased enrollment take‐up, this destigmatization effort might have also increased program confusion and reduced support for Medicaid even among enrollees who say the program is important to them.

--->How is it that medicaid—america's health care program for the poor—has become a major point of contention during the intensive effort by Republican leaders in Congress, with strong support from the White House, to “repeal and replace” the Affordable Care Act (ACA)Access to Medicaid when it was enacted in 1965 was primarily obtained through one's eligibility for highly stigmatizing cash assistance programs determined by the states and designated for poor, single‐headed families with children, as well as the elderly, blind, and disabled. Because Medicaid was passed alongside Medicare—our federal social insurance program for the elderly that provides universal access regardless of income, health status, or one's personal circumstances—Medicaid has long been considered Medicare's poor stepchild with little political support.1 It was “long considered” that is, until the 1980s, when the program began to expand. By the early 2000s, after numerous incremental coverage expansions and the creation of the State Children's Health Insurance Program (SCHIP)—administered through state Medicaid agencies—that helped to delink Medicaid from cash welfare programs, descriptions of Medicaid changed to reflect a much larger, more complex program that grew in ways no one would have predicted in 1965.

---> Yes i agree with the policy i have picked. Because it serves for the nation as a wholr for poor needy peoples


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