PHP 0310 Lecture 8: 02-10 Medicaid
11 Feb 2017
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*many republicans in congress want to convert medicaid to a block-grant program and transform. Medicare from a plan that guarantees care into one in which seniors would receive a set amount of money to purchase coverage. Initially, for low-income families receiving cash assistance (welfare) Evolution: epsdt: early and periodic screening, diagnostic, and treatment (basically immunizations and stuff you get at your pediatrician, schip: expansion of coverage for children, expansion under aca. Jointly funded by federal and state governments (unlike medicare, which is only fed. : federally defined core benefits and populations, states define optional groups and benefits to cover, state financial contributions vary. Poor states get more federal funding: tremendous heterogeneity in the programs. Originally, entitlement program for low-income families receiving cash assistance. Today, coverage expanded to others who meet certain criteria. Current role: 33 million children, 19 million adults, 16 million elderly, 21% of medicare beneficiaries also get medicaid (dual eligibility, 16% national healthcare spending, half of long-term care spending.
