Medicaid Lecture Flashcards
What does Medicaid do?
- Gives insurance to Aged and Disabled
- Grants states ability for Medical Assistance Programs
Medicaid is Means Tested, whats that?
- Have to have certain financial criteria
- Legal Entitlement
How do states and federal government work on Medicaid?
- States administer each program
- Matching grants to states that participate
- Based on income
- Federal Contribution open ended
How is medicaid dual funded?
For every dollar the states put in the feds contribute around 57%. so if states do not put up a dollar the state looses $2.33
Is medcaid a hard cap on number of beneficiares?
Medicaid coverage is flexible, not a set cap of people who can join.
does Every state have a medicaid program?
yes!
What are two ways to qualify for medicaid?
- Financial criteria
- Categorical Criteria
What are two tips of medicaid special coverage?
CHIP (7 million)
Dual medicare+medicaid people (9.2 million)
What are some basic characteristics of Medicaid beneficiaries?
- 15% disabled
- 10% elderly
- 25% adults
- 50% children
- Sicker and more disabled than the privately insured
How much of medicaid is used for Rx?
only 7.8 %
What was the effect the ACA had on Medicaid
-Expanded Medicaid
-7-16 million previously uninsured
12 million: insurance marketplace
11 million Medicaid expansion
What are some problems with ACA expanison?
States are not forced to expand, in many cases leaves gaps between 50% and 100% of FPL