Medicaid Lecture Flashcards

1
Q

What does Medicaid do?

A
  • Gives insurance to Aged and Disabled

- Grants states ability for Medical Assistance Programs

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2
Q

Medicaid is Means Tested, whats that?

A
  • Have to have certain financial criteria

- Legal Entitlement

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3
Q

How do states and federal government work on Medicaid?

A
  • States administer each program
  • Matching grants to states that participate
  • Based on income
  • Federal Contribution open ended
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4
Q

How is medicaid dual funded?

A

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

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5
Q

Is medcaid a hard cap on number of beneficiares?

A

Medicaid coverage is flexible, not a set cap of people who can join.

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6
Q

does Every state have a medicaid program?

A

yes!

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7
Q

What are two ways to qualify for medicaid?

A
  • Financial criteria

- Categorical Criteria

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8
Q

What are two tips of medicaid special coverage?

A

CHIP (7 million)

Dual medicare+medicaid people (9.2 million)

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9
Q

What are some basic characteristics of Medicaid beneficiaries?

A
  • 15% disabled
  • 10% elderly
  • 25% adults
  • 50% children
  • Sicker and more disabled than the privately insured
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10
Q

How much of medicaid is used for Rx?

A

only 7.8 %

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11
Q

What was the effect the ACA had on Medicaid

A

-Expanded Medicaid
-7-16 million previously uninsured
12 million: insurance marketplace
11 million Medicaid expansion

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12
Q

What are some problems with ACA expanison?

A

States are not forced to expand, in many cases leaves gaps between 50% and 100% of FPL

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