Medicaid

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Medicaid in the United States is a federal and state program that helps with medical costs for some people with limited income and resources. Medicaid also offers benefits not normally covered by Medicare, including nursing home care and personal care services .the health insurance Association of America describes Medicaid as a government insurance program for persons of all ages whose income and resources are sufficient to pay for health care. And Medicaid is the largest source of funding for medical and health-related services for people with low income in the United States.

 

PROS:

1. People who can’t afford medical care can still receive it. Most of the beneficiaries of this Medicaid are children households that do not meet certain income standards can enroll their children and themselves at a time .into the medical program so that they can receive annual checkups medications or vaccines when necessary

2. It gives medical providers a natural customer base .every community as households that qualify for Medicaid this means a medical provider who accepts a Medicaid will have a natural base of customers from which to draw so that a business can be established or expanded with ease.

3. There is guaranteed payment through Medicaid.in an era where medical debt is building up for many households Medicaid provides medical providers with a guaranteed stream of income.

4. Patient copays are often lower and more affordable. The copies of Medicaid can be as low as 2 for some procedures certain appointments don’t even have a copay.

5. There is an ethical argument to consider. Providing health care coverage for those in need may seem like welfare or social spending to some to others it is careering for those who don’t have the financial resources to care for themselves.

6. It offers people a level of financial protection. Low-income individuals with Medicaid are able to worry about other expenses since their medical care is covered by this program.

7. It covers 1 in 5 Americans and serves diverse populations. Medicaid provides health and long-term care for millions of poorest and vulnerable people acting as a high-risk pool for the private insurance market.

8. Medicaid spending is also concentrated on the elderly and the disabilities .seniors and the people with disabilities make up one in 4 beneficiaries but account for almost two-thirds of medical spending.

9. It covers a broad range of health and long-term services care. Medicaid covers a broad range of services to address the diverse needs of the population it serves

10. Most of the participants get care through privately managed care plans. Managed care plans are responsible for ensuring access to Medicaid services.

 

CONS:

1. There is no guaranteed timing on payments. The government can decide to delay the payments to Medicaid providers at any time .to the medical providers that rely on Medicaid payments for compensation this can mean that no money may come in for an extended period of time and they can do nothing about it.

2. It may create doctor shortages in certain regions .there are many people who qualify for Medicaid and this can overwhelm the care structure that some communities have.

3. Some procedures can be refused after services are rendered. Medicaid can refuse to cover certain services because they are deemed to be experimental or even unnecessary.

4. Funding is not always appropriated fairly. Some states believe that fund matching occurs more frequently in the wealthier states which mean more money is handed out to the richer population even though it is a poor population that needs the funding more.

5. Not every low-income individual actually qualifies for Medicaid. States are in control of the qualification levels for Medicaid so each one is a little different.

6. Limitation as to the type of treatment covered by Medicaid. The program evaluates each treatment plan and may not cover a particular procedure that is deemed unnecessary or experimental.

7. Sometimes Medicaid reimbursement is often lowering compared to the doctors usually charges. This discourages doctors from accepting Medicaid patients.

8. In some case, Medicaid recipients have become targets for discrimination. This is especially in the nursing homes there are reports of elderly people being transferred to a different setting.

9. In case of emergency it poor way of treatment. With Medicaid in case of the emergency, the patient cannot undergo some of the treatment.

10. It is not to be depended. Medicaid facilities cannot be depended on all the time because they are not always available.

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