Health Care Reform: Role of the States ... Cost containment ... Impact on medicare ... Impact on Medicaid and low income people; Serial no. 103-90 PDF Download

Author: United States. Congress. House. Committee on Energy and Commerce
Publisher:
ISBN:
Category : Health care reform
Languages : en
Pages : 728

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Author: Bowen Garrett
Publisher:
ISBN:
Category :
Languages : en
Pages : 45

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Book Description
Executive Summary: There will be considerable debate as the nation moves forward to reform the health care system to both control costs and address coverage for millions of Americans lacking health insurance. Medicaid's role for the low-income population provides a strong platform on which reform efforts to expand coverage can be built as two-thirds of the nation's uninsured are low-income. Medicaid has proven to be an effective vehicle for improving access and health outcomes for low-income and high-need populations. It is a tested program with an administrative structure in every state that has been a foundation for state health reform efforts designed to expand coverage for their low-income residents. However, under current law, non-disabled adults without dependent children are not eligible for Medicaid coverage, even if they are very poor. Medicaid coverage could be broadened to reach more of the low-income uninsured by eliminating categorical restrictions and establishing a consistent, simplified national eligibility standard for the program based on income. This paper estimates that 49 million Americans are uninsured in 2009 and analyzes several options to show the impacts on coverage and cost of expanding Medicaid to cover more low-income uninsured populations. The two options we highlight are: -- Option 1: An expansion of children to 250% FPL and adults to 100% FPL -- Option 2: An expansion of children to 300% FPL and adults to 150% FPL We also examine the options of only expanding coverage to adults to these levels. For these options we assume current participation rates (between 60% and 70%) and also higher participation rates (90%). Participation at 90% approximates the levels under an individual mandate. The paper focuses on the results assuming the enhanced participation because the Medicaid expansions are expected to be part of broader health reform efforts that would strive for near universal coverage. In addition to cost and coverage, the analysis shows the impacts of the options by region and with payment rates adjusted upward to promote provider participation. These estimates reflect the medical costs of coverage for 2009 assuming full implementation of the options. The estimates do not include other costs such as outreach or new policies to achieve broader participation; therefore estimates of legislation would likely differ.

Author: United States. Congress. House. Committee on Energy and Commerce
Publisher:
ISBN:
Category : Business & Economics
Languages : en
Pages : 256

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Author: United States. Congress. House. Committee on Energy and Commerce
Publisher:
ISBN:
Category : Business & Economics
Languages : en
Pages : 722

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Author: Mark V. Nadel
Publisher:
ISBN:
Category : Health insurance
Languages : en
Pages : 42

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Author: United States. Congress. House. Committee on Energy and Commerce
Publisher:
ISBN:
Category : Health care reform
Languages : en
Pages : 340

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Author: United States. Congress. House. Committee on Ways and Means. Subcommittee on Health
Publisher:
ISBN:
Category : Digital images
Languages : en
Pages : 320

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Author: United States. Congress. Senate. Committee on Finance
Publisher:
ISBN:
Category : Government publications
Languages : en
Pages : 470

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Author: Mary E. Vaiana
Publisher:
ISBN:
Category : Health care reform
Languages : en
Pages : 0

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Key findings: * The percentage of the state population with health care coverage will increase significantly in all five example states. * The percentage of employees offered insurance will not change substantially, but a small number of employees in small firms (defined as those with under 100 employees in 2016) will obtain employer-sponsored insurance through the state insurance exchanges. * Substantial numbers of the nonelderly will choose to buy coverage through the exchanges. * In most cases, the majority of new Medicaid enrollees will be newly eligible, but increased enrollment of those previously eligible will cost the states more because the federal government heavily subsidizes newly eligible enrollees. * Total state government health care spending will increase in four of the states. Spending will decrease in Connecticut because some low-income individuals previously covered under the state's own insurance plan will now be covered under Medicaid, and the federal government will pay a large portion of their costs.

Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309131952
Category : Medical
Languages : en
Pages : 316

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Book Description
As the first of the nation's 78 million baby boomers begin reaching age 65 in 2011, they will face a health care workforce that is too small and woefully unprepared to meet their specific health needs. Retooling for an Aging America calls for bold initiatives starting immediately to train all health care providers in the basics of geriatric care and to prepare family members and other informal caregivers, who currently receive little or no training in how to tend to their aging loved ones. The book also recommends that Medicare, Medicaid, and other health plans pay higher rates to boost recruitment and retention of geriatric specialists and care aides. Educators and health professional groups can use Retooling for an Aging America to institute or increase formal education and training in geriatrics. Consumer groups can use the book to advocate for improving the care for older adults. Health care professional and occupational groups can use it to improve the quality of health care jobs.