Medicare And Medicaid SLP: The Overall Goal Of The Session ✓ Solved

Medicare And Medicaid Slp4the Overall Goal Of the Session

The overall goal of the Session Long Project is to examine health care delivery in the United States. Read the following article: Shaefer, H. L., Grogan, C. M., PhD., & Pollack, H. A., PhD. (2011). Who transitions from private to public health insurance? lessons from expansions of the state children's health insurance program. Journal of Health Care for the Poor and Underserved, 22(1), 359-70. After reading the article, please respond to the following questions:

• Briefly summarize the article.
• Define and discuss the concept of "crowd out." Why was this a central issue with state children's health insurance program?
• What is the concept of private to public transition? How does it impact children's insurance?
• What were the results of the study as it relates to children's insurance?
• Do you agree with what the authors found? Why or why not?

LENGTH: 2-3 pages typed and double-spaced using 12pt Times New Roman font and 1-inch page margins.

Please use headers throughout the paper. This will aid you in not overlooking vital elements of the assignment and make the document easier for the reader to follow.

Sample Paper For Above instruction

Introduction

The expansion of public health insurance programs such as the State Children's Health Insurance Program (SCHIP) has significantly influenced access to healthcare for children in the United States. The article by Shaefer, Grogan, and Pollack (2011) provides insight into the dynamics of insurance transitions from private to public coverage, highlighting key issues such as crowd out and implications for children's health insurance coverage.

Summary of the Article

The article investigates who transitions from private to public health insurance, especially during expansions of SCHIP. The authors analyze the patterns and determinants that lead children to move from private health plans, often employer-based, into public programs. Their findings reveal that expansions of SCHIP have increased coverage among low-income children, reducing the number of uninsured children. However, they also identify concerns about crowd out, where public insurance might replace private coverage rather than supplement it, potentially affecting long-term insurance stability for families.

Understanding 'Crowd Out'

"Crowd out" refers to the phenomenon where public health insurance coverage replaces private insurance coverage among individuals previously insured privately. In the context of SCHIP, this issue is central because policymakers need to ensure that expansion efforts are increasing overall coverage without displacing private insurance—an economic concern as it may lead to unnecessary public expenditure without adding new coverage.

The Private to Public Transition and Its Impact on Children’s Insurance

The transition from private to public insurance generally occurs when families, initially relying on employer-sponsored private coverage, become eligible for public programs as their income drops or through policy expansions. This transition can impact children's insurance by providing more comprehensive or affordable coverage, especially for low-income families who might otherwise lack access to adequate private insurance. However, if it leads to crowd out, the total number of children with coverage may not increase significantly.

Study Results Related to Children's Insurance

The study finds that SCHIP expansions have increased coverage among children in low-income families and reduced the uninsured rate. Importantly, the authors observe evidence of crowd out, though the extent varies depending on the policy design and implementation. These findings suggest that while public expansion improves coverage, policymakers need to carefully monitor the displacement of private insurance to ensure that public programs complement rather than replace private coverage.

Personal Reflection and Agreement with Findings

I agree with the authors' findings, recognizing that expanding public insurance has the potential to greatly improve access to healthcare for vulnerable children. However, it is critical to balance expansion efforts with policies that minimize crowd out. Preventing unnecessary displacement of private insurance can maximize the efficiency and sustainability of public health programs and ensure total coverage increases without unintended negative consequences. Moreover, these findings underscore the importance of carefully designing public programs to complement private coverage instead of replacing it.

Conclusion

The article by Shaefer et al. advances understanding of how public health insurance expansions influence children's coverage and highlights important considerations like crowd out. These insights can guide policymakers in optimizing health care delivery and coverage strategies to ensure all children have access to necessary health services.

References

• Shaefer, H. L., Grogan, C. M., & Pollack, H. A. (2011). Who transitions from private to public health insurance? Lessons from expansions of the state children's health insurance program. Journal of Health Care for the Poor and Underserved, 22(1), 359-370.
• Campaign for Children’s Health Care. (2006, July). Why health insurance matters for children. Families USA.
• Centers for Medicare & Medicaid Services. (2007). Overview.
• Guterman, S., Davis, K., Stremikis, K., & Drake, H. (2010). Innovation in Medicare and Medicaid will be central to health reform's success. Health Affairs, 29(6), 1223-1230.
• Hill, J. E. (2006). The coming revolution in healthcare. Vital Speeches of the Day, 72(26), 791-794.
• Rudowitz, R., Artiga, S., & Arguello, R. (2014, March). Children’s health coverage: Medicaid, CHIP, and the ACA. Kaiser Family Foundation.
• Neuman, T. (2009, June). Medicare 101: The basics. Kaiser Family Foundation.
• Rudowitz, R. (2012, January). Medicaid 101. Kaiser Family Foundation.
• Sebelius, K. (2013, September). The Department of Health and Human Services 2013 annual report on the quality of care for children in Medicaid and CHIP. U.S. Department of Health & Human Services.