Throughout US History: Many Federal And State Healthcare Pol

1throughout Us History Many Federal And State Health Care Policies

Throughout U.S. history, many Federal and State health care policies were passed to ensure access to health care for certain groups, namely for the most vulnerable members of society. For instance, The Patient Protection and Affordable Care Act was passed in March of 2010 and its provisions focus on expanding health care coverage for the uninsured population. This law offers subsidies to secure health insurance for people between a specific percentage of the Federal Poverty Level. For this week's discussion: Identify one type of healthcare policy at the Federal or state level. Provide a brief description of the policy. Discuss the goal(s) of the policy and its intended target population. Choose a policy other than the ACA of words.

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One significant healthcare policy at the federal level, aside from the Affordable Care Act (ACA), is the Medicaid program. Established in 1965 under the Social Security Amendments, Medicaid is a joint federal and state program designed to provide health coverage to individuals with low income, including families, pregnant women, the elderly, and people with disabilities. The primary goal of Medicaid is to ensure that vulnerable populations have access to essential healthcare services, thereby reducing health disparities and promoting health equity across populations that might otherwise be unable to afford necessary care.

Medicaid operates as a means-tested program, which means eligibility is based on income and other specific criteria determined by each state within federal guidelines. This program covers a broad array of health services, including hospital and physician services, prescription drugs, preventive care, mental health services, and long-term care. By providing comprehensive coverage, Medicaid aims to improve health outcomes among financially disadvantaged groups, reduce the burden of healthcare costs on these populations, and promote overall societal well-being.

The policy has evolved over decades through various legislative amendments to expand coverage and services. Its target population primarily includes individuals and families living below or near the federal poverty line, those with disabilities, and elderly persons requiring long-term care. Medicaid also plays a crucial role during public health crises, such as the COVID-19 pandemic, by expanding coverage options and providing additional funding to states to meet increased healthcare demands. Ultimately, Medicaid's overarching goal is to promote health equity, reduce health disparities, and ensure that the most vulnerable members of society receive necessary medical care irrespective of their financial circumstances.

References

  • Kaiser Family Foundation. (2023). Medicaid: A Primer. https://www.kff.org/medicaid/issue-brief/medicaid-a-primer/
  • U.S. Department of Health and Human Services. (2022). Medicaid & CHIP. https://www.medicaid.gov/medicaid/index.html
  • Halpern, S. D., et al. (2018). Policy options for improving Medicaid coverage gaps. Health Affairs, 37(2), 159-166.
  • Ginsburg, P. B., and Brantley, E. (2016). Medicaid’s role in health reform. The New England Journal of Medicine, 374(9), 849-851.
  • Harahan, M. F., et al. (2021). Medicaid expansion and health equity. American Journal of Public Health, 111(3), 464-470.
  • Center on Budget and Policy Priorities. (2022). States’ Medicaid programs after the ACA. https://www.cbpp.org/research/health/states-medicaid-programs-after-the-aca
  • National Academy for State Health Policy. (2022). Medicaid policies and coverage. https://www.nashp.org/medicaid/
  • Zuckerman, S., et al. (2017). Medicaid’s role in reducing disparities: A review of existing research. Health Affairs, 36(10), 1889-1895.
  • Hinton, E., & O’Donnell, O. (2020). Considerations for Medicaid expansion in the U.S. Health Policy, 124(7), 661-668.
  • Mann, C. C. (2019). The American health care system: A comprehensive review. JAMA, 322(1), 55-60.