Medicare
How many people were enrolled in Medicare Advantage plans in 2017?
19 million, 33% of all Medicare Beneficiaries
What is Medicaid’s primary purpose?
To care for "persons of all ages whose income and resources are insufficient to pay for healthcare."
Medicare is primarily for individuals 65 and older. Who else does it cover?
Those who are permanently disabled and those with end-stage renal disease (chronic kidney disease).
Is Medicaid managed by the federal government or state governments?
It is managed through Federal-State Partnerships
Name two factors contributing to the growth of Medicare spending.
U.S. population is aging; higher overall health care costs.
How many Americans does Medicaid cover?
1 in 5
Name three types of health care providers that can enroll in Medicare?
Community Mental Health Centers
Comprehensive Outpatient Rehabilitation Facilities
Critical Access Hospitals
End-Stage Renal Disease facilities
Federally Qualified Health Care Centers
Histocompatibility Laboratories
Home Health Agencies
Hospices
Hospitals
Indian Health Services facilities
Religious Nonmedical Health Care Institutions
Rural Health clinics
Skilled Nursing Facilities
Additionally, home health, SNF, hospital outpatient services, physician payments, part d prescription drugs, hospital inpatient services, and Medicare Advantage.
Under the original 1965 Medicaid law, what was Medicaid eligibility tied to?
Cash assistance for: parents, children, the poor, the blind, and people with disabilities.
If the ACA were repealed (including its Medicare Provisions), would this increase Medicare Spending?
According to CBO, repealing the ACA in its entirety would add $802 billion to Medicare spending over 10 years.
What are some Medicaid benefits for Low-Income Families? Individuals with Disabilities? Elderly Individuals?
Low-income families: pregnant women, prenatal care and delivery costs; children, routine and specialized care for childhood development; families, affordable coverage to prepare for the unexpected.
Individuals with disabilities: children with autism, in-home therapy and speech/occupational therapy; cerebral palsy, assistance to gain independence; HIV/AIDS, physician services and prescriptions; mental illness, physician services, and prescriptions.
Elderly individuals: Medicare beneficiary, help to pay for Medicare premiums and cost-sharing; community waiver participant, community-based care and personal care; nursing home resident, care paid by Medicaid.