HCS/455 – Health Care Policy: The Past and the Future
August 22, 2011
Policy Issues Outline
I. Medicaid was first created and developed to provide health care services for individuals with low income and limited resources. The government developed funds that would match State funds with Federal funds in order to serve the ill, the elderly and children. Team "B" will construct an outline of Medicaid and its development during the stages of policy making and what it takes to produce such a policy. Every American citizen will be affected by both the past and future policies implemented in the attempts to save Medicaid. (www.kff.org/medicaid)
II. Medicaid Overview
A. Medicaid history
1. Birth of Medicaid in 1965
2. Medicaid purpose
III. Medicaid Budget
A. The federal and state governments jointly fund Medicaid.
B. Medicaid is a state operated program that depends on matching funds from the federal government.
C. The federal matching formula, Federal Medical Assistance Percentages (FMAP), generates compensation rates, which vary from state to state.
D. “Medicaid has become a major expenditure item for state governments, with Medicaid spending of more than $315 billion in 2005, accounting for more than 21 percent of total state government spending in the nation as a whole” (Marton & Wildasin, 2007, p. 279).
E. State Medicaid programs depend upon the federal match.
F. According to the National Association of State Budget Officers, at least 33 states are predicting budget shortfalls in fiscal year 2012, which for most states began July 1, 2011 (Cassidy, 2011, p. 3).
IV. Medicaid Administration and Policy Decisions
A. States make major changes to Medicaid health care with three main programs between 2001 and 2006. Thirty-five... [continues]
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