Need ONE Response Per Each Discussion Total 2 Responses. Attached Are The Discussions .One Reference Per Each Discussion
Dalia
To determine which insurance has greater impact it is important to analysis some aspects associated with these programs (e.g., socio-demographic characteristics of the population covered). Typically, Medicare pays the major portions of medical bills, including hospitalizations and the implementation of this particular program does not result in unbound demand on the part of the recipients for covered services. In addition, it is important to keep in mind the eligible populations of both programs. For instance, Medicare is a federal program that provides health coverage for individuals who are 65+ or under 65 and have a disability, without taking into account their income. Conversely, Medicaid is a state and federal program that provides health coverage if you have a very low income. However, both programs work together to provide health coverage and lower your costs for their recipients (Leonard et al., 2017).
According to recent data, more than 4.6 million patients are enrolled in Medicare in Florida and about 3.6 million patients in Florida are eligible for Medicaid in Florida, including approximately 235,000 children who are enrolled in the Children’s Health Insurance Program (CHIP). In my opinion, Medicare has a greater impact in Florida since this program covers the major portions of medical bills (about 80 %) and the number of people aged 65 or older in this state is higher when compared to other states. According to the results of a recent study performed by the Census Bureaus in 2018, Florida is one of the top three states with the highest percentage of elderly population in United States, in addition Texas and California. Furthermore, we have to keep in mind that patients covered by this program are 65 year-old or older or under 65 with a disability; therefore, the costs of health care are much higher since they suffer from medical chronic conditions and receive healthcare services characterized by high costs (e.g., mental health care, home health services, etc.) (Hu & Mortensen, 2018).
Mercedez
Medicaid has aggressively moved to managed care in most states, one being Florida, which includes risk-based and passive enrollment models. For this reason, I believe Florida sees a bigger impact from the Medicaid program. Seventy percent of Medicaid patients, including some dually eligible patients, are in some type of managed care with the majority in risk-based models (Grabowski, 2012). The movement of many individuals from nursing home care to home and community-based services, now accounts for more than half of Medicaid spending on long-term care and likely improved their quality of life and lowered the cost of this expensive service.
Medicaid cost efficiency helps keep overall health care costs lower and it may also offer Medicare and private insurance some relevant approaches to achieve higher value care. Medicaid has approximately 40 to 60 eligibility avenues that are multiplied by state variations on many of them, making eligibility criteria complex (Foster, Foley & Long, 2018).