This paperwork of HCS 455 Week 1 Discussion Question 1 comprises:
What are two major health care programs that have shaped the history of health care policy? Explain each one.
Expert Solution Preview
Introduction:
Throughout the history of healthcare policy, various programs have played a significant role in shaping the landscape of healthcare delivery and access. Two major healthcare programs that have had a substantial impact are Medicare and Medicaid. Both programs were established as part of the Social Security Amendments of 1965, contributing to significant advancements and improvements in healthcare for specific population groups.
Answer:
1. Medicare:
Medicare is a federal health insurance program primarily designed to provide coverage for individuals aged 65 and older. It also covers certain younger individuals with disabilities and those with end-stage renal disease requiring dialysis or a kidney transplant. Medicare consists of different parts that offer specific coverage. Part A provides hospital insurance, covering inpatient hospital stays, skilled nursing facility care, hospice care, and some home health care. Part B offers medical insurance, covering outpatient services, physician visits, preventive care, and medical supplies. Part D provides prescription drug coverage, which beneficiaries can obtain through private insurance plans approved by Medicare. Medicare plays a crucial role in ensuring older adults and specific disabled individuals have access to necessary healthcare services, reducing financial burdens and promoting better health outcomes.
2. Medicaid:
Medicaid is a jointly funded federal-state program aimed at providing health insurance coverage to low-income individuals and families. Eligibility for Medicaid depends on various factors such as income, assets, age, family size, disability, and pregnancy. Each state administers its Medicaid program within certain federal guidelines. Medicaid provides coverage for a wide range of medical services, including doctor visits, hospital stays, prescription drugs, preventive care, prenatal care, and long-term care. The program aims to improve access to healthcare for vulnerable populations, including low-income adults, children, pregnant women, elderly individuals, and people with disabilities. Medicaid significantly contributes to reducing health disparities by ensuring that those in need have healthcare coverage and can receive necessary medical services.
These two major healthcare programs, Medicare and Medicaid, have played instrumental roles in reshaping the healthcare landscape by increasing access to essential medical services and addressing the healthcare needs of specific demographic groups.
