Objectives
Selecting a state that has opposed the medicare expansion and reasons as to why.
Defining what it means by the coverage gap
discussion on how the coverage gap has influenced low-income health care populations
The role of ACAin closing the coverage gap
The importance of closing the gap
Solutions to closing the coverage gap
How health care equity helps in closing the gap.
The state that opposed Medicaid is Virginia and Maine.
It did not provide coverage to the people below the poverty line
They claimed that expanding Medicaid would fail to solve the cost of high medical care and enriches the systems that facilitate inflated health care costs.
Discussion.
Expanding Medicare is a temporary act, fix for high-cost charges in the healthcare facilities. AS a state, they urged to reject a program that has, for a while, been accused of fraud, abuse as well as state. The state held that they should seek a way of addressing structural problems that makes health care services expensive (Woodruff, 2018).
What are the drawbacks to medicare expansion in your state?
Qualification for Medicaid based on disabilities, household factors, and other factors.
Qualifying for Medicare based on the level of income. That is, if your households are below the federal poverty law, you qualify for the coverage.
Discussion
The state has allowed Medicaid to cover all the people if their income is below 133% of the state poverty level. As a process of calculating this, it turns out to be 138% of the federal poverty level. The qualification for Medicaid depends on whether the state has expanded its programs (Burnett, 2019).
The benefits of Medicaid expansion in the united state.
Access to care and related measures
Coverage
Expansion on various economic outcomes which includes, state saving, revenue gains leading to economic stability.
Since the implementation of Medicaid in the state, the health status has been transforming dramatically. There is an increase in access to health care facilities and related measures helping bust the citizen’s health status. It has led to coverage of low-income people giving them a chance to access the medical services. In general, it has to lead to the expansion of various economic outcomes such as government revenue gains and state saving, helping boost the economy of the state.
Define the coverage gap
The coverage gap means a temporary limit on what the drug plan will cover for medication.
discussion
In general, the cost is the coverage gap. Most healthcare has coverage gaps by the name”donut hole,” which signals a temporary limit on what the drug plan will cover for drugs. For example, if you and your plan have spent $4020 on covered drugs in the year 2020, it means you are in your coverage plan, but this amount may vary in the future.
How does the coverage impact the low-income health care consumer population
?
Coverage has the potential of improving the rate of health insurance coverage for low-income Americans.
There has been a significant decrease in uninsurance among the poor citizens and those who leave in the Medicaid expansion state.
discussion
In general, Patient Affordable care Acts increase access to health care insurance in the United States of America. Approximately, 20million have gained courage by now. It is alarming that, by understanding the law’s impact on coverage utilization, access, and health result mostly among the poor citizens, it is of importance in informing ongoing motion concerning its effectiveness and implementation.
What roles does the ACA have in widening or closing the coverage gap?
It has helped serve the poor to broaden the program reach to millions of poor, uninsured people and place the program as a vital component of the newly developed continuum of private and public coverage.
It has improved access and health outcome for both poor and low-income populations.
Discussion.
As indicated earlier, Medicare is mainly beneficial for low-income individuals and probably those who have serious health complications. It has been a source of comprehensive and affordable coverage medicare had long been a government’s backbone to boost the access of healthcare results for the poor and those with prolonged health difficulties (Rowland & Lyons, 2016).
What is the importance of closing the coverage gap
Medicare improvement leads to the improvement of health and financial security.
Improved health and well-being lead to volunteer work for social-economic groups with a low percentage of volunteerism.
Discussion.
According to a survey conducted by volunteer Supplement of the Current Population Survey, an increase of formal volunteering for companies and informal helping behaviors between the individuals of low-income non-elderly adults. They would have likely benefited from expansion. In other words, increased volunteer work related to Medicare was significant among the minority populations. It narrowed existing ethnic variations in the act of volunteerism in the state that boosted Medicaid eligibility.
The solution to the closing coverage gap.
The lack of health insurance also puts an individual at risk.
The stress of failing to pay the insurance bill affects the uninsured individual ability to sleep, job performance, and family relationships.
The high uninsured population of the blacks, American Indians, Asian Americans, and Hispanics are a facilitating factor of health disparities between individuals of whites and color.
Discussion.
As you imagine of all the benefits of Medicare, it is good to understand that lack of health insurance is related to worse health outcomes. This is because the uninsured citizens are likely not to access the necessary preventable care and chronic conditions.
How health care equity can help in closing the gap.
Promoting full access to health care
Advanced community Empowerment and Advocacy for sustainable health Solutions and Preventions.
Focusing on strategy based research and conditions to improve daily life
Cultivate innovation in primary care.
Discussion
The social determinant of health care inequalities is found in places and social-based contexts where the workers are engaged in daily activities. That is the event such as organization and working place where the individual’s interaction may influence the well being of the people, and people actively use and bring them an image of the environment, thus solving health problems.
References
Burnett, B. (2019). What You Need to Know About the Future of Cancer Care in the United States. Oncology Issues, 34(2), 6-6.
Rowland, D., & Lyons, B. (2016). Medicaid’s role in health reform and closing the coverage gap. The Journal of Law, Medicine & Ethics, 44(4), 580-584.
Woodruff, S. L. (2018). Identifying the Newly Insurable Medicaid Coverage Gap Population Under the Affordable Care Act: Who They Are and Where They Live.