Write a 175- to 265-word response to the following:
· States play an important role in health care policy not only through the implementation of federal health care policy but also through tailoring policies to meet the needs of the state’s population. By doing so, we find variation in health care policy from state to state, which is evident in programs like Medicaid. We also find variations in how states define insurance rules.
Look up your state’s Medicaid program (search for your state + Medicaid). Compare the guidelines, income requirements, etc. for your state to those of another state.
Additionally, explore your home state’s insurance website regarding current insurance rules for state residents.
· What did you learn about your state’s insurance and Medicaid program. How does your state compare to other states?
· Why do you think your state’s program and guidelines are different from those of other states? Are there demographic or geographic factors that contribute?
Respond 2 classmates
After doing research about my hometown, Anchorage, Alaska, I have found out a couple things. Medicaid is a health insurance that is utilized for families, individuals or kids (DenaliKid Care) who are considered to be low income target groups in Alaska. According to the State of Alaska (2021), Alaskas income guidelines are a lot lower for individuals and families to ensure that more people are covered. Being that a family of 1 has to have a family gross income of $15,950 or below, a family of 2 is $21,550, and a family of 3 is $27,550. As asked of us for this discussion, I did my research and looked at another state- Arizona. One of the first differences I noticed was the comparison in the maximum income levels per year. Arizona’s income maximums were much higher than Alaska’s Medicaid’s requirements. The reason that Alaskas Medicaid is a lot different than other states is because of the high percentage of property in this state. Alaska and Hawaii both have higher expanded Medicaid because of the lower poverty levels in these states (State of Alaska, 2021).
My home state is Texas, to be eligible for Texas Medicaid, you must be a resident of the state of Texas, a U.S. national, citizen, permanent resident, or legal alien, in need of health care/insurance assistance, whose financial situation would be characterized as low income or very low income. You must also be one of the following:
· Pregnant or,
· Be responsible for a child 18 years of age of younger, or
· Blind, or
· Have a disability or a family member in your household with a disability
· Be 65 years of age or older
To be eligible, you must have an annual household income (before taxes) that is below the following for a family of 4 income should be $52,470(before taxes), for an individual income should be $25,503(before taxes) (“Welcome to Benefits.gov,” n.d.).
The state of Arizona’s Medicaid qualifications are similar to the state of Texas requirements. The differences that I see are the following:
· Pregnant, or
· Be responsible for a child 17 years of age or younger, or
· Have a disability or family member in you household with a disability.
The eligibility income per household varies by state. Arizona household of four income should be $ 35,245(before taxes), for an individual income should be $17,131 (before taxes) (“Welcome to Benefits.gov,” n.d.).
I was able to get more information about the Texas Medicaid. Texas Medicaid offers different managed care programs. There is the Texas Star Medicaid plan, Community Medicaid for children’s Medicaid and Medicaid for pregnant women. Arizona offers a variety of Medicaid plans that are selected based on the county that you reside in; they also have a Medicaid plan for American Indian residents.
I think that the Medicaid plans that are offered in Texas are based on the communities, income and rural and areas. The plans differ from Arizona based on the demographics, Arizona has native Americans that live in Indian tribes whereas Texas does not.
Welcome to Benefits.gov. (n.d.). Welcome to Benefits.gov | Benefits.gov. https://www.benefits.gov/benefit/1640
Within our health care system there are a number of stakeholders that influence the health care policy development process and ultimately help shape our health care policies.
· Government (primarily federal and state governments) and interest groups like the American Medical Association, AARP, and the Henry J. Kaiser Family Foundation can have a direct impact on the outcome on the type of health care we receive.
· Patients (the largest consumers of health care) are stakeholders in the health care system, and the needs and wants of the public also drive the decisions made by health care decision-makers.
This assignment will help you better understand the role and influences of the main stakeholders in the health care policy development process.
Research the main stakeholders in the health care policy development process.
Select one of the main stakeholders at the government level (federal or state), a professional organization, or an interest group.
Write a 525- to 700-word paper that details the importance and impact this stakeholder has on the policy development process. Include the following in your paper:
· Identify the stakeholder and their level in the policy development process.
· Describe their role in the policy development process.
· Describe why the stakeholder identified is important in the policy development process.
· Describe the impact the selected stakeholder has on the policy development process.
*You must discuss one specific stakeholder, and identify ways in which this stakeholder influences policy.
Cite at least 2 reputable references. Reputable references include trade or industry publications, government or agency websites, scholarly works, a textbook, or other sources of similar quality.
Format your assignment according to APA guidelines.
WE CHOSE MEDICARE!!
As a team, research and identify a health care policy topic.
Review the following choices or obtain approval from your faculty for a different topic. Faculty approval must be obtained at least 3 days in advance of your assignment due date.
· Health care reform policy [e.g., Patient Protection and Affordable Care Act (PPACA)]
· Or faculty-approved topic
Note: As you consider a topic, review the Week Five assignment requirements to ensure the policy selected can be used to satisfy those requirements.
Complete the following chart with research your group has identified for the policy selected. Research information that needs to be identified for the policy is listed on the left. Your group will insert research it has found regarding the prompt on the left. To prevent plagiarism, record all information and research in your own words.
|Research Prompt||Information your group identified using the policy selected|
|Year policy was created|
|Identify the various stakeholders involved in the creation of this policy.|
|Select a level of government (federal, state, or local) and discuss the role and function it had in the process of implementing the policy.|
|Why was the policy created?|
|Why is the policy important to health care?|
|What stakeholders are impacted by this policy (e.g., health care consumers, medical staff, etc.)?|
|In your opinion:
Is the policy effective?
Is it meeting the needs of the population as intended?
How has the effectiveness of the policy been verified?
|Discuss the health and societal issues that had an impact on the development of the health care policy.|
Cite at least 2 reputable references used to complete the prompts within the chart. Reputable references include trade or industry publications; government or agency websites; scholarly works; your textbook, Health Policymaking in the United States (6th ed.); or other sources of similar quality.
ONLY COMPLETE MY PART!!!!!
MY PART/column IS:
-Select a level of government (federal, state, or local) and discuss the role and function it had in the process of implementing the policy.
-Is the policy effective?
-Is it meeting the needs of the population as intended?
-How has the effectiveness of the policy been verified?