Decision Making; Medicaid Cuts

The first step in the process is to identify and define the problem at hand. During this step, all the information is gathered and looked over. This allows for the problem to be clearly identified and hopefully making the whole process easier. Step two of the process is to begin generating possible solutions. In this step, managers can begin formulating one or several potential solutions (Lombardi, Schermerhorn, & Kramer). Before going onto step three, some additional information may be required, because step three is when a plan of action is chosen. In the fourth step, the chosen plan is implemented. It is the responsibility of the manager to make sure this portion goes smoothly. Everyone on the team should know exactly what they should be doing. The final step in the process is to review the results. In reviewing the outcome of the action plan that has been chosen, you may find things that need to be altered and you may find things that are going perfectly. At this point the appropriate changes should be made.

The Medicaid expansion is clearly a great need that the state of Texas should take advantage of as it has numerous positive impacts that could result in even greater successes for the state. Although the decision will have profound implications, the state is given the option to develop alternative approaches to meet state needs and desires that would improve overall health status and increase revenue to advance a larger mission for its

As a health care administrator/manager it will be imperative for you to work with the

Throughout the early 1980’s and 1990’s the Federal Medicaid program was challenged by rapidly rising Medicaid program costs and an increasing number of uninsured population. One of the primary reasons for the overall increase in healthcare costs is the

Why is Medicaid a huge topic in Texas and how does it relate to me? This is one important question to consider. Well this paper will help shed light to the matter and illustrate the urgency for action. Just recently Texas had an option to extend Medicaid, but hastily denied. Medicaid Expansion was part of the Obama care reform in which the federal government gave the 52 states an offer to expand the current Medicaid in was that it would include the coverage of low income adults not only children. The latest on the issue is Texas had agreed on a deal but only temporarily. The agreement on the reform has given Texas some light, but not enough to reach through the other side of the tunnel. Eventually, Texas

Based on the spreadsheet, the Human Services Department faces a great shortfall. Our department is planning to make a 5% reduction from the Social Services Fund within the Human Services Department. In the Social Services Fund, we require the reduction of the expenses category in order to hit the target reduction. By reducing 5% of the Social Services Fund, the cost of target reduction would be $ 2,679,764. Then based on the target reduction, we are planning to reduce the 2015 adopted budget.

As a health policy analyst for the state of Texas which has not elected to expand Medicaid as part of the Affordable Care Act (ACA) and now has been notified that the state leaders have taking into reconsideration their recent decision during an upcoming session in order that we begin gathering data on the benefits of adapting the Medicaid expansion. As a health policy analyst our goal is to assure data quality, interpret data, and discover new information in the data. Medicaid is a federal and state partnership with shared authority that is a health insurance program for low-income individuals, children, their parents, the people with disabilities and the elderly. Nationally Medicaid covers health care for over 72 million people. Even though participation is optional, all 50 states participate in the Medicaid program. However, Medicaid benefits eligibility varies widely among the states all states must meet federal minimum requirements, but they have options for expanding Medicaid beyond the minimum federal guideline (http://www.ncsl.org/research/health/affordable-care-act-expansion.aspx). In this research we will identify the state of interest which is Texas, compare the state’s decision, determine the alternate approaches to expanding access and provide a recommendation on whether or not the state should opt in to the Medicaid expansion.

After receiving the P&L Statement covering expansion, the administrative resident must develop and justify a new indirect cost allocation scheme for outpatient services. The scheme must be perceived as fair and promotes overall cost savings within the Medical Center.

The new law added to a per-existing hospital provider tax, which lawmakers love because it leverages federal matching funds that help pay for the state's Medicaid program. Critics objected to the increase because it added a new tax on health insurance.

In this research paper it will identify how Medicaid came about and what Medicaid used for, the different between Medicare and Medicaid, the benefits and disadvantage in the use of Medicaid. Medicaid is a state administrated program that provides medical support for a broad range of people. Medicaid was established in 1965 through the Social Security Act, which was an act to provide for the general welfare by creating a system of senior citizen benefits as well as low income people not all but limited to and by enabling that many states to make more acceptable provision for aged people, blind, dependent and crippled children, maternal and child welfare, and public health. Medicaid program was one of many programs created to

In the state of Texas Medicaid is funded by state and federal programs. Those eligible to receive Medicare benefit is the low income individuals, families, children, pregnant women, elderly and individuals who suffer with disabilities (Hegar). The Texas Health and Human Service commission (HHSC) distributes the Medicaid (Hegar). Those receiving Medicaid benefits in the fiscal year of 2010 were found to be 55 percent female and 77 percent under the age of 21 (Hegar). Children accounted for 66 percent of all Texas Medicaid recipients in that year; however, 32 percent of those children actually received health care (Hegar).

With the implementation of the ACA, many states have expanded their Medicaid programs to include a larger population of low income individuals and families that were not able to obtain health insurance prior to the law. Some of the issues that state legislators struggle with are the overall cost of providing services for the additional recipients, staying within budget, determining an adequate approach of offering quality care, and providing adequate coverage for each recipient. Even though the cost of Medicaid expansion within each state has increased the budget for the program, new appraisals has shown that Medicaid programs spend less per enrollee than commercial health insurance and much of the increase in Medicaid expenses originate from the increase in enrollment in the programs (Coughlin, Long, Clemens-Cope, & Resnick, 2013).

Following the death of a Medicaid recipient, the program not only can but must attempt to recover costs from the estate of the deceased. Medicaid's official site says:

In the case study for Implementing Budget Cuts in the Basic Health Plan, the core problem is how and who to cut or qualifies for disenrollment from the insurance program. This issue came about when Washington Legislature passed the 2009-11 Biennial Budget. Here government officials started to reassess the regions budget due to a heavy recession. They were looking at trying to save billions of dollars, which almost a quarter million of those billions would come from reducing the funds to the program for Basic Health Plan.

Analyses used to collect the data were the profitability, break-even and utilization/volume. A dashboard analysis was also used. To analyze the profit of the organization over the next five years, profitability analysis was used with considering inflation rates for each item. Break-even analysis was used to compare the amount of additional visits per day if the clinic operated as-is to operating with the expansion of the new marketing program. The break-even analysis was also used to recognize the volume required to cover the costs of the marketing program. The dashboard analysis was then used to summarize all analyses used.