Health Center : An Essential Part For Patients With Medicaid

Evaluation is a process that is used to look at the project, policy or program critically. It includes the collection and analyzing information that is related to the program or policy and that of its outcome. The Main purpose is to improve the policy or the program effectiveness. This will also help to identify any of the weak areas and changes that need to be made in the policy.

Program planning is a process to achieve a particular goal and/or mission. Program planning is an organized process through which a set of coordinated activities or interventions is developed to address and facilitate change in some or all of the identified problems. Program evaluation provides useful information for improving the programs and the service delivery systems. Program evaluation is to improve the program planning, effectiveness, design, and efficiency. The two are different processes, but ideally they hold the same goals and/or mission. The evaluation process takes place after the planning of a

The program will assessment on the individual participant level by having informal discussion after each workshop and paper and pen surveys (for those who may want not to talk) to see what the students are learning or what they want to spend more time on or need to review next class.

Although the number of illegal immigrants is substantially growing on a daily basis, the national health care policies seem to fail in addressing their medical needs. This, however, is becoming a growing challenge because of the conflicts between medical ethics and immigration laws. Despite the alluded hope for this patients group within the immigration reform, the Patient Protection and Affordable Care Act (PPACA) fails to alleviate the burden of their unmet health care needs. Advocates of their rights for health coverage argue that medical ethics and the United States moral obligations necessitate expanding coverage to all population residing within the borders of the country. Conversely, opponents deny their health coverage because their illegal status disqualify them from all public benefits. This paper goes beyond these opposing assumptions and instead, proposes a strategic plan to raise and combine resources necessary to establish a health care center for the uninsured, underinsured, and illegal immigrants in Northern California. The paper covers the establishment of this center with special focus on strategic funding, funding constraints, related state and national regulations, health policy, resources allocation, and managerial and leadership.

The Affordable Care Act (ACA) highlighted the importance Medicaid played in insuring every American receive healthcare coverage. (42 U.S.C., 2010) Medicaid provides health benefits to over 71 million across the country. While involvement is optional, all 50 states participate in the program and requirements differ across the nation. The flexibility given to each state has allowed them to make their own decisions to work towards improvements that they believe would best benefit their region (Feldstein, 2015, p. 125-126).

As Congress considers potential options to reform Medicaid, it is important to keep in mind patient access to prescription drugs and other healthcare services. Retail community pharmacies believe that Medicaid prescription drug benefit reform efforts should be focused on maintaining a Medicaid prescription drug benefit, maintaining patient access to adequate provider networks, fair and appropriate cost-based provider payments, and facilitating patient access to pharmacist-provided health care services.

The Institute for Healthcare Improvement is partnering with approximately 30 organizations throughout the U.S. Together, they are integrating behavioral health services into primary care. Some states have already adopted this model of patient care.

The Medicaid program is a federal health insurance program for the under-privileged and incapacitated. The plan is managed by states within comprehensive limits instituted by the federal government. Together the federal and state governments finance the program, with the federal share ranging from 50 percent to 74 percent. Now Medicaid currently makes up 7 percent of the federal budget and 23.7 percent of all state expenses. Approximately sixty million people are enrolled in the Medicaid program and 400 million is spent annually.

First, would look at my measurement method to make sure that it is reliable and valid. Making sure that the measurements are representing the people and the program accurately, enough sample size is use to represent the program, and make sure there is no participants contamination. Second, the time from when the program started and when the evaluation process starts can also show that the program have no impact. It takes a long time for programs to work out the kink and bumps along the way and sometimes having an evaluation conducted within a year will not show the program at its full potential. There is also the sleeper effect where the program will not show impact until a much later time. Having an open and clear communication with the stakeholders will let me know what they are looking in the program evaluation so that I can focus on those aspects to make sure I use accurate

The government has two programs that provide health care to specific groups of people in the United States known as Medicaid and Medicare. After President Johnson signed the Social Security Act in 1965, the government created these two programs. Each of the programs have their own eligibility requirements, coverage, and cost. The Healthcare reform effected both programs eligibility requirements, cost, and coverage.

Evaluation is an assessment of something or making an observation of the outcome whether good or bad. An example of evaluating is after the Year 8 disco, was the year 8 pupil’s filing out an evaluation form on how they thought the event went. There are many different ways to evaluate such as minutes of meeting, questionnaires, post-event papers and circulation list.

In order to implement a program evaluation to determine client gains, there will be a team consisting of myself as the lead consultant, 3-4 program evaluation support staff members who will assist in the evaluation process and one staff member from the center being included to provide relevant center information. Key staff from the center will be asked to form an advisory group where all evaluation measures, outcomes and processes will be discussed, approved and presented.

In my hometown state of Colorado, one of the piloting states who are implementing a new method of delivering and paying for Medicaid beneficiaries’ care to coordinate a broad range of health and social serves by shifting some of the financial risk for the costs and quality of care to providers. Colorado’s Accountable Care Collaborative Program is providing Medicaid beneficiaries care through an accountable care organization (ACO) delivery model. Medicaid contracts with one regional care collaborative organization (RCCO) that works with providers that are part of the Primary Care Medical Providers (PCMP). “Medicaid oversees that the regions get the medical management, admin support, while they seek to ensure care coordination to the Medicaid enrollees and integrate smoothly with the care in hospitals, with social services and specialist” (Ellis, Gifford, & Smith, 2014). Many of the ACA’s provisions affecting Medicaid eligibility and enrollment went into effect during 2014, most significantly the Medicaid expansion implemented as an option for states. All states were required to streamline Medicaid enrollment and renewal processes, transition to a uniform income eligibility standard and coordinate with the new marketplaces (Ellis, Gifford, & Smith, 2014). Colorado has also set out to integrate behavioral and clinical health care through incentives to providers. Colorado’s first annual report indicated progress and success for what the ACO set out to

Program planning is the implementation of evaluation process. It is the groundwork where priorities are decided and the results are analyzed on a measurable scale.

The purpose of the evaluation is to make sure that our program as a whole is on the track to success. We want to evaluate our current problems as well as future problems we may have and see if we can solve them now rather than later. We want to make sure that our entire program is on a steady path and that we will not be blindsided by any issues that may arise. Our program rationale is a key component to developing our program as we want our goals and objectives to be clear as well as how we will identify the needs of the community that need to be met.