Medicaid is a significant program that does offer health coverage to low income residents in Texas. The main purpose of Medicaid in Texas is to enhance the health of the population who may end up going without health care. The Medicaid program is funded by the states and the federal government that do share the costs. It covers families that do have children, pregnant women, and medically needy people, disabled, elderly and blind people (Texas, 2009). Legal residents who are not usually U. S citizens can also be eligible for Medicaid.
It is therefore imperative to give a deep analysis of eligibility levels between these persons, the rationality behind it as well as the benefits and the drawbacks of insuring people through Medicaid. Pregnant women as well as the newborns that are up to one year old and have an income that is less than 185% of the federal poverty level are eligible for Medicaid. However, the coverage usually ends up after 2 months after the delivery. A report from Texas department of health states that the pregnant women with a family of 3 usually receive $2, 256 annually.
Also individuals who are disabled, blind and elderly and whose income is actually less than that of Federal benefit rate are eligible for Medicaid where they receive $2,000 per individual and $3,000 per couple. For the needy categories to be eligible for Medicaid they must be Texas resident. If they are immigrants then they should have a qualified immigrant. Also the persons should be qualified under the group that is authorized to cover under the rules of Medicaid. The persons who are eligible should not have equity of more than $ 500,000.
Though the programme to an extent is beneficial as it helps the pregnant women who are in need as well as other needy cases like disabled it is also restrictive. Once an adult who is working is completely disabled and has qualified for the SSDI, they have to wait for around two years before the Medicaid coverage finally begins (Admin, 2010). Around 1. 5 million disabled adults fall under this waiting period and 1/3 of them are uninsured and may end up with no medical care (Admin, 2010). To achieve the Medicaid eligibility one must be over 65 years either disabled or blind (Wright, 2010).
This therefore restricts those who are under that age and still in need to qualify for Medicaid thus they end up suffering. The coverage is unreasonable on the grounds that people who are over 65 years are less productive thus they should also consider people below 65 who are more productive. Also the Medicaid for pregnant women is beneficial to an extent but it covers newborns of up to one year which is quite illogical considering that the child may end up suffering after the one year.
Medicaid is beneficial in the fact that it offers access to high quality and affordable maternity care (Anna & Sara 2010, pp. 67-78). People who are certified blind, disabled or over 65 are eligible for Medicaid where there is mitigation of medical costs (Saul, Daniel, Eliseo, Susan, Donald, Lisa , Yigi & Gail 2010, pp. 255-161). Some of the drawbacks are the fact that Medicaid is only restricted to people who run on low budgets and have less income. The other drawback is that one must be totally virtually to qualify and some of the rules do not favor citizens.
Some of the methods that US should cultivate to enhance the health care system is to come up with long term programs that build on knowledge processes and offer credible data to foster accountability for all the finances that are needed and used (McLaughlin & Leatherman 2002, pp. 136-142). There should be debates on the quality of care as well as the best financing arrangements in order to promote health care ( McLaughlin & Leatherman 2002, pp. 136-142). US also do invest in IT to improve the financing health system (Molly & William, 2003. p.
56-58). There is also the altering of the benefits package to reduce effective services thus reducing costs and encouragement of personal physician/patient Care continuity by reduction of employer changes (Beaverton & Sunnyvale 2003, p. 1093-1097). The methods are achievable and realistic in the fact that it will help reduce the costs of the transfer of the medical records and increase the costs of the new patients. A clear financial package will ensure that the programme is of benefit to many people who are in need and does favor everybody.
References Abshire, Wright. 2010. Medicaid eligibility. Retrieved 31, May, 2010< http://www. medicaidattorneys. com/PracticeAreas/Medicaid-Eligibility. asp Admin. 2010. Our current health care system fails newly disabled Texans. Texas voice for Health reform. Retrieved 31, May, 2010< http://www. texasvoiceforhealthreform. org/2010/03/16/stories-mario/ Beaverton, Oregon. , California, Sunnyvale. 2003. An innovative proposal for the health financial system of the United States. Pediatrics. 111 (5): 1093-1097)
Blecker, Saul. , Zhang, Yigi. , Ford, Daniel. , Gualla, Eliseo. , Dosreis, Susan. , Steinwachs, Donald. , Dixon, Lisa & Daumit, Gail. 2010. Quality of care for heart failure among disabled Medicaid recipients with and without severe mental illness. General hospital psychiatry, 32(3): 255-261. Coye, Joel& Bernstein, William 2003. Improving America’s health care system by investing in information technology. Health affairs, 22(4): 56-58 McLoughlin, V. , Leatherman, L. 2002. Quality or financing: what drives design of the
health care system? Cost and quality. 12(2):136-142 Rossier, Anne. , Rosenbaum, Sara. 2010. The role of Medicaid in promoting access to high quality, high value maternity care. Women’s health issues, 20(1): 67-78. Texas. Consumer guide to getting and keeping health insurance. 2009. Retrieved 31, May, 2010<http://healthinsuranceinfo. net/getinsured/texas/financial-assistance/medicaid/ What does Medicaid do? Texas department of health. 1998. Retrieved 31, May, 2010<www. dshs. state. tx. us/mch/pdf/medicaid. pdf