Student’s Name:
| Healthcare Program/Policy Evaluation |
Medicaid Health Program |
| Description | Medicaid is a public health insurance program that provides health coverage to Americans of low socioeconomic status. This program also covers people living with disabilities, children, and pregnant women. Medicaid is a federal and state program funded jointly by both levels of government. Individual states operate their own Medicaid programs but with adherence to the guidelines stated by the federal government. States maintain flexibility in the design of their programs due to the broader scope of the guidelines stated by the federal government. Medicaid currently provides insurance for over 70 million Americans. |
| How was the success of the program or policy measured?
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The Medicaid program was established to enhance access to care for people with low incomes. The success of this program is measured by looking at the number of persons enrolled in the program. Since its establishment, Medicaid has provided insurance coverage for tens of millions of Americans. Preliminary data indicates that as of November 2021, enrollment in the Medicaid program grew to 85 million (“Policy Basics – Introduction to Medicaid”, 2020). Medicaid has significantly increased access to care for individuals of low income.
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| How many people were reached by the program or policy selected? How much of an impact was realized with the program or policy selected?
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Over 85 million Americans are enrolled in the Medicaid program. These individuals are mostly of low socioeconomic status and were previously troubled by the high cost of healthcare. Children have been the major beneficiaries of this program, accounting for more than 40% of the total Medicaid enrollment. This program has also benefited people with disabilities and adults with low incomes. The impact of the Medicaid program has been evident in increasing these individuals’ access to healthcare. Previous data suggest that access and equity healthcare were major attributing factors to high mortality rates among Americans from low socioeconomic status. Individuals from these groups were poverty-stricken, had no insurance coverage, and had little or no access to healthcare. These individuals were majorly from racial and ethnic minority populations (Joynt Maddox et al., 2019). Since the establishment of Medicaid, access to care has considerably improved with insurance coverage expansion among individuals from these communities.
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| At what point in program implementation was the program or policy evaluation conducted?
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The Medicaid program was established in 1965. 1n 1982, the Healthcare Financing Administration funded a Medicaid evaluation program. This evaluation process was a multi-year task piloted in six states. Evaluation of the Medicaid program was initiated in the backdrop of escalating healthcare costs and a soaring outlay of the Medicaid and mediocre programs (Freund et al., 2017). Additionally, this evaluation process was necessitated by the innovation of new healthcare management costs and the need to integrate them into the conventional stream of care. |
| What data was used to conduct the program or policy evaluation?
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The Medicaid evaluation process utilized multiple data sources. Both secondary and primary sources of data were utilized to explore critical issues on the outlay of the Medicaid program. The main areas from which data were drawn include healthcare costs, quality of care under the Medicaid program, utilization or consumption of the Medicaid program by the population under review, access to care, enrollment from the Medicaid program, and the level of satisfaction from the enrollees. The primary sources of data used included case study information, medical chart abstractions, and a survey of Medicaid beneficiaries. Secondary sources included data on eligibility and claims, Medicaid Management Information systems, and administrative cost reports.
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| What specific information on unintended consequences was identified?
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Evaluation findings revealed some ambiguity regarding the utilization and cost of care when establishing the Medicaid program. Previously, it was thought t
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