Required Reading:
Wilensky, S.E. & Teitelbaum, J.B. (2020). Essentials of Health Policy and Law , Ch. 11.
Reading
Questions to answer:
1.
What
determines eligibility for Medicare?
2.
What
are the different components of Medicare and how are they each financed?
3.
What
determines eligibility for Medicaid and for CHIP?
4.
How
are Medicaid and CHIP financed and administered?
Further Reading:
Strongly Recommend:
*Moniz, C. & Gorin, S., 2014. Health Care Policy and Practice,
6 & 7: read the chapter summaries!!
*Grogan
& Andrews, ‘Medicaid,’ in Béland,
D., et al. Eds., 2014. Oxford Handbook of U.S. Social Policy
*Oberlander, ‘Medicare,’ in Béland, D., et al. Eds., 2014. Oxford Handbook of U.S. Social
Policy
*Rudowitz et al. 2019, ‘10
Things to Know about Medicaid: Setting the Facts Straight’ (KFF)
CMS. ‘Medicare and Your
Mental Health Benefits’ (2 pps)
https://www.medicare.gov/Pubs/pdf/11358-Medicare-Mental-Health-Getting-Started.pdf
Cubanksi,
J. and Freed, M. May 5, 2020. FAQs on Medicare Coverage and Costs Related to
COVID-19 Testing and Treatment. https://www.kff.org/coronavirus-covid-19/issue-brief/faqs-on-medicare-coverage-and-costs-related-to-covid-19-testing-and-treatment/
Teigland, C. et al. May 13, 2020. ‘As it Grows, Medicare Advantage Is Enrolling More Low-Income and
Medically Complex Beneficiaries.’ Commonwealth Fund
https://www.commonwealthfund.org/publications/issue-briefs/2020/may/medicare-advantage-enrolling-low-income-medically-complex – See update
Overview
of Medicaid Expansion
*Guth, M. et al. 2020. ‘The Effects
of Medicaid Expansion under the ACA: Updated Findings from a Literature Review’
read ‘Key
Findings’
Andrews, C.
(2014). Unintended consequences: Medicaid expansion and racial inequality in
access to health insurance. Health & Social Work 39 (3), 131-133.
Garfield & Orgera, 2020 ‘The
Coverage Gap: Uninsured Poor Adults in States that Do Not Expand Medicaid’ (KFF).
*Grogan & S. Park, 2017. ‘The
Racial Divide in State Medicaid Implementation,’ Journal of Health
Politics, Policy and Law, 42, 3, 2017, READ ABSTRACT & Conclusions, pp.
539-541; 560-561.
KFF,
2020, Who
Could Get Covered Under Medicaid Expansion?: State Fact Sheets’
Zelizer,
Julian, ‘How Medicare Was Made,’ New Yorker, Feb. 15, 2015.
READING TBA: FURTHER
BIDEN ADMIN ACTIONS
Useful Websites:
Center for Medicaid and Medicare (CMS) https://www.cms.gov/
Medicare https://www.medicare.gov/index
Medicaid https://www.medicaid.gov/
Medicaid.gov
‘Behavioral Health Services’ (1 p)
https://www.medicaid.gov/medicaid/benefits/behavioral-health-services/index.html
Dolan, R. and Artiga, S. May 22, 2020. ‘State Actions to Facilitate
Access to Medicaid and CHIP Coverage in Response to COVID-19.’ KFF. https://www.kff.org/coronavirus-covid-19/issue-brief/state-actions-to-facilitate-access-to-medicaid-and-chip-coverage-in-response-to-covid-19/
Read
one:
Hinton E., et al 2019. ‘10 things to know about Medicaid
Managed Care’ KFF https://www.kff.org/medicaid/issue-brief/10-things-to-know-about-medicaid-managed-care/
Wagner, J. May 13, 2020.
‘Streamlining Medicaid Enrollment During Covid-19 Public Health Emergency, CBPP.
https://www.cbpp.org/research/health/streamlining-medicaid-enrollment-during-covid-19-public-health-emergency
Lewis, C. May 15, 2020. ‘Eyeing Medicaid Cuts, Cuomo Puts
His Stamp on A $3 Trillion Stimulus Package.’ Gothamist.
https://gothamist.com/news/eyeing-medicaid-cuts-cuomo-puts-his-stamp-3-trillion-stimulus-bill
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