Answer the following questions after finding the Medicareconsumer info website:
Are you eligible for Medicare?
Describe the benefits you can get (assuming Medicareeligibility).
Consider the Medicaid program in your state:
What are the eligibility requirements for Medicaid in your state?(STATE OF MARYLAND)
How much income (Social Security, pension, interest, etc.) are youallowed each month (as a Medicaid beneficiary)?
How much assets are you allowed (as a Medicaid beneficiary)? Andwhich possessions count as assets?
Are you eligible for application to your state’s Medicaidprogram?
What benefits would you be able to get (assuming Medicaideligibility)?
What are your thoughts on living within the Medicaid incomeguidelines and asset restrictions?
Could you find the information quickly and easily? How userfriendly is your state’s Medicaid site?
If you did not have access to a computer, how would you get theinformation?
How would you get the information and take the next steps forfiling an application if you had an age†related limitation suchas poor vision, limited hand function due to arthritis, or shortterm memory loss?
Please "pretend" and use your imagination. Ascience fiction short story … with apologies to literaturefans:
The Fantastic Future Changer visited you last night and you wereinstantly changed during your sleep. You are now 81 years old.
Time begins to pass. You continue to live in your current home andyour car is in the driveway. Six months go by. Because of theaccelerated changes, you are suffering with a multitude ofdegenerative conditions because even though you were highly awareof health issues … you led a very stressful lifestyle and thecumulative effects are evident. Of course, you are out of the workforce.
You meet a neighbor who also was changed recently by the FantasticFuture Changer. You become friends and meet for lunch at a localdiner. You both decide to check out eligibility requirements forhealth care coverage options. You are interested in both supportfor remaining in the community as well as a possible move to anursing home. You go on†line and find Medicare guidelines and theMedicaid requirements for your state.
Answer the following questions after finding the Medicare consumerinfo website:
Are you eligible for Medicare?
Describe the benefits you can get (assuming Medicareeligibility).
Consider the Medicaid program in your state:
What are the eligibility requirements for Medicaid in yourstate?
How much income (Social Security, pension, interest, etc.) are youallowed each month (as a Medicaid beneficiary)?
How much assets are you allowed (as a Medicaid beneficiary)? Andwhich possessions count as assets?
Are you eligible for application to your state’s Medicaidprogram?
What benefits would you be able to get (assuming Medicaideligibility)?
What are your thoughts on living within the Medicaid incomeguidelines and asset restrictions?
Could you find the information quickly and easily? How userfriendly is your state’s Medicaid site?
If you did not have access to a computer, how would you get theinformation?
How would you get the information and take the next steps forfiling an application if you had an age†related limitation suchas poor vision, limited hand function due to arthritis, or shortterm memory loss?
ASSIGNMENT 2: Answer ONLY 2 of the following questions: Share yourthoughts supported by evidence (research†based and anecdotalexamples are
acceptable). Your thoughtful analysis should demonstrateunderstanding of the Kingdon concepts.
1• Secretary of the US Department of Health and Human ServicesMike Leavitt said the
following in February, 2005: "There is a time in the lifeof every problem when it is big
enough to see, but small enough to solve…For Medicaid, thatwindow of opportunity is upon
us." What do you think he meant by this? Do you agree withhim?
2• A change was made in the Medicaid program related to thetransfer of assets in order to
achieve eligibility. The Deficit Reduction Act (DRA) made severalimportant changes to the
Medicaid asset†transfer rules. The lookback period for assettransfers was extended from 3
years to 5 years and the start of the penalty period orineligibility period for transferred
assets was changed from the date of the transfer of assets to thedate when the elderly
person applies for Medicaid and is otherwise qualified forMedicaid, generally at the time he
or she enters a nursing home. Simply put, one of the keyrequirements for Medicaid
eligibility is that the elderly person lacks assets, meaning he orshe can’t afford to pay for
nursing home care.
Therefore, for examples, if within the 5 year look†back timeperiod, a grandparent needs
nursing home care after giving a grandchild $15,000 to help pay forcollege or to help a child
purchase a retirement condominium, the elder could be ineligiblefor Medicaid payment for
the nursing home costs because of the "assettransfer."
Supporters of the idea say Medicaid was never intended as a programto subsidize nursing
home care for middle income families. Opponents say this change wasunreasonable to
middle income families. What do you think?
3• A Medicare "reform" proposal (dubbed"pay for performance") would pay physicians
bonuses if they deliver better†quality care and reduce costs. Theadministrator of Medicare
said the rationale for the proposal is that "it’s time wepay for the quality of health care
provided to our beneficiaries, not just the amount."
What do you think are the advantages and disadvantages ofimplementing a "pay for
performance" program such as this?
4• Do think Medicare should be "means tested"†††should wealthier Medicare beneficiaries
have to pay more than less wealthy beneficiaries? If Medicareadopted a means test, how
should the wealth of a beneficiary be determined †††income orassets?
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