Medicaid State Public Health Insurance Research Paper

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5 billion in unpaid medical claims from 2005-2007 and there was a total of $80.6 million in unpaid interest owed to providers treating Medicaid patients between July 1999 and November 2007, despite the existence of an Illinois prompt-payment law. This interest is money that should not 'need' to have been spent, since money paid for interest does nothing to improve the quality of care for recipients. Another problem is a high rate of rejection of Medicaid claims and slow processing of rejection notices -- as much as 87 days in fiscal 2006, according to one recent study (Trapp 2008).

This high rate of rejection of claims has caused a correspondingly high rate of rejection of patients with serious health complaints, including children. A The New England Journal of Medicine study published in June of 2011 found that 66% of parents who mentioned they were part of the Medicaid-CHIP (Children's Health Insurance Program) were denied appointments from specialist physicians for complaints spanning from their children's diabetes, seizures, asthma, broken bones to depression, compared with 11% who said they were privately insured.

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For those whom the specialist agreed to see, the waiting time was on average 22 days longer (McArdle 2011). This results in less efficient care, given that all of the illnesses in the study were exacerbated rather than mitigated by long, untreated wait times.

Physicians complain of the added costs of getting reimbursed, in addition to the lower reimbursement rates overall, stating there simply is no economic incentive for them to treat such cases. Unless the low and slow rate of reimbursement is addressed, the health of Medicaid patients, including children, will continue to suffer in Illinois. But expediting the bureaucracy behind the program will take an initial influx of cash that the state can ill-afford in recessionary times......

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"Medicaid State Public Health Insurance" (2011, June 17) Retrieved May 3, 2024, from
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"Medicaid State Public Health Insurance" 17 June 2011. Web.3 May. 2024. <
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"Medicaid State Public Health Insurance", 17 June 2011, Accessed.3 May. 2024,
https://www.aceyourpaper.com/essays/medicaid-state-public-health-insurance-42567
   

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