Medicaid Evaluation
• Review the Healthcare Program/Policy Evaluation Analysis Template provided in the Resources.
• Select an existing healthcare program or policy evaluation or choose one of interest to you.
• Review community, state, or federal policy evaluation and reflect on the criteria used to measure the effectiveness of the program or policy described.
The Assignment: (2)
Based on the program or policy evaluation you selected, complete the Healthcare Program/Policy Evaluation Analysis Template. Be sure to address the following:
• Describe the healthcare program or policy outcomes.
• How was the success of the program or policy measured?
• How many people were reached by the program or policy selected?
• How much of an impact was realized with the program or policy selected?
• At what point in program implementation was the program or policy evaluation conducted?
• What data was used to conduct the program or policy evaluation?
• What specific information on unintended consequences was identified?
• What stakeholders were identified in the evaluation of the program or policy? Who would benefit most from the results and reporting of the program or policy evaluation? Be specific and provide examples.
• Did the program or policy meet the original intent and objectives? Why or why not?
• Would you recommend implementing this program or policy in your place of work? Why or why not?
• Identify at least two ways that you, as a nurse advocate, could become involved in evaluating a program or policy after 1 year of implementation.
Medicaid Evaluation
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Medicaid Expansion Outcomes
The Medicaid expansion policy aimed to allow more individuals from low economic backgrounds to access better healthcare in the United States. Metzger et al. (2021) report that the Medicaid expansion provided better care, improved access to healthcare services, and lowered healthcare expenditures in state jurisdictions that choose to widen eligibility. These accomplishments reduced the financial burden of healthcare on millions of low-income Americans and improved their general health.
Measuring Success
Various metrics were employed to evaluate the success of the Medicaid expansion policy. Reductions in uninsured rates, increased enrollment in Medicaid, and improved health outcomes were measured. Data sources encompassed state Medicaid programs, healthcare providers, and federal agencies. Researchers and policymakers could use this data to evaluate the policy's influence on healthcare access, financial well-being, and health results (Rudowitz et al., 2023).
Number of Beneficiaries
The number of individuals affected by the Medicaid expansion policy differed from one state to another, contingent on their choice to embrace the expansion. As of 2021, approximately 13 million low-income adults had gained Medicaid coverage due to growth (Medicaid and CHIP Payment and Access Commission, 2021). These individuals had previously fallen into a coverage gap, unable to access affordable healthcare options.
Impact (Repetition)
The influence of Medicaid expansion was noteworthy, especially in states that opted for broader eligibility. Numerous low-income individuals could now access better health care through improved coverage. The policy had broader implications, reducing the count of uninsured persons and profoundly impacting healthcare systems and state economies (Rudowitz et al., 2023).
Timing of Evaluation (where is the proof?)
The Medicaid expansion policy was evaluated a few years after it was put into force, and the results showed a reduction in the disparity in uninsured rates, particularly among those affected by poverty (Lin et al., 2021). usually shed light on the program's long-term impacts. This made it possible to thoroughly evaluate its effects on lowering the percentage of people without insurance, raising healthcare use, and enhancing beneficiary health outcomes.
Data Sources
Information from state Medicaid programs, healthcare organizations, and federal agencies was used to evaluate the Medicaid expansion program. This technique's effectiveness was evaluated using key performance indicators like lower uninsured rates, higher healthcare utilization rates, and better health outcomes for those with insurance. Using this data, researchers evaluated health status indicators, healthcare utilization trends, and enrollment numbers (Boudreaux et al., 2019).
Disadvantages
Despite many positive outcomes realized through Medicaid expansion, demerits included potential financial strains on state budgets, primarily due to increased enrollment and variations in provider acceptance of Med...