delivering cost-effectiveness?

I’m working on a health & medical question and need guidance to help me learn.

Respond to discussion question as a peer. use at least one reference and the response should be 150 words. (The Medicaid program serves the poor. Discuss its financing, eligibility, and benefits that are covered for our most vulnerable populations. How can the system efficiency be improved while delivering cost-effectiveness?

Medicaid provides services to families with low income, including the elderly and disabled individuals. Medicaid is a form of Federal assistance to States to improve health care service for needy America’s welfare population. It provides free to low-cost health coverage. Which has led to gains in access to care and improved health outcome for low-income people; it is the primary source of Federal beneficiary premiums. Medicaid eligibility requirements are mostly based on 100 to 200% incomes, disability, pregnancy, age, household size, and the applicant’s role in the household.

Medicaid provides an extensive level of health insurance coverage such as doctor visits, hospital expenses, home health care, nursing home care, and other; benefits include outpatient and outpatient hospital services, laboratory and x-ray, and physician services. Optional benefits include services including prescription drugs, physical therapy, case management, and occupational therapy.

Several strategies can help reduce spending, improve care outcome and quality, and provide the state with a return on its health investment. If conditions continue to provide incentives and innovate to improve their health systems by targeting high-needs, high-cost patients to offer more appropriate and timely care and reduce high emergency room and hospital use, it can help with efficiency. It also expands care coordination programs to serve patients with complex needs and invest in evidence-based strategies that improve care and cut costs.

Medicaid has shown us that States can be creative in finding ways to maximize Federal dollars and reducing that need for State matching funds. Clarification of goals and responsibilities between the Federal and State governments over operation of Medicaid at both the Federal and State levels.

Rowland, D., & Garfield, R. (2000). Health Care for the Poor: Medicaid at 35. Health care financing review, 22(1), 23-34 http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4194693/