According to Shi & Singh, what is the main problem with Medicaid?

Correct Answer: B

Rationale: The correct answer is B because Shi & Singh highlight that one of the main problems with Medicaid is its insufficient reimbursement rates for healthcare providers. This leads to many providers being reluctant to serve Medicaid patients, which can result in limited access to care for beneficiaries. In contrast, choices A, C, and D do not address the specific issue of reimbursement rates for providers, making them incorrect. Choice A focuses on the size of the program, choice C mentions beneficiary eligibility changes, and choice D talks about awareness of Medicaid, all of which are not directly related to the main problem identified by Shi & Singh.

Correct Answer: A

Rationale: Medicaid helps Penny pay for long term care because it provides financial assistance for seniors with limited income and resources. Long term care includes services like nursing home care, home health care, and other medical services essential for seniors' well-being. Transportation to and from work is typically covered by other programs like Medicaid transportation services. Acupuncture is not typically covered by Medicaid unless it is part of a specific treatment plan approved by a healthcare provider. COBRA insurance is a continuation of employer-sponsored health insurance and is not directly related to Medicaid coverage for long term care.

Correct Answer: D

Rationale: The correct answer is D (All of the above) because Medicaid expansion has been shown to have positive effects on state budgets and economies, as it increases federal funding to states. It also reduces mortality associated with specific health conditions by providing access to healthcare for more individuals. Option A is incorrect as Medicaid expansion positively impacts state budgets, not just economies. Option B is incorrect as Medicaid expansion affects overall mortality rates, not just for specific health conditions. Option C is incorrect as it does not accurately reflect the comprehensive positive impacts of Medicaid expansion.

Correct Answer: D

Rationale: The correct answer is D because the Kaiser Family Foundation (KFF) 2021 report highlights multiple benefits of Medicaid Expansion. A: Improvement in payer mix is crucial for healthcare providers as Medicaid Expansion increases the number of insured patients, reducing reliance on uncompensated care. B: Medicaid Expansion leads to increased access to care for adults with mental health conditions, addressing a critical need in healthcare. C: The KFF report shows a significant decrease in all-cause mortality associated with Medicaid Expansion, emphasizing its positive impact on population health. Therefore, a state debating Medicaid Expansion would choose to adopt it for the combined benefits of improved payer mix, increased access to mental health care, and reduced mortality rates.

Correct Answer: B

Rationale: The correct answer is B because federal matching funds for Medicaid are guaranteed to states based on a variable rate determined by the Federal Medical Assistance Percentage (FMAP). This rate varies depending on the state's per capita income. This funding mechanism ensures that states receive a set percentage of federal funding for their Medicaid programs, which is not guaranteed at a fixed rate (option C) or not guaranteed at all (option A). Option D is incorrect as it suggests that the funds are fixed, which is not the case due to the variable nature of the FMAP.