Response | Nursing homework help

 Medicare or Medicaid – which has greater impact in Florida? 
Above is the answer of 2 peer.  I need a response for them
PEER 1
Medicare and Medicaid are the greatest insurance programs run by the government. However, they are operated and funded by different parts of the government and primarily serve different groups. Medicare is run by the federal government and mainly provide health coverage to individual aged 65 years and above and those with disability. Medicaid entails collaboration between the state and federal government and provides health coverage to low-income. However, there are those how meet dual eligible criteria. Therefore, as a state and federal-run program Medicaid has greater effects on state governments. State governments co-fund the program and are expected to match federal funding.
From modest beginnings in 1965, Medicaid has grown significantly from $5.3 billion four decades ago, to $449 billion in 2013. In Florida, Medicaid expenditures have grown by 33% between 2012 and 2016. In 2016, the combined state and federal spending on Medicaid increased by 22%. Over these years, the federal government has provided between 55% and 60% of Medicaid funding. During the same time, Medicaid has growth to more than 75% of the Medicare expenditure and its share of national health expenditure has almost doubled. Following the passage of the Affordable Care Act, 2010, states were requested to expand their Medicaid program (Sutter, 2016). According to Ward (2020), the expansion of the Medicaid program has met significant resistant because of its presumed impact on state budgets. Florida is one of the states that have failed to expand its Medicaid plan under the Affordable Care Act. Some stakeholders argue that expanding the illegibility criteria is likely to have significant fiscal implications. Florida is among the states with the highest personal healthcare spending, ranking 5th nationwide. According to Buettgens (2018), the growing Medicaid expenditure are not necessarily driven by increased coverage, but also by changing medical needs, changes in demographics, and other factors affecting consumption of health care services. The debate on the cost implications of expanding Medicaid are likely to persist, but is evident that more Americans have health insurance. 
PEER2 
 
More often individuals tend not to understand the difference between Medicare in addition to Medicaid. Regardless of them providing assistance to the senior citizens as well as the disabled ones in catering for most of the expenses that are health-related. Medicare is basically a type of health insurance for the people who are disabled, senior or anyone who is known to be suffering from a failure of the kidney which is considered to be permanent. Additionally, it is financed via the contributions of tax security which is contrary to the Medicaid (Hu and Mortensen, 2018).
Florida Medicaid is basically a program that depends on the necessities with benefits which is determined by an individual’s financial in addition to their medical position. It basically provides medical insurance to individuals who are considered to have low incomes in addition to the ones who are disabled. It is a nationwide program which is funded jointly by the federal government in addition to the states. The eligibility of Medicaid, administration in addition to benefits tends to be under the states’ management which are within the guidelines of the federal.
Medicaid basically is known for having an impact which is great within the Florida state in comparison to the Medicare program. It does not provide healthcare which is direct, contrary to that, it pays the nursing homes, hospitals, health plans, physicians in addition to other various caregivers particularly for the services that are covered as well as the ones that have been delivered to the eligible patients. In Florida State it is compulsory for an individual to have a Medicaid so that they can benefit from the healthcare (Munnich and Richards, 2020).

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