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Chapter 10

Chapter 10. Topics: Medicaid, Medicare, Mental Health, Substance Abuse, Older Americans Act By: Brittany, Kolicia , Melody, Rachel, Victoria. Medicaid. Brittany Thomas. Historical Background. Who initiated the policy? What is Medicaid? What is the roles of government?.

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Chapter 10

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  1. Chapter 10 Topics: Medicaid, Medicare, Mental Health, Substance Abuse, Older Americans Act By: Brittany, Kolicia, Melody, Rachel, Victoria

  2. Medicaid Brittany Thomas

  3. Historical Background • Who initiated the policy? • What is Medicaid? • What is the roles of government? Kaiser Family Foundation, 2009

  4. Political Views • Repeal of the health care law • Increasing the coverage REPUBLICAN DEMOCRATIC Goodnough, 2012 New York Times, 2012

  5. Who is affected? • Some low income families and individuals.

  6. The pressure is on.. • What is next for the health care reform for Medicaid? • Democrats believe • Cuts to the program • $351billion over 10 yrs. • Republicans believe • There is a lot more to do • Only time will tell Rowley& Przybyla, 2012

  7. References • Department of Medical Assistance Services. (2012). Medicaid and FAMIS Plus Handbook. Retrieved from http://dmasva.dmas.virginia.gov • Goodnough, A. (2012). New York Times. 2 campaigns differ sharply on Medicaid, seeking Vast growth or vast cuts. Retrieved from http://www.nytimes.com/2012/09/01/us/politics/campaigns-have-sharply-different-visions-for- medicaid.html?_r=0 • Kaiser Family Foundation. www.kff.org. (2009). Medicaid: A timeline of key developments. p. 1-6. Retrieved from http://www.kff.org/medicaid/timeline/pf_entire.html • Rowley, J. Przybyla, H. (2012). Pressure for entitlement cuts is on Medicare, Medicaid. Bloomberg News BusinessWeek. Retrieved November 28, 2012. http://www.bloomberg.com/news/2012-11-28/pressure-for-entitlement-cuts-is- on-medicare-medicaid.html • Spross, J. (2012). How Romney’s Medicaid cuts would harm current seniors. Think Progress. Retrieved October 26, 2012. http://thinkprogress.org/health/2012/08/20/714591/how-romneys-medicaid-cuts-would-harm-current- seniors/?mobile=nc

  8. Medicare • Kolicia LAST NAME

  9. History • 1965: Medicare begins. Part B costing $3 a month • 1972: add ESRD, and SSI • 1982: Hospice are added temporary basis • 1986: Hospice became permanent • 1988: coverage for catastrophic illness and prescription drugs. • 1997: Medicare+Choice is enacted under the Balanced Budget Act ("Kaiser family foundation," 2009)

  10. History continue • 2000: Medicare Part B is 45.40 per month • 2003: Medicare Modernization Act • 2006: Part D outpatient prescription drug benefit becomes available to beneficiaries from private drug plans and Medicare Advantage Plans • 2010: Affordable care act and Patient Protection • ("Kaiser family foundation," 2009)

  11. Political Review • Obamacare • Democrats are claiming that Republicans are going to introduce the voucher system which is going to make it difficult for Medicare recipients because they are going to incur out of pocket expenses. • Voucher Program • Claim that Democrats are going to take 716 billion dollars out of Medicare. (Centers for medicare and medicaid services, 2012) Democrats Republicans

  12. Who is Affected • 65 years plus

  13. References • Centers for medicare and medicaid services. (2012). Centers for medicare and medicaid services. Retrieved from http://www.cms.gov/ • Kaiser family foundation. (2009). Retrieved from http://www.kff.org/medicare/medicaretimeline.cfm

  14. The Mental Health Parity Addiction and Equity Act Melody Pendleton

  15. The Mental Health Parity Addiction and Equity Act • Put into place to bring parity between insurance coverage for physical and mental health. • Insurance coverage has to be equal between treatment at a general hospital visit and for mental health treatment. (Garcia, 2010; Barry, 2010; Huskcamp, 2010; & Goldman, 2010).

  16. History • 1800’s mentally ill housed in almshouses or taken care of at home • In 1946 the National Mental Health Act. • In 1959 National Mental Health Institute was established • (Dolgoff & Feldstien, 2009). • 1992 the first legislation of mental health parity was passed. • Paul Wellstone and Pete Domenici • In 1998 the act was put into effect • (Herbert,2012).

  17. History • On October 3, 2008 the Mental Health Parity Addiction and Equity Act was signed. • President Obama passed the Affordable Care Act in 2010. • Amended the MHPAEA (Friedman, 2012)

  18. Democratic/Republican • Democrats • Agree with the idea of parity because Obama passed the Affordable Health Care Act in 2008. • Believe in employers insurance. • (Diffen, 2012) • Republicans • Believe in a greater state control. • People shouldn’t be forced to have insurance through employers. • Should have own private family insurance. • (Diffen, 2012)

  19. Mental Health Spending/Funding • In 2008, 13.4 % of U.S. adults received treatment for a mental health problem (SAMHSA, 2010). • Mental health spending is expected to increase in the year 2014 to 203.3 billion dollars.

  20. Mental Health Spending/Funding Cont. • In 2005 mental health spending was much less than all other health related costs. • SAMHSA’s National Survey on Drug Use and Health found in 2008 58.7 % of adults in the U.S. with a serious mental illness received treatment for a mental health problem (NIMH,2012).

  21. Who is affected by mental health parity? • People with mental illness. • Insurance agencies. • Hospitals and doctors offices. • Community-based facilities like Piedmont in Rocky Mount, Virginia.

  22. References • Barack Obama vs Mitt Romney". Diffen contributors.Diffen LLC, 2012. Retrieved from, http://www.diffen.com/difference/Barack_Obama_vs_Mitt_Romney • Buck, J., Levit, K. R., Kassed, C. A., Coffey, R. M., Mark, T. L., Stranges, E. M., & Vandivort-Warren, R. (2008). Future funding for mental health and substance abuse: Increasing burdens for the public sector. Health Affairs, 27(6), w513-w522. • Dolgoff, R., Feldstein, D. (2003). Understanding social welfare. Allyn & Bacon, NY: Pearson. • Friedman, R. (2012) Good news for mental illness in health law. New York Times, pp.1-3 • Herbert, A. R.M, (2009) Mental Health Parity: Moving closer to an effective national policy, Journal of Financial Service Professionals; Vol. 63 Issue 2, p28- 31. http://ehis.ebscohost.com/eds/detail?vid=5&hid=2&sid=77f014d6- 0a51-43eb-b12f-ed594ea4132d%40sessionmgr111&bdata=JnNpdGU9ZWRzLWxpdmU%3d#db =bth&AN=36911454 • National institute of mental health. (2012). Use of mental health services and treatments among adults, Retrieved from http://www.nimh.nih.gov/statistics/3USE_MT_ADULT.shtml • SAMHSA (2010). Mental Health, United States, 2010.

  23. Substance Abuse Rachel Waddell

  24. Past Policies • Anit Drug Act of 1988 • No toleration (Byrnes, 2009) • Start prevention early (Byrnes, 2009) • “User accounatbility” (Foley, 1988) • National Drug Control Policy (Foley, 1988)

  25. Addiction Equity Act • Substance abuse covered by insurance • +50 employees • (Chapin, 2011) • Fair Sentencing Act • 2010 • Reduced sentencing for possession (The White House, 2010). • Crack Cocaine vs. Powder Cocaine (Durbin, 2009).

  26. Current Drug Strategy • Signed in by Obama in 2010 • Treated as a disease • Prevention, treatment, recovery • Stop Crime • Increase public health • (The White House, 2012)

  27. Statistics • 8.7 % of population • In 2010, 22.6 million Americans admitted using drugs • 17.4% abuse Marijuana • 2.0 million heavy drinkers (Rasner, 2011) • 7% of population in Virginia • Marijuana most common

  28. Who’s Affected? • College students (Kerklikowske, 2010) • 40% binge drink • 34 % abuse prescription drugs • Risks • Dropping out • Lower grades • Graduate School

  29. Who’s Affected • Military (Witkeiwitz, 2011) • 70% drink alcohol • 70% reported binge drinking • 11.5% misuse prescription drugs • 11.9% use illicit drugs • 60% of Veterans struggle

  30. Controversial Issues • Legalization of Marijuana • Legalized in California for medical use. • No medical use (Bergman, 2010)

  31. Controversial Issues • Is Substance abuse a disease or moral failure? • Moral Failure (Slate, 2011). • Choice • Compulsive Sensation • Disease is a misfortune • Disease (National Institute on Drug, 2012 • Biology • Environment • Development

  32. Reference Page: • Bergman, G. (2012, September 04). The silent but deadly war on drugs. Huffington Post. Retrieved from http://www.huffingtonpost.com/gretchen-burns-bergman/the-silent-but-deadly-war-on-drugs_b_1852914.html • Byrnes, F. (2009, January 16). Anti Drug Abuse Act of 1988. Article Doctor. Retrieved on October 18, 2012 from http://www.articledoctor.com/drug-abuse/anti-drug-abuse-act-of-1988-897 • Chapin, R. (2011). Social policy for effective practice . (2nd Ediction ed.). New York: Routledge. • Durbin, R. 111 the Congress, (2009). Fair sentencing act of 2010 (S 1789). Retrieved from The Library of Congress website: http://thomas.loc.gov/cgi-bin/bdquery/z?d111:SN01789:@@@D&summ2=m& • Foley, T. (1988). Anti-drug abuse act of 1988 (H.R. 5210). Retrieved from 100th Congress website: http://thomas.loc.gov/cgi-bin/bdquery/z?d100:HR05210:@@@D&summ2=m&

  33. Reference Page • Kerlikowske, G. (2011). National Drug Control Strategy. Retrieved from Executive office of the president of the United St website: http://www.whitehouse.gov/sites/default/files/ondcp/ndcs2011.pdf • National Institute on Drug Abuse. (2012, March). Drug Abuse Prevention. Science on Drug Abuse and Addiction. Retrieved from http://www.drugabuse.gov/publications/topics-in-brief/drug-abuse-prevention • Rasner, M. (2011, May 27). Get help now. Retrieved from http://www.michaelshouse.com/drug-addiction/drug-addiction-statistics/ • Slate, S. (2010, October 10). The clean slate. Retrieved from http://www.thecleanslate.org/myths/addiction-is-not-a-brain-disease-it-is-a-choice/ • The White House. Office of National Drug Control Policy, (2012). National drug control strategy Obama Administration • Witkiewitz, K., & Estrada, A. X. (2011). Substance Abuse and Mental Health Treatment in the Military: Lessons Learned and a Way Forward. Military Psychology, 23(1), 112-123. doi:10.1080/08995605.2011.548651

  34. Older Americans Act • Victoria Burton

  35. History • Older American Act • Administration on Aging (AoA) • Area Agencies on Aging (AAA) • Senior Community Service Employment Program (SCSEP)

  36. Political Review on Budget Cuts Mitt Romney Barak Obama

  37. Statistics on Senior Hunger Ziliak, Gundersen, 2012

  38. Who Is Affected? • Older Americans • Trickle Down Effect My Granny 

  39. References • Ziliak, P. J., Gundersen, C. (2012). Senior hunger in America 2010: An annual report. Meals on wheels research foundation. Retrieved from http://www.mowrf.org/The2010AnnualReport.pdf

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