Policy brief Essay Example | Topics and Well Written Essays - 1000 words

Policy brief - Essay ExampleNotably, the affordable care act requires states to gain their independent insurance exchanges. In other words, they want states to default to the federal exchange.Nonetheless, it should be noted that the give voice federal state political programs were initiated to fund the medical services in the coupled States. This is a long terminus project that was initiated to provide care to the moderate income families. Moreover, it is worth noting that Medicaid is among the largest federal funded budgets and it has had a rapidly growing cost, barely with unsustainable rates (Rosen, 1988). The huge cost of this program to the federal governments budget calls substantial overwhelm towards reducing the taxpayers from huge funding burden. Nearly all states including Vermont usually receive Medicaid with an open ended funding from the federal government (Kaiser Commission Medicaid, 2012). The expansion of the state budget along with their expanded benefits usua lly leaves the taxpayers with no option but to pay additional costs. It should be noted that the current funding structure provides a room for overexpansion that in turn provides the states with limited incentive to control extensive waste and fraud programs. Moreover, program is designed in a top down regulatory structure thereby creating distortions within the wellness care markets.However, the Medicaid intra governmental grants have proven to be effective and efficient for the funding mechanisms within the United States funding systems. Notably, they have created conditions that match the states funding considerably. In essence, the program allows the federal government to share circumstantial expenditures that are attached to the program. These programs attached to the Medicaid services are known as the federal medical assist percentage (FMAP). The FMAP was initiated for the government to have a larger percentage in the Medicaid costs in states. However, the passing targeted states are those with low