Search

The article discusses the results of the expansion of the Medicaid health insurance program in Oregon in relation to the U.S. Patient Protection and Affordable Care Act of 2010 (ACA). Topics include the use of a lottery to enroll patients in the Medicaid program Oregon Health Plan Standard in relation to experimental design; the impact of the program on access to medical care and hospital use; and lack of change related to chronic disease risk, labor force participation, and use of social service programs.

The article opines on medical homes that gives effective primary health care to patients avoiding fragmentation through coordinated care. Though they are not very popular because of failure to resolve certain problems like obesity,and depression it is suggested that a social worker is needed who can help to provide a comprehensive care, a care of physical and mental health needs of patients,through case management services, rehabilitation services and helping patients to link social networks or accessing healthy foods. Not only so under the Patient Protection and Affordable Care Act social workers can also advocate on behalf of Medicaid and Medicare communities, proving social workers, definitely beneficial at medical homes, which is also presented.