| |Market- Based Approach |Government- Financed Approach |
| |(Private Insurance, self-insured employers, Managed Care |(Medicare, Medicaid, State Children’s Health Insurance Program [SCHIP]) |
| |Organizations) | |
|Access for who: |Private insurance provides access to employees whose employer,|Medicare is for individuals 65 years or older. Medicaid are for families |
| |union or organization qualifies for group insurance. |with children in the Temporary Assistance for Needy, the elderly, blind, |
| |Self-insured employers provide access to its employees and |and disabled with low incomes, and children and pregnant women whose income|
| |managed care organizations provide access to its’ insured (Shi|is 133% below the Federal Poverty Level (Shi & Singh, 2008). SCHIP provides|
| |& Singh, 2008). |access to children under the age of 19 whose family income exceeds Medicaid|
| | |threshold levels (Shi & Singh, 2008). |
|Coverage provided: |Coverage is provided for ambulatory patient services, |Medicare Part A covers inpatient hospital visits, skilled nursing facility |
| |emergency services, hospitalization, maternity and newborn |care, home health visits, and hospice care. Part B covers services by |
|