About half of all health care expenses in the United States are paid through states or the federal government in the form of Medicaid or Medicare (Mosser and Begun, 2014). According to Bodenheimer and Grumbach (2012), “Medicare is a social insurance program, which requires that individuals or families have made social security contributions to gain eligibility for the plan. Medicaid, by contrast, is a public assistance program that does not require beneficiaries to make contributions but is instead financed by general taxes.