Tag Archives: Medicaid access

Should Colorado expand Medicaid per ObamaCare? No.

At Forbes, Grace-Marie Turner gives Colorado officials reason not to expand Medicaid:

One of the most tragic failings of ObamaCare is that it will make it harder for many of the most vulnerable citizens – patients with no option but Medicaid – to get care.

Medicaid is cumbersome, complex, and wasteful – already the worst health care program in the country. But rather than making changes to improve or modernize this program designed to finance care for the poor, the Obama administration is trying to convince states to add at least 16 million more people to Medicaid, including families making more than $30,000 a year. …

Studies consistently show that Medicaid patients have the worst health outcomes of any group in America, worse than those with private insurance and, in some cases, worse than those with no insurance. …

Despite these many problems, many states are tempted and are seriously considering whether to accept the generous 100 percent federal matching money ObamaCare initially offers if they expand eligibility for Medicaid up to 138 percent of poverty (more than $32,000 for a family of four).

But states should be warned:  It’s likely a loss leader.  There are no assurances that Washington would be able to keep its promise to continue the generous funding.

There already is evidence that could be the administration’s plan. …

There is a better way:  Allow people on Medicaid the option of private insurance so they can get coverage through private competing plans. Florida has a successful model underway. These plans could provide much better access to physicians, coordinate care for patients with multiple health problems, and allow patients to be seen in doctors’ offices rather than in expensive hospital emergency rooms.Patients would have the dignity of private coverage, and safety-net hospitals will be able to keep their doors open so they can continue their mission of caring for the poorest and neediest in our society.

via The Real Tragedy Of ObamaCare Has Yet To Be Felt By The Poor – Forbes.

Leave a comment

Filed under Colorado health care

Study: Nearly A Third Of Doctors Won’t See New Medicaid Patients

From Kaiser Health News:

If you’re on Medicaid and looking for a new doctor, your chances are excellent of finding one … in Wyoming.

In New Jersey, not so much.

About 69 percent of doctors nationally accept new Medicaid patients, but the rate varies widely across the country, according to a study published Monday in the journal Health Affairs. …

For years, some states have struggled to attract doctors to treat patients enrolled in the state-federal health insurance program for the poor, largely because of their low pay. …

Doctors also cite administrative hassles and delays in getting paid as reasons why they don’t accept Medicaid patients, according to the Center for Studying Health System Change, a Washington nonprofit.

Read more: Study: Nearly A Third Of Doctors Won’t See New Medicaid Patients – Kaiser Health News.

The figure for Colorado: 66.1% of office-based physicians are accepting new Medicaid patients. That’s close to the national average.

 

 

via NCPA

Leave a comment

Filed under Medicaid/Medicare/SCHIP

Colorado should let Medicaid recipients supplement Medicaid payments with their own money

Here’s a state-level Medicaid reform that the Colorado Legislature and the Colorado Center for Health Care Policy & Financing should implement:*  Let Medicaid recipients supplement Medicaid payments with their own money. Why? John C. Goodman explains:

Take a look at the table below. It compares the prices charged by MinuteClinic to the rates Medicaid pays in Dallas. In general, Medicaid pays less than half. That’s why MinuteClinics usually don’t accept Medicaid. If low-income families were allowed to add from $30 to $50 of their own money to the Medicaid rate, however, in one fell swoop we could make high-quality, very accessible primary care available to millions of people.

Read the whole post: What Food Stamps Can Teach Us about Health Care.

*I’m not sure if this would require asking the federal government for a waiver.

Leave a comment

Filed under Medicaid/Medicare/SCHIP

ObamaCare: Dr. Orwell Will See You Now

At PJ Media, Paul Hsieh, MD writes:

The Obama administration can’t fix the actual substance of their health plan. Hence, their strategy is to obfuscate its problems with deceptive language and hope that voters don’t catch on. If you value your lives, don’t be fooled by their health care Newspeak. Otherwise, you may soon be getting your medical care from Dr. Orwell.

Read the whole post: PJ Media » Dr. Orwell Will See You Now.

Leave a comment

Filed under Policy - National

Medicaid’s Cruel Status Quo: It’s a Medicaid Ghetto

Avik Roy writes:

Last week, the editors of the New York Times called the House Republican budget “cruel” because it seeks to reform Medicaid, our nation’s government-run health insurance program for the poor. But, in fact, it’s the Times that is showing cruel indifference to Medicaid’s inhumane status quo, a status quo that will deteriorate further under President Obama’s health care law. …

The New York Times calls [Republican Medicaid reform proposals] “cruel.” But by ignoring the past success of welfare reform, and ignoring the serious problems with today’s Medicaid program, it’s the Times that is seeking to trap sixty million Americans in a government-run health care ghetto.

Read the whole article: Medicaid’s Cruel Status Quo | Fox News.

See also Linda Gorman’s Colorado issue paper: Medicaid Block Grants and Medicaid Performance.

via FIRM

Leave a comment

Filed under Medicaid/Medicare/SCHIP

Why Obamacare’s Medicaid Expansion Will Reduce Health Care Access

In the Atlantic, Avik Roy writes:

Chapin White of the Center for Studying Health System Change has published an important new paper in Health Services Research, a journal of health economics, which suggests that a critical part of the Affordable Care Act–its expansion of Medicaid coverage to 16 million more Americans–may actually reduce those individuals’ access to health care. …

Believe it or not, physicians even do better caring for the uninsured than they do caring for Medicaid patients. Two MIT economists, Jonathan Gruber and David Rodriguez, have found that three-quarters of physicians receive lower fees for serving Medicaid patients than they do for the uninsured, because many people without health insurance are still able to pay out-of-pocket for routine health expenses.

How?  Medicaid notoriously underpays doctors, so Medicaid patients have trouble accessing them. When Medicaid eligibility expands, many newly eligible people drop “private” health plans to enroll.

Read the whole post: Why Obamacare’s Medicaid Expansion Will Reduce Health Care Access – The Atlantic.

Leave a comment

Filed under coverage isn't care, Medicaid/Medicare/SCHIP

The Collectivist Mind: the left’s double standard for government & private health plans

John Goodman writes:

Most people in health policy are collectivists. … They value collective action over individual action. They trust collective action more than they trust individual action. And they hold collective action to a lower standard of ethics. …

Consider this revelation in the news the other day:

  • Arizona…plans to limit adult Medicaid recipients to 25 days of hospital coverage a year, starting as soon as the end of October.
  • Hawaii plans to cut Medicaid coverage to 10 days a year in April.
  • Other states have already limited hospital stays under Medicaid: the limit is 45 days in Florida, 30 in Mississippi, 24 in Arkansas and 16 in Alabama.

What if you are in Hawaii and you need 15 days of hospital care instead of 10? Apparently you must pay out of your own pocket or forgo needed care.

What was the reaction to this news in the left wing press? Virtual silence. … Can you imagine the outrage that would have ensued if BlueCross had done the same thing? …

The view that public Medicare is good and private Medicare is bad really amounts to saying that when BlueCross is called “Medicare” it is good and altruistic, but when the same company is called “private insurer” it is bad and selfish. It makes no sense, but that’s the collectivist mindset. …

But collectivists never tell you they believe in process more than they believe in results. You have to figure that out on your own. In fact, collectivists rarely ever tell you they are collectivists.

Read the whole post: The Collectivist Mind | John Goodman’s Health Policy Blog | NCPA.org.

Leave a comment

Filed under Medicaid/Medicare/SCHIP