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It seems that states that expanded medicaid are in worse financial condition than states that didn't because now that many more are going to the ER for treatment using their medicaid cards.
The feds are paying 100% through 2016 so please explain how it is impacting their financial condition? If ERs are over utilized there are some simple answers - $20 co-pay for medicaid patients, not charged if condition is a true emergency- or put PA's and NP's in ER's have patients triage through them, if it's a kid with an ear infection have it managed by the PA, if it's a true emergency put them in the queue to see the ER doc.
The feds are paying 100% through 2016 so please explain how it is impacting their financial condition? If ERs are over utilized there are some simple answers - $20 co-pay for medicaid patients, not charged if condition is a true emergency- or put PA's and NP's in ER's have patients triage through them, if it's a kid with an ear infection have it managed by the PA, if it's a true emergency put them in the queue to see the ER doc.
Well that's just peachy keen..when does your new regulations go into effect ?
The feds are paying 100% through 2016 so please explain how it is impacting their financial condition? If ERs are over utilized there are some simple answers - $20 co-pay for medicaid patients, not charged if condition is a true emergency- or put PA's and NP's in ER's have patients triage through them, if it's a kid with an ear infection have it managed by the PA, if it's a true emergency put them in the queue to see the ER doc.
Au contraire my friend. The Fed did not pick up 100% of the costs of expanding medicaid.
Go read up on this.
Au contraire my friend. The Fed did not pick up 100% of the costs of expanding medicaid.Go read up on this.As they say..the devil is always in the details
Well that's just peachy keen..when does your new regulations go into effect ?
For a happy guy you seem to have so much angst..I can't pass regulations, I made two suggestions to reduce the over utilization of emergency rooms. Will they ever be adopted? NO because hospitals are making big bucks off of treating non emergency conditions at ER prices and they will lobby hard to keep it that way.
Truth is not a hit piece. The numbers simply tell the tale of an already deeply trouble, unsustainable in the short term unicorn thought program.
Quote:
Originally Posted by 2sleepy
For a happy guy you seem to have so much angst..I can't pass regulations, I made two suggestions to reduce the over utilization of emergency rooms. Will they ever be adopted? NO because hospitals are making big bucks off of treating non emergency conditions at ER prices and they will lobby hard to keep it that way.
Quote:
Originally Posted by 2sleepy
Name a state who has deep financial trouble caused by expanded medicaid? The report cited by the OP is a hit piece by AFP (Americans for Prosperity) a group founded by the Koch's. They have been doing everything they can to discourage states from adopting expanded medicaid, even spending 12 million dollars to accomplish that in Montana. Schweitzer Slams AFP, But Once Shared Similar Concerns on Medicaid
What is comes down to is this: You think the poor should only be entitled to Emergency care which we pay for through increased health care costs, or you think they should die in the streets. In 2014 Expanded Medicaid saved hospitals 5.7 billion in unreimbursed costs. Do you think that Hospitals just ate that 5.7 billion?
The other issue not covered in the Koch Bros. attack on medicaid is that this was not a zero sum game, all states had some medicaid expenses before they adopted the expanded program, and the state contribution to expanded medicaid will not be 10% in 2017, it will be 5%
Funny how the states without expanded medicaid are the same ones which fight minimum wage increases which might take people off medicaid rolls. The irony is palpable
The "Federal match" is not the entire cost of expanded medicaid.
States did have to spend money themselves.
California had over a million new people sign up for medicaid.
The Fed isn't paying to hire more people to handle that or expand hospital staff, etc.
The implementation and administration of this expanded medicaid is solely the responsibility of the states and they were told by the GAO to plan their budgets accordingly.
Then why doesn't EVERYONE pay? Why are some but not others forced by threat of private property seizure and imprisonment to be tax slaves?
Because we tax income.... Why tax someone with little income only to turn around and give it right back?
Tax slaves? There's a big world out there.... Stop being a whiner and go out and find that low tax burden paradise. No body is a slave, you whiners are just too scared to give up citizenship.
And not only does Sweden NOT have a minimum wage, they also apply their top marginal income tax rate to the middle class, while the U.S. top marginal tax rate only applies to the top 1%:
Tax slaves? There's a big world out there.... Stop being a whiner and go out and find that low tax burden paradise. No body is a slave, you whiners are just too scared to give up citizenship.
I already have done so. I opted out. Shut down my business. Let my employees go. Retired early. Moved to a lower property tax state. I refuse to be a tax slave anymore. Dems can fund their pie in the sky rainbow-sh*tting flying unicorn programs themselves. Have at it, Dems. Pay up!!!
The "Federal match" is not the entire cost of expanded medicaid.
States did have to spend money themselves. California had over a million new people sign up for medicaid.
The Fed isn't paying to hire more people to handle that or expand hospital staff, etc.
The implementation and administration of this expanded medicaid is solely the responsibility of the states and they were told by the GAO to plan their budgets accordingly. U.S. GAO - Medicaid Expansion: States' Implementation of the Patient Protection and Affordable Care Act
It is NOT a federal match, it covers 100% of the cost of expanded medicaid. California already offered medi-cal which provided health care services to exactly the same population covered by expanded medicaid. Their numbers grew because there are more poor people enrolling- they already had 11 million on medi-cal. We are talking about a state with a population of 38 million. What are you talking about "the fed isn't paying for more people to handle it" Since when did the fed ever pay for private hospitals and medical clinics?
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