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Old 02-25-2017, 06:38 PM
 
Location: Texas
2,701 posts, read 1,312,718 times
Reputation: 2468

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House Republican Proposals to Radically Overhaul Medicaid Would Shift Costs, Risks to States | Center on Budget and Policy Priorities


I thought this was an interesting report.


California would have to come up with more 9 billion dollars annually to cover the decrease in Medicaid reimbursement from 95% to 50%.


New York would have to come with over 5 billion dollars.


North Dakota could make up for the short fall with only 111 million more dollars, West Virginia with 157 million more dollars of state aid could continue the Medicaid expansion.


It looks like California and New York will go from 95% to 50% reimbursement rates, while other states have reimbursement rates above 70% and could continue it without much issue.
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Old 02-25-2017, 07:23 PM
 
18,304 posts, read 11,693,181 times
Reputation: 11948
Quote:
Originally Posted by lovecrowds View Post
House Republican Proposals to Radically Overhaul Medicaid Would Shift Costs, Risks to States | Center on Budget and Policy Priorities


I thought this was an interesting report.


California would have to come up with more 9 billion dollars annually to cover the decrease in Medicaid reimbursement from 95% to 50%.


New York would have to come with over 5 billion dollars.


North Dakota could make up for the short fall with only 111 million more dollars, West Virginia with 157 million more dollars of state aid could continue the Medicaid expansion.


It looks like California and New York will go from 95% to 50% reimbursement rates, while other states have reimbursement rates above 70% and could continue it without much issue.

As one stated in another thread about GOP plans for ACA, Medicare and Medicaid the republicans want/need to craft away that rewards states who did not expand Medicaid under Obamacare without hurting (much) those that did.


Long story short we all know it is the Red "donor" states that mostly did not expand Medicaid for various reasons of their own. These same states are also poor and hurting fiscally otherwise and blame Medicaid on whole or part for their fiscal woes. They have long championed a "loosening" of rules and or mandates from Washington, D.C. to allow them to spend Medicaid dollars "as they see fit". In other words decrease coverage to the point their own contributions are little and much of the money comes from federal dollars.


Problem for GOP in Congress is plenty of republican controlled states *did* expand Medicaid, and thus any attempts to now back slide on federal commitments is going to be met with stiff push back.
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Old 02-25-2017, 07:27 PM
 
Location: On a Long Island in NY
7,624 posts, read 8,124,439 times
Reputation: 6949
Quote:
Originally Posted by lovecrowds View Post
House Republican Proposals to Radically Overhaul Medicaid Would Shift Costs, Risks to States | Center on Budget and Policy Priorities


I thought this was an interesting report.


California would have to come up with more 9 billion dollars annually to cover the decrease in Medicaid reimbursement from 95% to 50%.


New York would have to come with over 5 billion dollars.


North Dakota could make up for the short fall with only 111 million more dollars, West Virginia with 157 million more dollars of state aid could continue the Medicaid expansion.


It looks like California and New York will go from 95% to 50% reimbursement rates, while other states have reimbursement rates above 70% and could continue it without much issue.
Ah so they are going to take the Puerto Rico Medicaid block grant approach nationwide and punish the blue states like they do the Puerto Ricans. How typical

https://firstfocus.org/blog/the-big-...-block-grants/

The block grant approach is one of the reasons why Puerto Rico is so heavily in debt. Now the Republicans want to do the same to all Democratic states.
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Old 02-25-2017, 07:35 PM
 
6,824 posts, read 4,872,983 times
Reputation: 3724
Quote:
Originally Posted by lovecrowds View Post
House Republican Proposals to Radically Overhaul Medicaid Would Shift Costs, Risks to States | Center on Budget and Policy Priorities


I thought this was an interesting report.


California would have to come up with more 9 billion dollars annually to cover the decrease in Medicaid reimbursement from 95% to 50%.


New York would have to come with over 5 billion dollars.


North Dakota could make up for the short fall with only 111 million more dollars, West Virginia with 157 million more dollars of state aid could continue the Medicaid expansion.


It looks like California and New York will go from 95% to 50% reimbursement rates, while other states have reimbursement rates above 70% and could continue it without much issue.
They are bankrupt programs that have been known to be fiscally insolvent for years..



WHY HASN'T SOMETHING BEEN DONE ABOUT IT?


Well no something HAS to be done about it. Sorry if you don't like it. Years of negligence and abuse gone unchecked. Eventually reality will catch up with you.
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Old 02-25-2017, 07:48 PM
 
Location: Houston, Texas
1,164 posts, read 1,278,215 times
Reputation: 387
Not sure if this was posted anywhere else but since it concerns health insurance, thought it would be a good place to post.

Apparently a draft of ACA replacement has been obtained.

https://www.google.com/amp/s/www.yah...214212240.html

Seems more expensive than ACA
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Old 02-25-2017, 08:17 PM
 
Location: Salisbury,NC
9,476 posts, read 3,828,710 times
Reputation: 4119
It will never get through the Senate. The House members who proposed this are crazy.
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Old 02-25-2017, 09:14 PM
 
Location: Stasis
15,390 posts, read 9,355,978 times
Reputation: 8231
Quote:
Originally Posted by Mikelee81
They are bankrupt programs that have been known to be fiscally insolvent for years..

WHY HASN'T SOMETHING BEEN DONE ABOUT IT?

Well no something HAS to be done about it. Sorry if you don't like it. Years of negligence and abuse gone unchecked. Eventually reality will catch up with you.
Well of course Medicaid is "bankrupt" and "insolvent". It is a program to provide healthcare to poor (often disabled) people who can't afford (or obtain) private insurance and deductibles. How would you make it solvent and pay for itself?
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Old 02-25-2017, 09:24 PM
 
Location: Zurich, Switzerland/ Piedmont, CA
31,588 posts, read 53,148,159 times
Reputation: 14511
Quote:
Originally Posted by katzpaw View Post
Well of course Medicaid is "bankrupt" and "insolvent". It is a program to provide healthcare to poor (often disabled) people who can't afford (or obtain) private insurance and deductibles. How would you make it solvent and pay for itself?
+1

Universal Health Care is the way to go.
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Old 02-25-2017, 09:40 PM
 
Location: Ohio
18,045 posts, read 13,258,699 times
Reputation: 13860
Quote:
Originally Posted by lovecrowds View Post
House Republican Proposals to Radically Overhaul Medicaid Would Shift Costs, Risks to States | Center on Budget and Policy Priorities


I thought this was an interesting report.


California would have to come up with more 9 billion dollars annually to cover the decrease in Medicaid reimbursement from 95% to 50%.


New York would have to come with over 5 billion dollars.


North Dakota could make up for the short fall with only 111 million more dollars, West Virginia with 157 million more dollars of state aid could continue the Medicaid expansion.


It looks like California and New York will go from 95% to 50% reimbursement rates, while other states have reimbursement rates above 70% and could continue it without much issue.
I have no problem with that.

If it forces States to come up with their own single-payer plans, that's fine with me.
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Old 02-25-2017, 10:01 PM
 
9,344 posts, read 4,748,920 times
Reputation: 6083
Quote:
Originally Posted by 18Montclair View Post
+1

Universal Health Care is the way to go.
Same meme as always. How about take away your Escaclade and 401k in return for Universal health care. On top of that you will be unemployed for years, scary thought I know, you will be starting 10 times more thread than you already did.
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