Archive for the ‘Medicaid’ Category

Who’s paying for the Medicaid expansion?

August 14, 2017

It’s a microcosm of a messy system.

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Let’s pit the question in context with a budget recap from the WSJ

As ObamaCare came on stream in 2014, spending on Medicaid in exploded.

Annual federal Medicaid outlays rose from $265 billion in 2013 to an estimated $378 billion this year, and they are expected to keep climbing to $439 billion on current trend by 2020.

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But, the projections above are premised “on the current trend.”

The CBO underestimated the “power of free” and enrollments continue to soar way past initial projections.

Further, the Medicaid blowout is likely to accelerate, as states that have so far refused the federal freebie accept that the expansion is here to stay and sign on.

So, who picks up the bill?

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Killer chart: OC’s middle class crunch …

June 30, 2017

Yesterday’s post recapped articles from the NYT and WSJ that made a common, largely unrecognized point:

The expansion of “free” and near-free healthcare to approximately 15 million currently uninsureds (out of about 45 million uninsured citizens) is – to a large extent – being funded by the working middle class.

Case in point: the net insurance premiums paid after subsidies on the Obama Exchanges.

Using the Kaiser Foundation subsidy calculator , I picked off the net premiums for single, non-smoking 25 year olds across a range of incomes … and calculated the net premium as a percentage of income.

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Here are the fundamental takeaways …

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What percentage of babies are born on Medicaid?

April 3, 2017

Make your guess before peeking ….

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Medicaid took center stage during the repeal & replace drama … so, I’ve been more alert to Medicaid news.

Let’s put today’s question in context.

According to MSN:

Over the past five decades, Medicaid has surpassed Medicare in the number of Americans it covers.

It has grown gradually into a behemoth that provides for the medical needs of one in five Americans — 74 million people.

For comparison … about half are on employer-based plans and “only” 14% are on Medicare.

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Here’s the geographic spread, according to the Kaufman Family Foundation:

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Note the heavy Medicaid density in the West … and the relatively light density in the Heartland.

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OK, you have your frame of reference: about 20% of Americans on Medicaid.

So, what percentage of babies are born on Medicaid?

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Another hidden cost of ObamaCare …

March 15, 2017

For most doctors, Medicaid patients are a losing proposition.

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It’s hard to find anybody opposed to healthcare for the poor.

In the past, most doctors took on Medicaid patients –- which were relatively few in number — as a public service.

Some took Medicaid patients to fill empty appointment slots and, thus, increase capacity utilization (think, airlines filling empty seats).

But, an increasing number of doctors are demotivated to serve Medicaid patients.

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What’s the problem?

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Feds make $125 billion in “improper payments” … whoa, Nellie.

March 18, 2015

In these days of Moneyball and Team Obama’s campaign technology apparatus that could pin down the ice cream flavor that somebody eats, this shouldn’t happen.

But, it does.

The GAO just issued a report saying that the Feds made an estimated $125 billion (that’s billion with a “b”) in so-called “improper payments” in 2014

 

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 Here are some of the ugly details …

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Killer chart: OC’s middle class crunch …

November 21, 2013

Yesterday’s post recapped articles from the NYT and WSJ that made a common, largely unrecognized point:

The expansion of “free” and near-free healthcare to approximately 15 million currently uninsureds (out of about 45 million uninsured citizens) is – to a large extent – being funded by the working middle class.

Case in point: the net insurance premiums paid after subsidies on the Obama Exchanges.

Using the Kaiser Foundation subsidy calculator , I picked off the net premiums for single, non-smoking 25 year olds across a range of incomes … and calculated the net premium as a percentage of income.

image

Here are the fundamental takeaways …

(more…)