Aa
Report: Obama Health Law a Good Deal for States
http://news.yahoo.com/report-obama-health-law-good-deal-states-184545955.html
States will receive more than $9 in federal money for every $1 they spend to cover low-income residents under President Barack Obama's health care law, according to a nonpartisan analysis released Monday.
Expanding Medicaid to cover about 20 million more low-income people will cost over $1 trillion nationally from 2013 to 2022, said the joint report from the Kaiser Family Foundation and the Urban Institute. But the analysis found that states will pay just $76 billion of that, a combined share of roughly 7 percent. The feds will pay the other $952 billion.
Republican governors have resisted the Medicaid expansion, saying it adds an unacceptable burden to already strained budgets. And the Supreme Court handed the governors a victory this summer, ruling that states are free to reject the Medicaid deal.
Medicaid is one of the two main ways that Obama's law expands coverage to most of the 50 million uninsured U.S. residents. As a broader Medicaid safety net picks up more low-income people, new health insurance markets called exchanges will offer subsidized private coverage to the middle class. Both parts of the strategy take effect in 2014, at the same time that most Americans will be required to carry health insurance or pay a fine.
The new analysis was unlikely to change the minds of state leaders who have already rejected the Medicaid expansion, but it may help shape the debate in a majority of states still on the fence.
States will receive more than $9 in federal money for every $1 they spend to cover low-income residents under President Barack Obama's health care law, according to a nonpartisan analysis released Monday.
Expanding Medicaid to cover about 20 million more low-income people will cost over $1 trillion nationally from 2013 to 2022, said the joint report from the Kaiser Family Foundation and the Urban Institute. But the analysis found that states will pay just $76 billion of that, a combined share of roughly 7 percent. The feds will pay the other $952 billion.
Republican governors have resisted the Medicaid expansion, saying it adds an unacceptable burden to already strained budgets. And the Supreme Court handed the governors a victory this summer, ruling that states are free to reject the Medicaid deal.
Medicaid is one of the two main ways that Obama's law expands coverage to most of the 50 million uninsured U.S. residents. As a broader Medicaid safety net picks up more low-income people, new health insurance markets called exchanges will offer subsidized private coverage to the middle class. Both parts of the strategy take effect in 2014, at the same time that most Americans will be required to carry health insurance or pay a fine.
The new analysis was unlikely to change the minds of state leaders who have already rejected the Medicaid expansion, but it may help shape the debate in a majority of states still on the fence.
"I do believe that for anyone really wanting to know the ins and outs of what is now the law on healthcare can find it by googling. We keep having this same discussion and it would appear people simply dont want facts."
Ain't that the truth!
Ain't that the truth!
I do believe that for anyone really wanting to know the ins and outs of what is now the law on healthcare can find it by googling. We keep having this same discussion and it would appear people simply dont want facts. Here is a link that gives a short version summary of what it is, how it works, where does funding come from etc.
http://en.wikipedia.org/wiki/Patient_Protection_and_Affordable_Care_Act
There will be ongoing tweaks to this law as they run into snags things may change so it is important to at least know the basics. It is law.
http://en.wikipedia.org/wiki/Patient_Protection_and_Affordable_Care_Act
There will be ongoing tweaks to this law as they run into snags things may change so it is important to at least know the basics. It is law.
Again, the AHCA is LAW...It will be fully implemented in 2014...The issue of how to pay for it:
"The Affordable Care Act will extend health care coverage to some 30 million uninsured consumers along with an expansion of Medicaid services. It also promises a slew of tax credits for small business and middle-income families to help offset the costs of mandatory coverage.
Much of the cost burden will be shouldered by the health care industry and employers that provide workers with insurance. On an individual consumer level, however, it'll be the wealthiest Americans who feel the sting of Obamacare––and, strangely enough, people who hit the tanning bed.
You can find a pretty thorough list of tax credits and provisions included in the Affordable Care Act at www.irs.gov and in a detailed list from the Kaiser Family Foundation.
Read more: http://www.businessinsider.com/what-obamas-affordable-care-act-will-cost-consumers-2012-6#ixzz2DWj5QGFz
Is that FACT enough for you? Will you and everyone else asking that question actually read and absorb the answer to it or will you continue to make an argument of how it will be paid for without reading how it will be paid for?
"The Affordable Care Act will extend health care coverage to some 30 million uninsured consumers along with an expansion of Medicaid services. It also promises a slew of tax credits for small business and middle-income families to help offset the costs of mandatory coverage.
Much of the cost burden will be shouldered by the health care industry and employers that provide workers with insurance. On an individual consumer level, however, it'll be the wealthiest Americans who feel the sting of Obamacare––and, strangely enough, people who hit the tanning bed.
You can find a pretty thorough list of tax credits and provisions included in the Affordable Care Act at www.irs.gov and in a detailed list from the Kaiser Family Foundation.
Read more: http://www.businessinsider.com/what-obamas-affordable-care-act-will-cost-consumers-2012-6#ixzz2DWj5QGFz
Is that FACT enough for you? Will you and everyone else asking that question actually read and absorb the answer to it or will you continue to make an argument of how it will be paid for without reading how it will be paid for?
The issue isn't with the "LOL" per se, it's with your lack of any valid argument.
The question is... HOW ARE WE GOING TO PAY FOR THIS?
You reply: LOL
Mikesimon replies: We'll find the money, we always do.
Do you have anything but an LOL to add as to the "HOW" and "WHERE" we're going to get the money?
The question is... HOW ARE WE GOING TO PAY FOR THIS?
You reply: LOL
Mikesimon replies: We'll find the money, we always do.
Do you have anything but an LOL to add as to the "HOW" and "WHERE" we're going to get the money?
No..But I can LOL your comments away....Who cares if I lol?...Get over it!....Last I checked it's still a free country...For those of you that have an "issue" with me LOL'ng your comments, GET OVER IT!.....
You just made my point for me very nicely... thanks MrsP.
You can't just "LOL" our problems away.
You can't just "LOL" our problems away.
*correction....You already do believe it...LOL...
Keep telling yourself that El..You'll eventually believe it!
In case you haven't figured it out, the way it goes around here is this...
WE present valid and sound arguments as to why something should be done or not be done, and THEY present an "LOL" or a "crybaby" argument in return.
Then, WE present more and more valid and sound arguments, and THEY present yet another "LOL" or a "crybaby" argument in return.
About the only person around here with any sort of argument worth rebutting, is Teko. Her arguments are always concise and sound. That said, they're from the Left side of the spectrum, but at least they're sound and logical arguments worth responding to.
"LOL" and "crybaby" are the arguments and responses of someone that's run out of arguments because they know they're wrong, but not intelligent enough to put into words what they're thinking. Just remember who it is we're talking to here...
WE present valid and sound arguments as to why something should be done or not be done, and THEY present an "LOL" or a "crybaby" argument in return.
Then, WE present more and more valid and sound arguments, and THEY present yet another "LOL" or a "crybaby" argument in return.
About the only person around here with any sort of argument worth rebutting, is Teko. Her arguments are always concise and sound. That said, they're from the Left side of the spectrum, but at least they're sound and logical arguments worth responding to.
"LOL" and "crybaby" are the arguments and responses of someone that's run out of arguments because they know they're wrong, but not intelligent enough to put into words what they're thinking. Just remember who it is we're talking to here...
So the point of my ever long post is simply this. You have these issues with all insurance not just medicaid and I have seen people waiting to get needed medical care all because they are awaiting approval from insurance, whether it be medicaid, medicare or that private employer sponsered insurance that cost huge bucks. It basically always breaks the same way. There is reform needed overall I think, which is my point. Most insurance companies will not approve hospitalization past the point of stabilization anymore and many many more things are done outpatient in order to keep costs down. Too many hands in the pie imo.
With all the new laws, the hippa pricacy and the number of hoops one has to jump thru it takes some serious caring which I find alot of times is lacking. Everyone gets paid to do a job but not all of them want to do their job, and find it easier to just say no rather than work for alternatives to help the patient. I have seen the same thing with someone in the private insurance field. Icd 9 codes and cpt codes that do not cover everything the patient needs is a common issue. For instance, someone needing a rotator cuff repair, may have to try therepy, injections, etc before being covered for the actual sx. This is common nowadays. Yes, you may need the sx but in order to get an allowance for that sx, the insurance company may tell the dr that they have to try all these other things first and then, if they don't work, we will allow the sx. When the rotator cuff is torn big time, its doubtful the other things first are gonna work. Its all a bureaucracy of sorts I find. They say its an effort to reduce costs, but sometimes its just a lot of waste before you can do the necessary element. Your jumping thru hoops for the insurance company before you can treat your patient and this is all insurance private or not I think.
Interesting conversation here. I am not familiar with the rules of medicaid or medicare either for that matter but I used to handle the workers compensation claims for a orthopedic surgeons office. There was a team of 5. We handled all kinds of patients, not just workers comp, and the private insurance was handled by someone else but we had one thing in common. It was our job to get the approval for the care needed. I sat in on a consult with the doctor and the patient and the doctor would tell me what he wanted to do, I would then meet with the patient in my office and get the details of the injury, when, where how, file a claim on behalf of that patient with workers comp and it was on me to get the sx, rehab, or whatever else was needed approved and scheduled. Its all about knowing how the system works, what code covers what and utilizing that information in the best way to get what is needed to cover that care. Usually workers comp wouldnt cover anything until a claim was allowed which sometimes took up to six weeks. It was my job to work around that and get the care now. What I did to make that happen was simply get a copy of their private insurance as a backup in case the claim was not allowed. However, I knew that in the case of workers comp, if the doctor said the patient needed something and the doctor felt it was work related that it was always approved in the end. Code knowledge is very important in getting what you want and sometimes you had to use multiple ones in order to do it as adding one at a later date could be a headache. So I'm not sure it is all about medicare, or medicaid or a system lacking so much as the lack of knowledge of the one seeking the approval on behalf of the patient. At least that has been my experience. The medical field alone is such a convoluted process and if one person is not doing their job with the interest of the patient in mind, the patient is the one to suffer.
I have in the past when I was physically able to assisted with Medicaid appeals which were favorable but they have to be within their regulations which I do agree are arbitrary and irrational. I also don't really understand why other forms of public insurance such as Medicare dont cover standard medical coverage such as dental care As well I have many family members who are elderly and have worked and paid into the system and do pay premiums on insurance coverage not be eligible for needed care such as a home attendant.
I tend to think that simplifying coverage so that all needed services
were covered on a sliding scale premium would be the best option.Many of the specific reforms that I and other people advocated for are not in the current health care legislation. I agree that the system itself needs to be overhauled to insure people's health but also insure financial responsibilities.
I tend to think that simplifying coverage so that all needed services
were covered on a sliding scale premium would be the best option.Many of the specific reforms that I and other people advocated for are not in the current health care legislation. I agree that the system itself needs to be overhauled to insure people's health but also insure financial responsibilities.
" BTW, how dismissive is that? You're so funny you two. LOL What??? "
LOL
LOL
"maybe you have a weird twisted kind of sense of humor."
Maybe I do...
Maybe I do...
BTW, how dismissive is that? You're so funny you two. LOL What???
I think that being so thrilled the federal government is going to make the states that dependent on them (9 dollars to every one spent) coming from tax payers pockets is funny myself.
While all the leaves are gone from my trees, I will be watching for money to start growing on them. That's about the only way I and others are going to survive all of this!
I think that being so thrilled the federal government is going to make the states that dependent on them (9 dollars to every one spent) coming from tax payers pockets is funny myself.
While all the leaves are gone from my trees, I will be watching for money to start growing on them. That's about the only way I and others are going to survive all of this!
There is a smugness that is a little disorienting to me. I understand the support for it but not the cavalier attitude about getting the money for it.
I was listening to the news and the discussion of tax deductions involved in housing are on the table to be taken away. Great. That would hurt this middle class family for sure.
I was listening to the news and the discussion of tax deductions involved in housing are on the table to be taken away. Great. That would hurt this middle class family for sure.
Here's just one article:
http://www.kaiserhealthnews.org/stories/2012/august/06/third-of-medicaid-doctors-say-no-new-patients.aspx
http://www.kaiserhealthnews.org/stories/2012/august/06/third-of-medicaid-doctors-say-no-new-patients.aspx
Well, okay then. I'm not sure what was so funny about the things I shared, but maybe you have a weird twisted kind of sense of humor.
I don't know how to be optimistic about ADDING 20 million people into a system that is inherently broken, inefficient, and just plain doesn't take care of people like it should.
HOW is that a good thing?
I don't know how to be optimistic about ADDING 20 million people into a system that is inherently broken, inefficient, and just plain doesn't take care of people like it should.
HOW is that a good thing?
Oh yes, we sure can afford it. Just watch.
@ El and NG you two crack me up!..lol..To each his own..
Screw the many for the sake of a few...
ACA will cost TRILLIONS before all is said and done, and frankly, we cannot afford it.
Absolutely.
Something, on this scale, HUGE money. The health care system needs fixed...but picking up the tab for 20 million people is NOT the answer.
Honestly, everyone was yelling during the campaign about Romney's plan..."the math doesn't work!!". It's the same thing here.
I feel sick thinking that MORE people are going to have to suffer with crappy coverage under Medicaid. Can't even really call it "coverage".
Absolutely.
Something, on this scale, HUGE money. The health care system needs fixed...but picking up the tab for 20 million people is NOT the answer.
Honestly, everyone was yelling during the campaign about Romney's plan..."the math doesn't work!!". It's the same thing here.
I feel sick thinking that MORE people are going to have to suffer with crappy coverage under Medicaid. Can't even really call it "coverage".
(cont..)
Look in your area, try to EASILY find a good doctor who accepts Meedicaid. It's getting harder and harder to do. My guess is, under Obamacare, there will be a requirement where docs and facilities won't be allowed to NOT accept it. That would be a real travesty. Medicaid is already not paying for MANY LEGIT services provided, how are they going to swing paying for 20 million MORE people? WHERE is that money going to come from?
The qualifications need to be tightened, not made more liberal, and if Medicaid makes people jump through their hoops, they better start paying their bills. Lastly, Medicaid could give two sh*ts about the patient. As a direct result of the therapeutic substitutions, denials, I've seen people suffer needlessly, and even die.
I'm currently uninsured. Thank you very much, I'll stay that way if this is going to be the way they think they will remedy the uninsured problem.
I could go on for DAYS telling you horror stories of the things I've seen. I've had to deal with it first hand. I've had to get screamed at by patients and loved ones while explaining that their BP is all of a sudden off the charts because we substituted the BP pill they had been taking for 40 years to something that doesn't work. Medicaid doesn't care if it doesn't work, they won't pay for anything else, and hell, sometimes won't even pay for THAT.
I've had to call them directly and fight with them on off hours, when the social workers weren't there. You have similar issues with insurance companies...but there is almost always a fair process to follow if there has been a denial. I've helped Medicaid pts file appeals after certain things were denied, I've NEVER see ONE person win an appeal.
Look in your area, try to EASILY find a good doctor who accepts Meedicaid. It's getting harder and harder to do. My guess is, under Obamacare, there will be a requirement where docs and facilities won't be allowed to NOT accept it. That would be a real travesty. Medicaid is already not paying for MANY LEGIT services provided, how are they going to swing paying for 20 million MORE people? WHERE is that money going to come from?
The qualifications need to be tightened, not made more liberal, and if Medicaid makes people jump through their hoops, they better start paying their bills. Lastly, Medicaid could give two sh*ts about the patient. As a direct result of the therapeutic substitutions, denials, I've seen people suffer needlessly, and even die.
I'm currently uninsured. Thank you very much, I'll stay that way if this is going to be the way they think they will remedy the uninsured problem.
I could go on for DAYS telling you horror stories of the things I've seen. I've had to deal with it first hand. I've had to get screamed at by patients and loved ones while explaining that their BP is all of a sudden off the charts because we substituted the BP pill they had been taking for 40 years to something that doesn't work. Medicaid doesn't care if it doesn't work, they won't pay for anything else, and hell, sometimes won't even pay for THAT.
I've had to call them directly and fight with them on off hours, when the social workers weren't there. You have similar issues with insurance companies...but there is almost always a fair process to follow if there has been a denial. I've helped Medicaid pts file appeals after certain things were denied, I've NEVER see ONE person win an appeal.
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