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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.
*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.
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