Medicaid Privatization – Iowa

Medicaid firms spending less on care for Iowa’s poor, disabled, By Tony Leys, March 15, 2017, Des Moines Register: “The three private firms running Iowa’s Medicaid program have found ways to trim spending on care for the poor or disabled Iowans they cover, a new report suggests. But all three continue to lose tens of millions of dollars on the controversial project.  The companies’ per-member monthly spending on health care for adults fell by as much as 28 percent from the three months ending in September 2016 to the three months ending in December 2016, the new report shows…”

Access to Health Clinics and Medicaid Births

Cutting Planned Parenthood would increase Medicaid births, C.B.O. says, By Kate Zernike, March 14, 2017, New York Times: “Cutting off federal funding for Planned Parenthood — a longstanding conservative goal that is included in the Republican bill to replace the Affordable Care Act — would reduce access to birth control for many women and result in thousands of additional Medicaid births, according to the Congressional Budget Office.  Because nearly half of all births nationwide are to Medicaid patients, and many of those babies are Medicaid patients themselves, the budget office estimated that defunding Planned Parenthood even for a year would increase Medicaid spending by $21 million in the first year, and $77 million by 2026…”

States and Medicaid Expansion

  • Study: Medicaid expansion made it easier to get a doctor’s appointment, By Michelle Andrews, March 6, 2017, Governing: “More than 14 million adults have enrolled in Medicaid since the health law passed, and that has caused some hand-wringing over whether there would be enough primary care providers to meet the demand. But a study out this week suggests that the newly insured people are generally able to get timely appointments for primary care…”
  • Stakes high in Illinois as Congress rethinks Medicaid, By Lisa Schencker, March 3, 2017, Chicago Tribune: “Soccer coach Lesly Durand noticed last fall that he was running out of breath more easily on the field, and getting unusually tired carrying bags of equipment.  The 61-year-old Evanston man didn’t know why, so he called his doctor. That call led to tests, which led to the discovery of five blocked arteries and then, ultimately, bypass surgery.  ‘The doctors said, ‘I can’t believe you’re still alive,”said Durand, who gained insurance a couple of years ago under the Affordable Care Act’s expansion of Medicaid…”
  • U.S. House ACA reform may turn up heat on N.C. Medicaid expansion, By Richard Craver, March 8, 2017, Winston-Salem Journal: “North Carolina Republican legislative leaders may have more incentive — but likely no new motivation — to expand the state’s Medicaid program as part of a proposal in the U.S. House for repealing and replacing the federal Affordable Care Act…”

States and Medicaid Coverage

  • The adults a Medicaid work requirement would leave behind, By Abby Goodnough, February 25, 2017, New York Times: “On a frigid morning here, Nancy Godinez was piling bread and other staples into her car outside a food pantry. She had lost her job as a custodian, her unemployment checks had run out, and her job search had proved fruitless.  One thing she still had was health insurance, acquired three years ago after Arkansas’ Republican-controlled legislature agreed to expand Medicaid under the Affordable Care Act. The coverage, she said, has allowed her to get regular checkups and treatment for tendinitis in her foot.  But unless she finds a new job, Ms. Godinez, 55, could be at risk of losing her insurance, too…”
  • Obamacare 101: What’s going to happen to 70 million Americans who rely on Medicaid?, By Noam N. Levey, March 2, 2017, Los Angeles Times: “It’s the program that everyone confuses with Medicare.  But Medicaid, the half-century-old government health plan for the poor, is actually bigger than its more famous cousin, covering some 70 million Americans at any one time.  Expanding Medicaid was a central pillar of the Affordable Care Act, helping to bring health coverage to more than 20 million previously uninsured people…”
  • Who are the 700,000 Ohioans receiving health insurance under Medicaid expansion?, By Rich Exner, Cleveland Plain Dealer: “Who are the 700,000 Ohioans who have received health insurance under Medicaid expansion? And has the insurance really made a difference?  A state report conducted for the Ohio General Assembly provides a snapshot, based on questioning of new Medicaid recipients added as a result of Obamacare…”
  • Texas brings ‘disadvantages’ to debate of federal Medicaid spending caps, study warns, By Robert T. Garrett, February 28, 2017, Dallas Morning News: “For years, Texas GOP leaders have said they’d gladly give up open-ended flows of federal Medicaid money for a set ‘block grant’ that lets them run the health insurance program for the poor the way they want.  They may get their wish.  As part of repealing and replacing Obamacare, U.S. House Speaker Paul Ryan and Republican House leaders such as Rep. Kevin Brady of The Woodlands have proposed that states choose between Medicaid block grants and per capita caps. President Donald Trump and Senate Republican leaders have called for similar changes…”

Medicaid Expansion – Maine

Mainers to vote on whether to expand access to Medicaid under ACA, By Scott Thistle, February 21, 2017, Portland Press Herald: “Maine Secretary of State Matthew Dunlap confirmed Tuesday that a campaign asking voters to approve an expansion of the state’s Medicaid system under the federal Affordable Care Act has submitted enough valid signatures to place the question on the November ballot…”

Health Insurance Coverage

  • Major hospitals pull out of Alabama Medicaid reform, call for delay, By Amy Yurkanin, February 14, 2017, Birmingham News: “An overhaul of the state’s Medicaid program that has already been postponed a year could face more delays after the departure of several health care systems over concerns about the program’s direction and costs.  State leaders have been working since 2012 to transform the Medicaid program from a system that pays for unlimited services to managed care that caps costs at a certain amount per patient to control spending. Last year, federal authorities approved a plan for managed care for Medicaid, which provides health coverage to about a million low-income Alabamians. Regional care organizations in five regions are a key part of the reform effort…”
  • As GOP plows forward on Obamacare repeal, new data show the nation’s uninsured rate hit a record low last year, By Noam N. Levey, February 14, 2017, Los Angeles Times: “The nation’s uninsured rate tumbled further last year, hitting the lowest rate on record, according to new government data that underscored what is at stake in the Republican effort to repeal the Affordable Care Act.  In the first nine months of 2016, just 8.8% of Americans lacked health coverage, survey data from the federal Centers for Disease Control and Prevention show…”
  • Republican health care proposal would cover fewer low-income families, By Alison Kodjak, February 16, 2017, National Public Radio: “House Republicans are debating a plan to replace the Affordable Care Act that would give consumers tax credits to buy insurance, cut back on Medicaid and allow people to save their own money to pay for health care costs.  The outline plan is likely to take away some of the financial help low-income families get through Obamacare subsidies, and also result in fewer people being covered under the Medicaid health care program for the poor…”

Medicaid Expansion – Utah, Louisiana

  • State officials send feds Medicaid expansion plan for low-income parents, By Alex Stuckey, February 3, 2107, Salt Lake Tribune: “As Utah officials continue to wait for federal approval of their small-scale Medicaid expansion plan, they hope to expand coverage to some parents.  Tom Hudachko, state Department of Health spokesman, said Friday that the federal Centers for Medicare and Medicaid Services (CMS) ‘verbally indicated’ to state officials late last year that it would approve that part of the expansion, covering low-income parents with dependent children…”
  • Louisiana’s uninsured rate falls to 12.5 percent; leaders cite Medicaid expansion, By Elizabeth Crisp, February 8, 2017, Baton Rouge Advocate: “Louisiana is one of 10 states that have seen the steepest decreases in the rate of uninsured residents over the past four years, according to survey findings released Wednesday. The 2016 Gallup-Healthways Well-Being Index found that Louisiana’s uninsured rate fell to 12.5 percent last year — down from 21.7 percent in 2013.  The survey’s researchers note that all 10 states that saw their uninsured rates drop have expanded Medicaid through the federal Affordable Care Act…”

Lead Poisoning in Children – Indiana

Indiana bill aims to increase lead testing for children in low-income families, By Ted Booker, February 9, 2017, South Bend Tribune: “Only a small fraction of Indiana’s children in low-income families are tested for lead poisoning, but a proposed state bill aims to change that.  Senate Bill 491 — co-authored by Sen. Jean Breaux, D-Indianapolis, and Sen. David Niezgodski, D-South Bend — calls for doubling the number of Medicaid-eligible children tested statewide for the toxic metal, which can cause permanent damage to kids’ developing brains and organs…”

State Medicaid Programs

  • Indiana looks to extend Medicaid experiment started under Obamacare, By Phil Galewitz, February 1, 2017, National Public Radio: “As Congress weighs repeal of the Affordable Care Act, the home state of Vice President Mike Pence Tuesday sought to keep its conservative-style Medicaid expansion under the federal health the health law.  Indiana applied to the Trump administration to extend a regulatory waiver and funding until Jan. 31, 2021, for its package of incentives and penalties that are intended to encourage low-income Hoosiers on Medicaid to adopt healthful behaviors. Beneficiaries pay premiums, get health savings accounts and can lose their benefits if they miss payments…”
  • Kasich keeps Medicaid expansion in state budget proposal, By Catherine Candisky, January 31, 2017, Columbus Dispatch: “Amid uncertainty about the expected repeal of the Affordable Care Act, Gov. John Kasich’s final two-year budget proposal maintains Medicaid health coverage for 3 million poor and disabled Ohioans, including the 700,000 childless adults added to the rolls under Obamacare.  To curb costs, Kasich’s plan for Ohio’s tax-funded health insurance program would save hundreds of millions by cutting payments to hospitals and nursing homes, charging premiums to some beneficiaries, and moving nursing home residents and others into private managed-care plans…”
  • Arizona plan to tighten Medicaid eligibility likely to stand better chance under Trump’s watch, By Ken Alltucker, February 1, 2017, Arizona Republic: “State officials again will seek to tighten Medicaid eligibility with new restrictions that could affect tens of thousand of adults enrolled in the government insurance program for low-income Arizonans.  The state’s Medicaid agency is preparing to seek federal permission to require ‘able-bodied’ Medicaid recipients to either be employed or searching for a job while enrolled. The state also proposes to cap lifetime eligibility for Medicaid at five years…”

State Medicaid Programs

  • Obamacare, Medicaid-expansion recipients in Ohio fear repeal, By Catherine Candisky, Alan Johnson and JoAnne Viviano, January 22, 2017, Columbus Dispatch: “Breast-cancer survivor Susan Halpern said she is terrified about losing her health-care coverage if the Trump administration follows through with its promise to repeal the Affordable Care Act.  Bankruptcy could be on the horizon, the Columbus woman said.  ‘I’m trying to figure out a way to survive and keep some kind of health insurance,’ said Halpern, 57, who owns a small social-media business.  Nearly 1 million Ohioans, and 20 million nationwide, are covered under the law’s expansion of Medicaid coverage and creation of an insurance exchange marketplace that offers federal subsidies to help many Americans pay premiums…”
  • Republican states look to customize Medicaid expansion, not eliminate it, By Christine Vestal, January 23, 2017, Stateline: “As candidates two years ago, the Republican governors of Kentucky and Arkansas swore they would do away with ‘Obamacare’ if elected. But a funny thing happened between the campaign trail and the governor’s mansion: Reality set in.  After promising to uproot Kentucky’s Medicaid expansion under the Affordable Care Act, Republican Gov. Matt Bevin simply renamed his Democratic predecessor’s health care plan for low-income adults and proposed changes designed to help people find jobs and get off the rolls…”

State Medicaid Programs

  • Criticizing Kansas, feds deny extension of KanCare privatized Medicaid program, By Bryan Lowry and Hunter Woodall, January 19, 2017, Kansas City Star: “Federal officials have rejected Kansas’ request to extend its privatized Medicaid program, KanCare, saying it has failed to meet federal standards and risked the health and safety of enrollees. Kansas is ‘substantively out of compliance with Federal statutes and regulations, as well as its Medicaid State Plan’ based on a review by federal investigators in October, according to a letter sent to the state Jan. 13 from the Centers for Medicare and Medicaid Services…”
  • GOP governors who turned down Medicaid money have hands out, By Thomas Beaumont (AP), January 19, 2017, Seattle Times: “Republican governors who turned down billions in federal dollars from an expansion of Medicaid under President Barack Obama’s health care law now have their hands out in hopes the GOP-controlled Congress comes up with a new formula to provide insurance for low-income Americans.  The other GOP governors, such as Ohio Gov. John Kasich, who agreed to expand state-run services in exchange for federal help — more than a dozen out of the 31 states — are adamant that Congress maintain the financing that has allowed them to add millions of low-income people to the health insurance rolls…”

Medicaid Expansion – Michigan

  • Snyder fights for Medicaid plan in Obamacare repeal, By Jonathan Oosting, January 4, 2017, Detroit News: “Gov. Rick Snyder wants Republican President-elect Donald Trump and the GOP-led Congress to spare Michigan’s unique form of Medicaid expansion as they consider dismantling the Affordable Care Act, calling it a ‘successful’ program that could serve as a national model.  Trump has repeatedly vowed to repeal and replace ‘Obamacare’ but has not made clear whether he wants to pull back state funding for expanded Medicaid eligibility. It is a key but costly provision of the 2010 law that has allowed millions of low-income residents to qualify for government-paid health care coverage…”
  • U-M study shows benefits of Michigan expanding Medicaid, By Kathleen Gray, January 4, 2017, Detroit Free Press: “Even though the state’s bills for the expansion of Medicaid to more than 640,000 low-income Michiganders is growing from $152 million this year to $399 million in 2021, the economic benefit of providing the health care will more than make up for the cost to the state, according to a study released Wednesday by the University of Michigan…”

States and Medicaid Expansion

  • State alternatives to Obamacare, expanded Medicaid to get tested, By Jayne O’Donnell, December 22, 2016, USA Today: “Blocked sweat glands turn into searingly painful growths that send Brittany Young rushing back to the emergency room at Upson Regional Medical Center here.  Young also has the chronic intestinal disease Crohn’s to contend with. Without a job or health insurance, the single mother can’t get the ongoing treatment needed to keep her Crohn’s from progressing. She’s visited the ER six times since losing her Medicaid coverage after her baby was born in June.  Young says she has no money, so she pays nothing.  ‘I guess someone ran the numbers and figured out it saves money to do it this way,’ says Anthony Marchetti, an Upson emergency physician who has treated Young…”
  • Montana may be model for future Medicaid work requirement, By Eric Whitney, December 23, 2016, National Public Radio: “Montana State Senator Ed Buttrey is a no-nonsense businessman from the central part of the state. Like a lot of Republicans, he’s not a fan of the Affordable Care Act and its expansion of Medicaid, health insurance for the poor and disabled…”

Medicaid Expansion – Indiana

Indiana’s Medicaid experiment may reveal Obamacare’s future, By Alana Semuels, December 21, 2016, The Atlantic: “Nearly 20 governors turned away the federal funding to expand Medicaid offered under the Affordable Care Act. Their states’ opposition to Obamacare meant that tens of thousands of low-income people in their states continued to live without health insurance.  But Mike Pence, governor of Indiana, was not one of them. After two years of negotiation, Pence in January 2015 reached an agreement with the Obama administration granting Indiana a waiver to try its own form of Medicaid expansion, called Healthy Indiana Plan (HIP) 2.0. The state would become one of the 31 that participated in the Medicaid expansion, receiving federal money through the Affordable Care Act to cover people between 100 percent and 138 percent of the federal poverty line. (Medicaid already covered a limited number of people living below the poverty line.) But it could also add its own modifications, the most salient being that participants would be required to contribute monthly fees to continue to receive access to health care…”

Medicaid and Dental Care – Kansas

Rural dental networks hit hard by Kansas Medicaid cuts, By Andy Marso, December 12, 2016, KCUR: “At 59 years old, Bill Miller is starting to have neck and back problems. Thirty-two years of bending over to check patients’ teeth and gums will do that, he said. Miller is the only dentist in Hill City, a community of about 1,500 people northwest of Hays. He has treated Medicaid patients his entire career, even as reimbursements increasingly have lagged the cost of providing care.  Earlier this year the state cut those reimbursements another 4 percent as part of a host of emergency budget-balancing measures. Miller said that has him seriously considering dropping out of the Medicaid program…”

Medicaid Coverage for Ex-Inmates

Signed out of prison but not signed up for health insurance, December 5, 2016, National Public Radio: “Before he went to prison, Ernest killed his 2-year-old daughter in the grip of a psychotic delusion. When the Indiana Department of Correction released him in 2015, he was terrified something awful might happen again.  He had to see a doctor. He had only a month’s worth of pills to control his delusions and mania. He was desperate for insurance coverage.  But the state failed to enroll him in Medicaid, although under the Affordable Care Act Indiana had expanded the health insurance program to include most ex-inmates. Left to navigate an unwieldy bureaucracy on his own, he came within days of running out of the pills that ground him in reality…”

Rural Health Care – Nevada, Kentucky

  • Health-care ‘have-nots’: Nevada’s rural residents face fraying safety net, By Pashtana Usufzy, November 19, 2016, Las Vegas Review-Journal: “Tears well up in the eyes of lifelong Tonopah resident Acacia Hathaway as she talks about last year’s closure of Nye Regional Medical Center, the only hospital within 100 miles of her home.  ‘It was … like the end of the world here,’ says the 24-year-old mother of three, including a daughter who suffers from Goltz syndrome, a rare illness that requires frequent care from medical specialists.  Now, instead of visiting the local hospital when 4-year-old Ella suffers one of her seemingly inevitable infections, Hathaway or her husband, Justin, drive to Las Vegas – three hours each way. That’s in addition to twice-monthly trips for regular appointments with her doctors — all eight of them…”
  • In depressed rural Kentucky, worries mount over Medicaid cutbacks, By Phi Galewitz, November 19, 2016, National Public Radio: “For Freida Lockaby, an unemployed 56-year-old woman who lives with her dog in an aging mobile home in Manchester, Ky., one of America’s poorest places, the Affordable Care Act was life altering.  The law allowed Kentucky to expand Medicaid in 2014 and made Lockaby – along with 440,000 other low-income state residents – newly eligible for free health care under the state-federal insurance program. Enrollment gave Lockaby her first insurance in 11 years…”

State Medicaid Programs

  • New Mexico seeks copays from Medicaid patients, By Morgan Lee (AP), October 26, 2016, News Tribune: “New Mexico is pursuing federal authority to charge medical co-payments and some other costs to patients enrolled in Medicaid health care for the poor and disabled, the state Human Services Department secretary told lawmakers on Wednesday.  Secretary Brent Earnest said ‘nominal’ co-payments and other charges would provide a small economic incentive to steer patients away from wasteful expenses, such as the use of emergency room services for routine care…”
  • Medicaid expansion credited for getting record number of kids insurance in Ohio, By Catherine Candisky, October 27, 2016, Columbus Dispatch: “More than 95 percent of Ohio children have health coverage as the uninsured rate fell to historic lows in the wake of Obamacare.  A new report from the Georgetown University Center for Children and Families credits Medicaid expansion under the Affordable Care Act for the decline in uninsured children…”
  • In Maryland, diabetics cost Medicaid twice as much, study finds, By Andrea K. McDaniels and Meredith Cohn, October 27, 2016, Baltimore Sun: “People with diabetes cost the state’s Medicaid program twice as much as those without the chronic condition, a study commissioned by the society that represents Maryland’s doctors has found…”

Medicaid Coverage

As Medicaid loses stigma, election may cloud its future, By Ricardo Alonso-Zaldivar (AP), October 24, 2016, Philadelphia Inquirer: “Medicaid, often stigmatized among government health care programs, is finally coming into its own.  The federal-state program for low-income people has been scarcely debated in the turbulent presidential election, but it faces real consequences depending on who wins the White House in the Nov. 8 vote.  Under President Barack Obama, Medicaid has expanded to cover more than 70 million people and shed much of the social disapproval from its earlier years as a welfare program. Two big industries – insurers and hospitals – have a declared stake in the future of the program, which costs more than $530 billion a year. Insurers are leading a new ‘Modern Medicaid Alliance’ to educate lawmakers about how the program has moved closer to private coverage…”

Medicaid Expansion – Louisiana

Medicaid expansion enrollment tops 326K people in Louisiana, By Elizabeth Crisp, October 20, 2016, Baton Rouge Advocate: “Enrollment in Louisiana’s expanded Medicaid program has topped 326,000, leaving the state just 50,000 shy of the goal it aims to reach by July.  The Louisiana Department of Health announced the updated enrollment figure on Thursday, as well as some key treatment numbers…”