The Pardu

The Pardu
Watchful eyes and ears feed the brain, thus nourishing the brain cells.
Showing posts with label Medicaid Expansion. Show all posts
Showing posts with label Medicaid Expansion. Show all posts

Monday, December 14, 2015

Medicaid Expansion...WHY NOT?


Repost from Connect The Dots dot com
Unfortunately, the drafters of the ACA did not anticipate the Supreme Court ruling that states could opt out of the Medicaid expansion, so no tax credit provisions were included for folks below 100% of Federal Poverty Level. Remember, they were supposed to get Medicaid instead.
Currently an estimated 3.1 million folks who fall in the Medicaid coverage gap (below 100% of Federal Poverty Level) are just doubly screwed until those 20 Republican state legislators and/or governors cave like cheap tents to get their hands on all that federal money — once the politics of Obamacare dies down and the pressure from the monied hospital interests ramps up. Or alternatively, Democrats could take back the House and Senate and at least provide federal tax subsidies to those below 100% of FPL living in those 20 mean Republican-controlled states. Boy do elections have consequences!
If you fall into the Medicaid coverage gap, how about voting you and your family some healthcare coverage? And if you’re fortunate enough to live in a state that accepted the Medicaid expansion, don’t vote for Republicans (like newly-elected Gov Matt Bevin of Kentucky) who plan on taking that away from you. That’s what voting SMART is all about. Wealthy people vote for their economic self-interest all the time, so should poor people.



StumbleUpon

Sunday, March 23, 2014

Ryan's Town Hall Drew More Than High-End Baby Boomers.

Awesome Capture: Capture & Annotate
Apparently, Paul Ryan has run into a couple of disgruntled constituents at (recess) town hall meetings. A few days back we posted a confrontation with a constituent who was not happy with Ryan's use of "inner cities" as code to denigrate regions with higher populations of African-Americans.   

Here is yet another video from the same town hall meeting question. The meeting attendee was concerned about GOP opposition to ObamaCare (audio is not good quality).




Yet another concerned citizen with GOP policy on Immigration.

I will admit to a bit of glee people are speaking-out against GOP (ism). Our world is running over with data showing the completely ineptitude of governance federal governance. We are also seeing insensitive and horrid state administration with regard to Medicaid Expansion and public service employment. Constituents and voters have a responsibility to self-educate, assimilate information and act-out their positions.

My glee is accompanied along with an orchestra conducted performance from.....the world smallest violin.


StumbleUpon

Saturday, November 9, 2013

The Uninsured and Medicaid Expansion. Is Anyone Listening?


Medicaid Expansion is key to the success of the Affordable Care Act. If you take a few minutes to actually understand Medicaid Expansion, you might join us in our contempt for GOP obstruction and denial of services to poor people.

A quick video for those who prefer the visual over the more explicit read.

http://youtu.be/fGEU0a75tiw

ObamaCare Medicaid Expansion Overview

Let's take a quick look at how ObamaCare's Medicaid expansion and how it affects American families. ObamaCare's Medicaid expansion and how it affects American families. ObamaCare Medicaid

how many people would medicaid expansion cover


• Medicaid is a joint federal and state funded program that provides health care for over 60 million low income Americans


• Every State as of 2013 has  different  eligibility requirements  based on income, age, gender, dependents, and other specificrequirements.

• In 2014 State's that expandMedicaid will increase eligibilitylevels to 138% of the Federal Poverty Line ($23,550 for a family of four).

• Expansion "covers the gap" between those who qualify forMedicaid and those who qualify for subsidies through the health insurance marketplace.

• About half of the uninsured in America would be covered by Medicaid Expansion.

• Since every State covers those who have no income, expansion would almost exclusively be covering the working poor and their families.

• Millions of Americans will be able to get care before they are forced to use costly last minute emergency services in State's that support expansion.

• The uninsured currently cost State tax payers billions in unpaid hospitals bills.

• Unpaid hospital bills to hospitals are one of the main causes of rising premium costs.

• The Federal Government pays 100% of expansion costs for the first three years and 90% thereafter until 2022.

• Many State's have shown that ExpandingMedicaid actually raises money for the State.

• Cost is the most cited reason for not expandingMedicaid. While current Medicaid programs do costs State taxpayers a lot of money, that spending is balanced by unpaid hospital bills and the affect those bills have on the rising costs of premiums.

• Every State who opt-ed out of expansion has a Republican governor that is against the program.

• Most of the State's who opt-ed out have the highest uninsured rates and are the State's expansion would help the most.

• State's opt-ing out of Medicaid expansion is part of an ongoing effort to "break" ObamaCare regardless of the cost to the people. Other tactics include opt-ing out of creating exchanges, expensive disinformation campaigns, and a Government shutdown.

• States have until January 2014 to decide if they will expand Medicaid.

White House Dot Gov

24 States Are Refusing to Expand Medicaid. Here's What That Means for Their Residents:

wh_medicaid_map_email_110613_0

Some states are so locked into the politics of Obamacare that they’ve refused to expand the Medicaid coverage that would help more working families get covered. As a result, nearly 5.4 million of their own people are being left uninsured.


Nearly half of states are so locked into the politics of Obamacare that they're willing to leave nearly 5.4 million of their own people uninsured. Take a look at our map -- and make sure you share it.

24 States Are Refusing to Expand Medicaid, Leaving Millions Uninsured

End White House Dot Gov

Political obstruction is one thing, deprivation of vital services to people is yet another.

What did the poor every do to the GOP? Are the less fortunate the subject of conservative and GOP paradigms ("Free stuff) based in their economic misfortune.  Of course,  the poor cannot contribute like the Top 20% and corporation, but they are Americans and deserve the same rights the GOP fights so hard to preserve and protect on the other end of the economic spectrum. I am convinced the GOP has survey data indicating the people they ignore are not people who vote. 
StumbleUpon

Saturday, October 19, 2013

Affordable Care Act: State Exchanges, Federal Web Page, Medicaid Expansion And GOP Governors


A quick look at state exchanges. GOP strategy severely crippled a digital tools that, in developed according to the ACA could serve millions and would have performed and "end-around" against current problems with the federal government site.

Obama Facts Dot Com
state health insurance exchanges

Will My State Run Their Own Health Insurance Exchange?

We have compiled a list below as to where the states stand in regards to the status their health insurance exchange, which branch of Government will run the exchange, the structure of the exchange and what type of exchange they run.

Over the past three years, Republican governors have been stead-fast and subservient-robotic in refusing to both setup state enrollment exchange websites and more tragically, those same governors refused to accept medicaid expansion.

Let's focus for a bit of Medicaid Expansion.

In July of this year, we found a close to even split between Expanding/Leaning toward expansion vs .Unclear/Undecided/Leaning against expansion.


Governors who continue to refuse Medicaid Expansion are simply, and selfishly, perpetrating a serious disservice to people who may have cast votes to place them in office.   One can make a case the recalcitrant governors are committing crimes against humanity (in their respective states).

The Kaiser Family Foundation offers visuals that illustrate the point.





The five (5) million plus coverage gap is particularly disturbing based on the very construct of Medicaid Expansion.  The expansion was developed with the express purpose of providing coverage for the poor who cannot afford insurance premiums 


ObamaCare Facts Dot Com
ObamaCare Medicaid Expansion is one of the biggest milestones in health care reform. ObamaCare's Medicaid expansion expands Medicaid to our nations poorest in order cover nearly half of uninsured Americans. The law previously required states to cover their poorest or lose federal funding to Medicaid (federal funding covers 90-100% of the costs) until the supreme court ruling on ObamaCare. State's can now opt-out of Medicaid Expansion leaving millions of poor working families without coverage. 
States opting out of the expansion of Medicaid under ObamaCare is projected to drive up insurance costs drastically (check out the facts below), while saving the States relatively small amounts, if anything at all. Join the ObamaCare Facts Mailing List to keep up to date on Medicaid Expansion vote in your state.
The SCOTUS in 2012 re-affirmed the constitutionality of the ACA, but the conservative Court carved-out wiggle room for GOP governors, some of which won elections in 2010 via the Koch Tea Party movement.  Most GOP governors are paving the way for Koch efforts to stifle the ACA. It appears loyalty to the party and the Kochs (who have spent $200 million fighting the ACA) is more critical to the governors than people who cast votes. Unless, the GOP has data indicating the chronically poor may not stand as a reliable voting bloc. Only 60% of eligible voters voted in the 2012 general election. The figure was slightly up from previous general elections. It is possible the GOP ignores the impact of the following graphic based on knowing something about voters in their districts. 



The graphic illustrates why GOP governors in Arizona and Indiana decided to accept Medicaid Expansion. Decisions to forgo expansion seems illogical, deranged and insensitive. We are, however, referencing GOP governors; a temporary mental lapse on my part.

Where is the need for the ACA most prevalent?

Care Barriers

2009 Wiki image
 http://en.wikipedia.org/wiki/Health_insurance_coverage_in_the_United_States
Percentage of people without health insurance coverage by state, according to the United States Census Bureau(2009).[1]
  20–27%
  16–20%
  14–16%
  10–14%
  4–10%
“People in the coverage gap are likely to face barriers to needed health services or, if they do require medical care, potentially serious financial consequences,” the commission concluded in the report. “Further, the safety net of clinics and hospitals that has traditionally served the uninsured population will continue to be stretched in these states.” 
Mississippi leads the nation in the percentage of uninsured adults in the coverage gap with 37 percent, followed by Alabama with 36 percent, Louisiana at 34 percent and South Carolina at 33 percent. 
With 1 million uninsured in Texas, the state has the largest number of people without access to health insurance, representing a fifth of U.S. citizens without coverage. Florida has the second highest.
"Qu'ils mangent de la brioche" Translated and mis-attributted as "Let them eat cake!"

The phrase is commonly mis-attributed to Marie Antoinette

Additional source: Bloomberg,  Addictinginfo
___________________________________

GOP Recap: 

  • $60 plus million wasted on House of Oz repeal ACA votes,
  • $24 Billion wasted during the GOP Federal government shutdown,
  • Federal shutdown damage to the Us economy long-term, 
  • GOP governors refusing to setup ACA state exchanges and refusal to expand Medicaid subsidized by the Feds at the 93% level.
Should we bother to ask about a common thread among the bullet-ed items?  The common thread is: "people."
StumbleUpon

The Affordable Care Act Moves Forward! Connect The Dots Has Our Backs

The Affordable Care Act open enrollment is rolling along well in some states and not so well in other states.  Do you know the missing link between "working well" and "not working so well?" States that setup marketplace exchanges (as provisioned by the ACA) are experiencing far less enrollment issue than states did not setup-up state exchanges.  
A Primer to the State Exchanges: States have either implemented a state run health insurance exchange, or let the federal government run the health insurance exchange for them. Some states have taken a variation on the approach by partnering with another state or the federal government. No matter what approach your State took the way you shop for insurance is the same. Find your State's marketplace now and fill out an application for coverage that starts as early as January 1st, 2014. 
• Sometimes health insurance exchanges are called health insurance marketplaces.
• The official health insurance marketplace for State's not running their own exchange is www.healthcare.gov  See more
GOP Obstruction and insane resistance the provision of the ACA, has provide fruit for powerful plutocrats like the Koch brothers.  After, shelling out over $200 million in support of  "repeal or defund"  The brother from Kansas suit find a degree of satisfaction in ACA website issues. 

Connect The Dots has continued its stellar Obamacares education campaign via another information laden Facebook post.   The developer of the page points a finger at the core of enrollment problems and provides an opportunity to get around the problem in a few states where the GOP refused to setup an ACA exchange. 

As you view the image that follows, Connect also includes vital information about Medicaid Expansion: a key component of the ACA

Connect The Dots


If you live in one of the states setting up their own health insurance exchange (indicated by an “S” and one of the “P”s on this map), you can also bypass the jammed up HealthCare.gov federal site.

Here are the direct links for those states:
http://www.healthcare.gov/what-is-the-marketplace-in-my-state
California: http://www.coveredca.com/
Colorado: http://www.connectforhealthco.com/
Connecticut: http://www.accesshealthct.com/
District of Columbia: http://dchealthlink.com/
Hawaii: http://www.hawaiihealthconnector.com/
Idaho: http://www.yourhealthidaho.org/
(for enrollment this year, using http://www.healthcare.gov/)


The current problems with enrollment in states where Governors towed the GOP party-line or edict via refusal to setup an exchange will be resolved.  The ACA will move forward in some form despite GOP obstruction. The real tragedy is, there are people who need healthcare in states where the GOP governors have refuse to provide a website exchange.

Quick look at states with the highest level of uninsured (in 2009) has much in common with the states depicted via the Connect The Dots Facebook page.

2009
Percentage of people without health insurance coverage by state, according to the United States Census Bureau(2009).[1]
  20–27%
  16–20%
  14–16%
  10–14%
  4–10%

A sad state of affairs when the highest need existing states led by the GOP and with constituents who consistently vote Republican. 

ACA enrollment issues related to "back-end" Insurance providers must be fixed and fixed damned fast. Back-end problems are inexcusable to be frank, and should have the highest of priorities in bringing the problem to an end. 
StumbleUpon

Sunday, September 1, 2013

470,000 Michigan Residents Can Have Medicaid Expansion Benefits

Problem Fixed!

Michigan become the 25th state to adopt Medicaid Expansion via the Affordable Care Act.  One has to wonder how long it will take Medicaid Expansion to become available to millions more Americans in the 27 remaining states. 

Kaiser Family Foundation maintains a data base and website related to the Affordable Care Act.  After the excerpt from the Eclecta Blog we are posting a table with states of State Exchange development and Medicaid Expansion.

HealthcareGetting 470,000 Michiganders health care is a “crushing blow” to Michigan’s GOP

A house divided against the middle class cannot stand.

deltacounty
It took two votes, but months after Governor Rick Snyder (R-MI) told legislators to take a vote, not a vacation,” Medicaid expansion has finally passed Michigan’s state senate. An estimated 470,000 Michiganders who currently earn too much to qualify for Medicaid are likely to get fully subsidized health insurance as part of the Affordable Care Act.
Now a state Republican official is predicting the political wrangling that ended with Senator Tom Casperson (R-Escanaba) switching his vote in favor of expansion will cost the state GOP big in 2014.
“We will see division in our county, district and state party,” Adrian M. Poulisse, the Michigan GOP’s 1st Congressional District Secretary, wrote on the Delta County Republican Party website. “We will see primary challengers step up against incumbents. We will see some of the most divisive conventions we have ever seen.”

State Decisions on Health Insurance Exchanges and the Medicaid Expansion, as of August 28, 2013

LocationStatus of State Exchange DecisionCurrent Status of Medicaid Expansion Decision
United States17 Declared State-based Exchange; 7 Planning for Partnership Exchange; 27 Default to Federal Exchange25 Moving Forward at this Time; 21 Not Moving Forward at this Time; 5 Debate Ongoing
AlabamaDefault to Federal ExchangeNot Moving Forward at this Time
AlaskaDefault to Federal ExchangeNot Moving Forward at this Time
ArizonaDefault to Federal ExchangeMoving Forward at this Time
ArkansasPlanning for Partnership ExchangeMoving Forward at this Time1
CaliforniaDeclared State-based ExchangeMoving Forward at this Time
ColoradoDeclared State-based ExchangeMoving Forward at this Time
ConnecticutDeclared State-based ExchangeMoving Forward at this Time
DelawarePlanning for Partnership ExchangeMoving Forward at this Time
District of ColumbiaDeclared State-based ExchangeMoving Forward at this Time
FloridaDefault to Federal ExchangeNot Moving Forward at this Time2
GeorgiaDefault to Federal ExchangeNot Moving Forward at this Time
HawaiiDeclared State-based ExchangeMoving Forward at this Time
IdahoDeclared State-based Exchange3Not Moving Forward at this Time
IllinoisPlanning for Partnership ExchangeMoving Forward at this Time
IndianaDefault to Federal ExchangeDebate Ongoing1
IowaPlanning for Partnership ExchangeMoving Forward at this Time1
KansasDefault to Federal Exchange4Not Moving Forward at this Time
KentuckyDeclared State-based ExchangeMoving Forward at this Time
LouisianaDefault to Federal ExchangeNot Moving Forward at this Time
MaineDefault to Federal Exchange4Not Moving Forward at this Time
MarylandDeclared State-based ExchangeMoving Forward at this Time
MassachusettsDeclared State-based ExchangeMoving Forward at this Time
MichiganPlanning for Partnership ExchangeMoving Forward at this Time1
MinnesotaDeclared State-based ExchangeMoving Forward at this Time
MississippiDefault to Federal Exchange5Not Moving Forward at this Time
MissouriDefault to Federal ExchangeNot Moving Forward at this Time
MontanaDefault to Federal Exchange4Not Moving Forward at this Time2
NebraskaDefault to Federal Exchange4Not Moving Forward at this Time
NevadaDeclared State-based ExchangeMoving Forward at this Time
New HampshirePlanning for Partnership ExchangeDebate Ongoing2
New JerseyDefault to Federal ExchangeMoving Forward at this Time
New MexicoDeclared State-based Exchange6Moving Forward at this Time
New YorkDeclared State-based ExchangeMoving Forward at this Time
North CarolinaDefault to Federal ExchangeNot Moving Forward at this Time
North DakotaDefault to Federal ExchangeMoving Forward at this Time
OhioDefault to Federal Exchange4Debate Ongoing
OklahomaDefault to Federal ExchangeNot Moving Forward at this Time
OregonDeclared State-based ExchangeMoving Forward at this Time
PennsylvaniaDefault to Federal ExchangeDebate Ongoing
Rhode IslandDeclared State-based ExchangeMoving Forward at this Time
South CarolinaDefault to Federal ExchangeNot Moving Forward at this Time
South DakotaDefault to Federal Exchange4Not Moving Forward at this Time
TennesseeDefault to Federal ExchangeDebate Ongoing1
TexasDefault to Federal ExchangeNot Moving Forward at this Time
UtahDefault to Federal Exchange7Not Moving Forward at this Time
VermontDeclared State-based ExchangeMoving Forward at this Time
VirginiaDefault to Federal Exchange4Not Moving Forward at this Time
WashingtonDeclared State-based ExchangeMoving Forward at this Time
West VirginiaPlanning for Partnership ExchangeMoving Forward at this Time
WisconsinDefault to Federal ExchangeNot Moving Forward at this Time
WyomingDefault to Federal ExchangeNot Moving Forward at this Time
StumbleUpon