Medicaid Debacle

[AllenChicago]

It's awful that the parents now have to purchase a separate "off Exchange" policy for one child, and the kid isn't included in the overall family deductible or MOOP. The whole thing stinks . . . .

Cadylou, you can get the child/children back on a plan with their parents if you apply on-Exchange and you check "YES" to the question which asks if the child/children lost, or were rejected by, Medicaid or CHIP.

But, even with the added expenses that come with each child having his own plan, they are better off than they would be on Medicaid. Particularly with the big 40% Medicaid cut in pay that's coming to physicians in 24 states later this week.
-ac

 

[Yagents]

This is what Allen is talking about:
Medicaid set to drop payments for primary care physicians - FierceHealthcare

 

[cadylou]

Cadylou, you can get the child/children back on a plan with their parents if you apply on-Exchange and you check "YES" to the question which asks if the child/children lost, or were rejected by, Medicaid or CHIP.

But, even with the added expenses that come with each child having his own plan, they are better off than they would be on Medicaid. Particularly with the big 40% Medicaid cut in pay that's coming to physicians in 24 states later this week.
-ac

The issue with answering that question that way, is that in these cases, it simply isn't true - the families never applied for Medicaid since they know they aren't eligible. I do agree though that they don't want the kids on Medicaid - its been bludgeoned in MO & KS, so they would have trouble getting care for the children. Anyway - they are all set with their separate off-exchange policies for the kids now . . . .I'm so glad it's January!

 

[unic.consulting]

This one was new for me: Had a couple yesterday. Husband turns 65 this month and is retiring. Wife 64, doesn't work and turns 65 in December. Set him up with Supp, then went to get her an ACA plan. With retirement, he's getting paid his January salary + accumulated vacation and pension for the rest of the year. Totals ~$36k. System puts her on Medicaid?!!

 

[xrac]

This one was new for me: Had a couple yesterday. Husband turns 65 this month and is retiring. Wife 64, doesn't work and turns 65 in December. Set him up with Supp, then went to get her an ACA plan. With retirement, he's getting paid his January salary + accumulated vacation and pension for the rest of the year. Totals ~$36k. System puts her on Medicaid?!!

That is our wonderful government...........................!

 

[AllenChicago]

August 31, 2015

From the FWIW files: America has 322 million people. CMS says that as of June 2015, 72 million (22%) of the U.S. population is/are on Medicaid.

 

[taterpeeler]

August 31, 2015

From the FWIW files: America has 322 million people. CMS says that as of June 2015, 72 million (22%) of the U.S. population is/are on Medicaid.

i forgot... how many states did NOT expand the medicaid?... Probably enough to bring that number up to 40%... hence, half the entire country on govt private payer, so to speak.... mission accomplished....

what % are on group plans? 30....40%.... the small pentence of people on the indy market, like 15 million means nothing

 

[AllenChicago]

the small pentence of people on the indy market, like 15 million means nothing

Exactly what I was thinking. We get our trusses all in a knot over 4% of the population getting a 25% premium increase. But oh well..like politics, it's what happens closest to "home" that shapes our passions.

 

[xrac]

August 31, 2015

From the FWIW files: America has 322 million people. CMS says that as of June 2015, 72 million (22%) of the U.S. population is/are on Medicaid.

If Obama is in office much longer we will all be on Medicaid.

 

[sman]

Exactly what I was thinking. We get our trusses all in a knot over 4% of the population getting a 25% premium increase. But oh well..like politics, it's what happens closest to "home" that shapes our passions.

Of course it does. Some of us not only get to spend more on our premiums, we also get to pay higher taxes so others can pay less premium.

And for what it's worth, in my small sample, I've seen small group rates increase pretty drastically. So maybe we should include small group and individual in those who are impacted. Not just the 15 million IFP folks.