| Healthcare Bill Part III; Obamacare | |
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| Tweet Topic Started: Mar 3 2014, 02:20 PM (48,563 Views) | |
| Baldo | Jul 19 2015, 11:09 PM Post #2131 |
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Duh! It wasn't like they weren't warned! Medicaid enrollment surges, stirs worry about state budgets ATLANTA (AP) — More than a dozen states that opted to expand Medicaid under the Affordable Care Act have seen enrollments surge way beyond projections, raising concerns that the added costs will strain their budgets when federal aid is scaled back starting in two years. Some lawmakers warn the price of expanding the health care program for poor and lower-income Americans could mean less money available for other state services, including education. In Kentucky, for example, enrollments during the 2014 fiscal year were more than double the number projected, with almost 311,000 newly eligible residents signing up. That's greater than what was initially predicted through 2021. As a result, the state revised its Medicaid cost estimate from $33 million to $74 million for the 2017 fiscal year. By 2021, those costs could climb to a projected $363 million. "That is a monstrous hole that we have got to figure out how to plug, and we don't know how to do it," said Kentucky state Sen. Chris McDaniel, a Republican who leads the Senate budget committee and opposed expansion. "The two biggest things that keep me up at night are state pensions and the cost of expanded Medicaid."...snipped ...Thirty states and the District of Columbia have expanded Medicaid, or plan to do so, to include all adults with incomes at or below 138 percent of the federal poverty level, currently $16,243 for an individual. The federal government agreed to pay all costs for the new enrollees through 2016, but it will begin lowering its share in 2017. States will pay 10 percent of the costs by 2020. In the expansion states, enrollment for Medicaid and a related program for children have increased an overall 28.2 percent compared with a three-month period before the law's implementation, according to the federal government. In a recent report, economic experts at the U.S. Department of Health and Human Services said they expect estimated enrollment and per-person cost increases to level off and even decline over the long run. At least 14 states have seen new enrollments exceed their original projections, causing at least seven to increase their cost estimates for 2017, according to an Associated Press analysis of state budget projections, Medicaid enrollments and cost details in the expansion states. A few states said they could not provide original projections. California has enrolled nearly 2.3 million people so far — almost three times more than the 800,257 the state had anticipated. Enrollment in neighboring Washington more than doubled. Oregon's new enrollments have exceeded estimates by 73 percent. In Michigan, estimated costs have shot up by 50 percent because of soaring enrollment. Ohio's projected costs more than doubled....snipped An Associated Press review earlier this year found at least 22 states were dealing with budget shortfalls for the 2016 fiscal year. "In those states that do have budgetary balance, it's somewhat tenuous," said credit analyst Gabriel Petek with Standard & Poor's Ratings Services. Add the cost of rising Medicaid enrollments and "something has to give. Most likely, it means they have to spend less in other areas or they have to increase their tax revenues." Oregon originally estimated 222,700 newly eligible Medicaid recipients would sign up by the end of June, but that number ballooned to 386,000. Paying for the new enrollees isn't the only Medicaid cost troubling Oregon lawmakers. Starting in 2017, the state loses $1.9 billion in federal aid that has propped up the Medicaid program since 2012 under a special deal with the government. Between the Medicaid expansion, the lost federal aid and normal growth, Oregon's Medicaid budget is expected to need $500 million between 2017 and 2019, said Democratic state Sen. Richard Devlin, one of two lawmakers who oversee the budget. The best solution, he said, is to make sure people are working and don't need the government health care program. "I think, really, the only way to keep this manageable is to keep those costs under control, get people off Medicaid," he said....snipped http://apnews.myway.com/article/20150719/us--medicaid_expansion-state_budgets-a325d9290a.html The Great bait & Switch that Obama, Reid, & Pelosi pulled on the States. Why worry? We will be out of office and safely behind our Dacha walls with the millions of loot we "earned!" |
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| kbp | Jul 20 2015, 08:50 AM Post #2132 |
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How can they be so far off on their enrollment estimates? Maybe they used the poverty head count from before Barry taking office. |
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| Baldo | Jul 20 2015, 09:45 AM Post #2133 |
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Maybe they used their best tool in the tool chest, Lying! |
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| LTC8K6 | Jul 20 2015, 11:00 AM Post #2134 |
Assistant to The Devil Himself
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What about the Federal budget? it's still supposed to pick up the majority of the costs even after 3 years. If enrollment is close to double... Also this: http://www.forbes.com/sites/theapothecary/2013/05/02/oregon-study-medicaid-had-no-significant-effect-on-health-outcomes-vs-being-uninsured/ Oregon Study: Medicaid 'Had No Significant Effect' On Health Outcomes vs. Being Uninsured |
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| kbp | Jul 20 2015, 10:39 PM Post #2135 |
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It will take some time to soak in all this data! |
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| kbp | Jul 21 2015, 12:09 AM Post #2136 |
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Took some time before I realized I had read the Oregon study before! Think about it while reading this one: https://www.insidehighered.com/news/2015/07/20/health-care-and-higher-education-face-similar-challenges-and-transformations The plans work well if a third party is paying for all the cost! |
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| Baldo | Jul 21 2015, 12:27 AM Post #2137 |
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What is Medi-Share? Medi-Share is a community of more than 143,000 Christians who follow the biblical model of sharing and paying each other's medical bills much like the early church did 2,000 years ago. Members of this not-for-profit ministry live healthy biblical lifestyles, which keep costs down. With seven levels of sharing, you'll find flexible convenient choices to fit your family. Medi-Share is Christians Making a Difference Since 1993, Medi-Share members have shared over $1 billion in healthcare expenses. Instead of monthly premiums, which are skyrocketing nationwide, Medi-Share members share in each other's medical bills and on average pay significantly less for healthcare. Members also pray for and send notes of encouragement to each other. If the federal healthcare reform mandate has you seeking a wise and God-honoring choice for your healthcare, you'll find it in Medi-Share. Medi-Share members have a special provision in the law and are exempt from the requirement to purchase costly health insurance or face penalties! How does it work? Medi-Share is a modern-day version of what the church started back in the book of Acts. Members contribute a monthly share, based on which option they choose, and it is used to pay other members' eligible medical bills. See How it Works..snipped https://medi-share.org/ms/lp/pi_12-6-Why-Medi-Share.aspx? I heard their advertising on the radio. They have over 143,000 members. Seems like it is based on the Quaker model. They say because it is a voluntary religious program where they share costs & do they do not have to pay for the morning after pill, abortions, etc Interesting idea on a free market solution, I guess the "devil' is in the details, or in this case it isn't. Edited by Baldo, Jul 21 2015, 12:28 AM.
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| LTC8K6 | Jul 21 2015, 12:42 AM Post #2138 |
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Assistant to The Devil Himself
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What does the IRS say? |
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| Mason | Jul 21 2015, 06:51 AM Post #2139 |
Parts unknown
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. EASY to understand, don't miss it. http://news.investors.com/ibd-editorials/072015-762541-medicaid-enrollment-and-costs-are-far-above-forecasts.htm . |
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| kbp | Jul 21 2015, 08:48 AM Post #2140 |
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I recall this, or something like it, being challenged long ago because it crossed state lines. IIRC, that voluntary donation thing beat the regulations regarding state lines. There are smaller religious groups out there that have similar systems. |
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| kbp | Jul 21 2015, 09:14 AM Post #2141 |
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http://engagedscholarship.csuohio.edu/cgi/viewcontent.cgi?article=1341&context=jlh Jump to Conclusion on page 58. Page 60 ... Fourth, HCSM members “may use any doctor or hospital without restriction,” while some insurance “plans specify which doctors may be used. Access to specialist care may be restricted.” In addition, the Christian Healthcare Ministry (CHM) provided a cost comparison between its “Gold Level” participation and average 2010 prices for Health Maintenance Organization (HMO) plans, Preferred Provider Organization (PPO) plans, and Point of Service (POS) plans. The HMO, PPO, and POS family plans all cost over $1,100 per month, while CHM’s “Gold Level” plan costs $450. The HMO, PPO, and POS individual plans cost between $427 and $437, while CHM’s “Gold Level” individual plan costs $150. Thus, just from the savings alone, both through lower monthly “shares” as contrasted to premiums and much lower “deductibles,” HCSMs represent a financially sustainable means for ensuring the payment of the high costs of health care in the United States. Note: HCSM = Health Care Sharing Ministries  Obamacare Gold "cost over $1,100 per month" HCSM Gold costs $450 There's your $2500 savings!!!! Edited by kbp, Jul 21 2015, 09:16 AM.
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| kbp | Jul 21 2015, 09:17 AM Post #2142 |
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They are exempt from the mandate ...not IRS, but written in the law ...until Roberts or Barry rewrite it! |
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| Baldo | Jul 21 2015, 11:42 AM Post #2143 |
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It sounds intriguing to me. I see no reason why other members of faith couldn't join or set up their own fund. Now what would be the reaction of the Obama Administration? I am just guessing but if is gets big they will probably to file a racial discrimination or religious prosecution claim by the DOJ. They could find or send in an activist under false pretenses then file a claim when their services which are not covered for religious purposes are denied. No matter what Obama & his bureaucrats will go after them eventually. Don't forget he always has Judge Roberts to make some twisted logic to save Obama-care |
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| Mason | Jul 23 2015, 07:12 AM Post #2144 |
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Parts unknown
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. With Huge Entitlement programs poised to crash, Obama rolled out new behemoth entitlement programs (Obamacare). That timing will be damning to him when future generations do the post-mortem. http://news.investors.com/blogs-capital-hill/072215-763012-social-security-and-medicare-are-headed-for-fiscal-ruin.htm .CBO needs to be dismantled. . Edited by Mason, Jul 23 2015, 07:13 AM.
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| kbp | Jul 23 2015, 08:44 AM Post #2145 |
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Providing a little defense for the CBO... They are asked to calculate equations which those asking provide some controlling factors. ALL the CBO estimates were based on ALL the States cooperating, which is a moot issue now, according to Roberts. The interesting numbers were projected enrollment compared to actual. Obamacare exchange enrollment is falling short, which adds costs through the problems created by smaller pools (the state line limit prevents a national pool, but they'll work on that later!). Barry's crew then brags that numbers are coming in under budget, but the cost per person is higher and the out-of-pocket expense has more dropping out than they projected. The even greater variance is in the Medicaid expansion. The enrollment there is higher than was projected with all States cooperating and we have 24 States not even participating. That has left the budget short, while Barry's crew tries to pressure more States to participate (actually by cutting Medicaid funds in Florida and Texas so far!). The CBO projections for enrollment did not give any consideration for Barry providing a larger number of poor American citizens, those below the poverty level. So Obamacare hits us on two fronts: Exchange subsidies and Medicaid expansion. Premiums at exchanges will keep rising, as the budget to cover subsidies will grow tighter. No matter where premiums go, those enrolled NEVER pay more than 8% of their income (Barry set the household budgets!). Next we'll likely see more States participating the Medicaid expansion, so the cost there could skyrocket. We know debt and taxes hinder our economy, but more jobs would reduce the number that need these entitlements. The Obamacare solution also needs to account for the where SS & Medicare is headed! |
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