The Future of Medicare and Medicaid
5/20/17 - Can States Survive The Per Capita Medicaid Caps In The AHCA? - Health Affairs Blog
5/18/17 - Study: House ObamaCare repeal bill cuts $43B in Medicaid funds for children - The Hill
5/4/17 - A Little-Noticed Target in the House Health Bill: Special Education - The National Alliance for Medicaid in Education estimates that 1 percent of all Medicaid reimbursement goes to local school districts. Even without the funding, school districts would be legally required to provide special education services. - New York Times
4/25/17 - CHIP Offers Families With Seriously Ill Kids More Financial Protection Than ACA Plans - Kaiser Health News reports that a kids with chronic conditions are especially vulnerable to health insurance changes, relying as they often do on specialists and medications that may not be covered if they switch plans. A new study finds that these transitions can leave kids and their families financially vulnerable as well.
4/5/17 - States Seek Medicaid Dollars for Addiction Treatment Beds - Pew Charitable Trusts looks at the need for more treatment beds. Although greater use of addiction medications, including methadone, buprenorphine and Vivitrol, has been advocated at the federal and state level, residential care is still considered an essential treatment option for many.
3/27/17 - In Health Bill’s Defeat, Medicaid Comes of Age - The NYT looks at the history, and future of Medicaid, which has surpassed Medicare in the number of Americans it covers. It has grown gradually into a behemoth that provides for the medical needs of one in five Americans — 74 million people
3/22/17 - How Will Repealing the ACA Affect Medicaid? Impact on Health Care Coverage, Delivery, and Payment - The Commonwealth Fund examines the effects of reducing the size and scope of Medicaid under legislation to repeal the ACA.
3/20/17 - The Silent Victims of the GOP Health-Care Proposal - The Atlantic look at the impact of the AHCA on children. 40% of all American children are on Medicaid. Thanks to Medicaid and the ACA, 95% of all American children are now insured. The AHCA will throw millions of kids off Medicaid.
3/20/17 - 11 Million People on Medicare Are Also Covered by Medicaid. What Could Switching to a Medicaid Per Capita Cap Mean for Them? - About 15% of Maryland Medicaid recipients are known as "dual eligible", in that they qualify for Medicare, and Medicaid. The majority of them are women over the age of 85, nursing home residents, and 25% have concurrent disabilities. What becomes of them? A report from the Kaiser Family Foundation.
3/18/17 - Medicaid’s Role in Addressing the Opioid Epidemic - From the Kaiser Family Foundation. Infographic which examines demographics and looks at State Indicators of Medicaid’s Role in Addressing the Opioid Epidemic.
3/14/17 - How the GOP plan to change Medicaid punishes the working poor - explained in a cartoon by Vox
3/12/17 - Sleeper issue of Medicaid’s future could prove health-care plans’ stumbling block - “What the Republican plan is doing . . . is basically a war on disabled people,” - in the Washington Post
3/10/17 - Fact Sheet: Changing Medicaid to a Block Grant or Per Capita Cap Could Hurt Marylanders - One in Every Five Marylanders (1.2 million) receives Medicaid. 60% of those receive Long Term Care Services (Nursing homes), and Home and Community Based Services, and it uses up more than half the cost of all Medicaid services in Maryland. Putting a per capita limit on all Medicaid, doesn't leave a lot of room for much more - from AARP
3/7/17 - Medicaid Per Capita Caps and Block Grants: Devastating for People with Disabilities - from the Consortium for Citizens with Disabilities
3/3/17 - House GOP Medicaid Provisions Would Cut Federal Medicaid Spending by $560 Billion Over Next Decade - Dire estimates from the Center on Budget Policy and Priorities
2/27/17 - Top 5 Ways ACA Repeal and Medicaid Financing Changes Would Harm Our Youngest Children - from the Georgetown University Health Policy Institute's Center for Children and Families
2/23/17 - Unpacking the House Republican Policy Brief: Would Medicaid’s Role as Public Insurance End? - An excellent overview from the Commonwealth Fund, unpacking the funding proposals being floated around by Congress. Far from giving all Americans access to affordable, high-quality health care, the proposal could, in short, end the right to coverage for nearly one of five Americans.
2/17/17 - Medicaid Exposes Rifts in the GOP Over the Program's Future After the ACA - The Washington Post examines the GOP rift between the have's and have not's. The divide over Medicaid’s future, which is a legacy of a 2012 Supreme Court decision giving states the choice of whether to embrace the ACA provision that for the first three years has paid the entire cost of covering Medicaid-expansion beneficiaries — adults earning up to 138% of the federal poverty level.
2/15/17 - ACA Medicaid Expansion Drove Nationwide Increase in Coverage for People with HIV - In the first nationwide analysis of its kind, the Kaiser Family Foundation found that coverage for people with HIV in care rose six percentage points between 2012 to 2014, when ACA coverage expansions took effect. That increase was largely driven by states that expanded Medicaid.
2/14/17 - ACA Repeal: What's at Stake for Women's Medicaid Coverage? - Changes to Medicaid threaten the health & economic security of 7.8 million women. Two-thirds of which are women of color. The National Women's Law Center
2/14/17 - Essential Facts About Bock Granting Medicaid - States would receive a fixed, preset amount of federal Medicaid funding—a block grant—each year to use to provide health coverage to their low-income residents. In Medicaid expansion states like Maryland, that could mean as many as 260,000 Marylanders would lose coverage, and the state would lose $2.4 billion in Federal subsidies, leaving our most vulnerable populations without coverage. Commonwealth Fund
1/12/17 - Republican Governors Support the Expansion of Medicaid - Republican Governors from seventeen states with expanded Medicaid coverage, write about their experience, and what's it's meant to the people of their state. Families USA
12/27/16 - The Future Of Medicaid May Be Found In Indiana, Where The Poor Pay - Instead of addressing and fixing the inherent bureaucracy in the state's Medicaid program, Seema Verma, the incoming head of Health and Human Services, added another layer of administrative overhead and expense, by charging Medicaid patients monthly premiums.
12/07/16 - What Coverage and Financing is at Risk Under a Real of the ACA Medicaid Expansion? - the title speaks for itself. - Kaiser Family Foundation
12/06/16 - Medicare's Future Depends on Trump-Ryan Alliance - It doesn't appear to be a high priority immediately, but once the ACA repeal is under way... - The Hill
12/04/16 - Medicare Reform Must Happen, But No Plan Yet - Scott Pelley interviewed House Speaker Paul Ryan on "60 Minutes" about all things healthcare and his working relationship with Trump. Ryan says he hasn't even spoken to Trump about Medicare yet. Full transcript and video at the link. - CBS News
11/29/16 - Trump picks Seema Verma to Head CMS: A big proponent of privatizing Medicare and using HSAs. - Politico
11/27/16 - Can Speaker Ryan Actually Privatize Medicare? It may not be as easy as he thinks. He wants to cut entitlement programs to spend more money on defense instead of the poor and elderly. And Trump's agenda seems to be focused on trade, immigration, and repealing and replacing the ACA, but not Medicare - yet. - Politico
11/27/16 - Everything You Wanted to Know About MACRA But Were Afraid to Ask - A consumer's guide to Medicare's new rules on Doctor's pay. The new reimbursement system pegs part of doctors’ fees under Medicare to the quality and efficiency of the care they deliver. Excellent overview by the folks at Kaiser Health News
11/21/16 - What Would Block Grants or Captitation Spending Limits Mean for Medicaid? - This approach would create funding gaps for states to either absorb or, more likely, offset through new spending and coverage limits. As a result, block-granting Medicaid or instituting “per capita caps” would reduce the number of Americans eligible for Medicaid and narrow coverage for remaining enrollees. - The Commonwealth Fund
11/14/16 - Ryan's False Claims About Medicare Going "Broke" - Ryan's claims got a "Four Pinocchio" rating from the Washington Post
11/11/16 - Advocates worry about the future of the Center for Medicare and Medicaid Innovation, which was created through the ACA. Any changes to it could have implications for Maryland's All-Payer model and other delivery system transformation projects. - CMS.gov
11/10/16 - Speaker Paul Ryan says he is determined to roll back 50 years of progress with Medicare. He proposes to privatize it, by having the government provide subsidies for the elderly to purchase their own insurance in the private marketplace. - New York Magazine