Unbiased Analysis of Today's Healthcare Issues
Health reform has expanded Medicaid access to millions of Americans. The question is, will the poor even want Medicaid insurance? As finances are tightening, many states are attempting to reduce the generosity of their current Medicaid benefits. In California, (where Medicaid is known as Medi-Cal), Governor Jerry Brown wants to reduce Medicaid’s benefit generosity. He…
According to Hamersma and Matthew Kim (2013), the answer is no. The authors use data from the 1996, 2001, and 2004 panels of the Survey of Income and Program Participation (SIPP). This data is supplemented with state-level information on Medicaid income eligibility rules. The authors classify each person as either: holding no insurance, private insurance,…
Over 10 million Americans need long-term services and supports to assist them in life’s daily activities. Of these, 1.6 million reside in a nursing home. Nursing home care, however, is expensive ($74,800 per year) and and quality is highly variable. To improve the quality of care, many states have begun adopting pay-for-performance (P4P) programs for nursing homes. Between…
How does it do this? Through the Medicaid Drug Rebate Program. Medicaid.gov explains: The Medicaid Drug Rebate Program is a partnership between CMS, State Medicaid Agencies, and participating drug manufacturers that helps to offset the Federal and State costs of most outpatient prescription drugs dispensed to Medicaid patients. Approximately 600 drug manufacturers currently participate in…
In 2010, CMS approved California’s “Bridge to Reform” waiver request that authorized the state to expand its mandatory managed care to seniors and people with disabilities covered by Medi-Cal. Authorized under a Section 1115 waiver, the policy affected nearly 400,000 Medi-Cal enrollees, including 240,000 who were moved from fee-for-service into managed care between June 2011…
Today, Aetna, the third-largest U.S. health plan, agreed to buy Coventry Health Care for $5.6 billion. Aetna paid a 20 percent premium for Coventry. Why is Coventry such an attractive target? The answer is that President Obama’s Health Reform will greatly expand the number of people eligilbe for Medicaid. Since many states are moving towards…
To answer this question the best place to look is Paul Ryan’s budget proposal. The proposal would convert Medicare and Medicaid into voucher-based programs. Individuals and families not covered by either of these programs would receive assistance through a refundable tax credit based on the individual’s income. You can find more information on Mr. Ryan’s…
Does Medicaid coverage decrease mortality? According to a recent study in NEJM, the answer is yes. “Mortality declined significantly (by 19.6 deaths per 100,000, for a relative reduction of 6.1%; P=0.001). Reductions were greatest among nonwhites and older adults, with smaller but significant reductions among whites and no effect among persons under the age of…
Although Health Reform did little to reduce the cost of health care, it did make significant strides to expand access to care. For low-income individuals, the increased access comes along two dimensions: expanded Medicaid eligibility and increased physician fees. Specifically, Health Reform required to Make all individuals with incomes below 138% of the Federal Poverty…
The answer depends on the state. Today, I examine an Urban Institute research paper that looks at this progress in more detail. Dividing States into 3 Group The most advance States fall into Group 1 (CA, CO, CT, DC, HI, IN, MA, MD, NV, OR, RI, UT, VT, WA, WV). These states have either enacted…