“Does that make sense to anybody”, Mulvaney added.
How the expiration of that waiver and the rescinded Medicaid expansion under the new bill would affect the costs to taxpayers is unclear for now. By 2026, Medicaid spending would have been reduced 25 percent under the new bill, and 17 percent fewer people would be covered by Medicaid, largely due to the halt on Medicaid expansion. The federal requirement that state Medicaid programs achieve equal access compared to the general population is explicitly met, diminishing the threat of judicial actions. Caring for our children, whom we love more than anything, is a precarious balancing act that takes all the resourcefulness, determination, and energy we have. States feeling the crunch could look to such programs first when trying to make cuts. Those all go away under the proposed AHCA.
“Individuals had to demonstrate they were uninsurable” prior to getting this coverage, said Bill Custer, a health insurance expert at Georgia State University.
One woman, Carrie Couey from Colorado, said her insurance rates are “three times” higher than when Obamacare began. In fact, they fared worse: states that expanded Medicaid in 2014 saw mortality increase by nine per 100,000 in 2015 while non-expansion states saw an increase of six per 100,000. Each state’s approach and extent of parity is different, making it all but impossible to know what would happen in the absence of federal mandates.
Republicans in the House said their plan will dramatically reduce the deficit and give consumers more choices. The AJPH study explicitly excludes Medicaid recipients from its analysis.6 The AIM study examines the effects of the MA health-care reform in 2006, which primarily expanded private insurance coverage.7 Thus, both studies suggest that a policy whose effect is to increase private insurance coverage could have substantial public health benefits. The federal government now pays about 63 cents for every $1 spent on those patients in OH, many of them children, without any limits on total outlays. But it pays at least 90 percent for additional Medicaid enrollees who were made eligible by the expansion. Under the GOP replacement, that expansion would be phased out, although those now in the program would not lose their coverage. The program helps shoulder the financial burden not covered by commercial insurance, ensuring that these families are not devastated financially.
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“People move in and out as their circumstances change”, Sommers said in a phone interview.
The other significant change to Medicaid would be federal funding on a per capita basis, instead of the percent share the feds now pay to supplement each state’s program.
“So this is paradoxically creating incentives for people to not try new opportunities that might lead to temporary disruptions in their Medicaid because they wouldn’t have that safety net in place later on”.
Health Commissioner Jeff Meyers said Medicaid expansion has delivered almost $1 billion in federal money to New Hampshire since it began in August 2014. “Every other Republican is going to cut”. Republicans say that they want to the lower costs of healthcare and then turn around and write in a provision that allows insurance companies to charge up to five times higher premiums towards people over 60. When people are out of work, they don’t spend much.