• Home

Bernd Meier

Home health insurance health policy Medicaid obamacare Patient Protection and Affordable Care Act politics state budget state government; General Assembly Medicaid expansion has been more popular than expected, but that raises a question of whether it will really pay for itself

Medicaid expansion has been more popular than expected, but that raises a question of whether it will really pay for itself

Written by Unknown on 10:32 AM ,
Kentucky officials say the state’s Medicaid expansion under the federal health-reform law has enrolled more residents and created more jobs than expected, but a study will see whether the expansion will pay for itself, as an earlier study and Gov. Steve Beshear predicted.

Eric Friedlander, deputy secretary of the Cabinet for Health and Family Services, reported both a larger-than-expected Medicaid enrollment in every county and an increase of 17,000 jobs in Kentucky from Medicaid expansion at Monday's meeting of the legislature's Interim Joint Committee on Appropriations and Revenue.

Friedlander also discussed other benefits of Medicaid expansion, saying Kentucky health-care providers had received $892,973,500 in reimbursements from January to October of 2014, reports Brad Bowman of The State Journal in Frankfort.

Cabinet Secretary Audrey Haynes told Kentucky Health News on Tuesday that on the previous Friday, the cabinet had passed $1 billion in payments of federal money to health-care providers for treatment of people newly eligible for Medicaid: those with household incomes between 69 percent and 138 percent of the federal poverty level. About half the money has gone to hospitals, she said.

Still, many providers, particularly in rural areas, have reported cash-flow problems caused by delays in payment from Medicaid managed-care companies, lower-than-cost reimbursements and increased administrative burdens.

Also, some legislators have expressed concern about the cost of expanding Medicaid rolls, which grew more than predicted by a study that Beshear cited in his expansion decision. As the law outlines, the federal government will pay 100 percent of the costs until Jan. 1, 2017, when the state will begin paying a small share rising to the law's limit of 10 percent in 2020.

Republican Sen. Chris McDaniel of Taylor Mill, who is running for lieutenant governor on the gubernatorial slate headed by Agriculture Commissioner James Comer, asked Friedlander what Kentucky’s financial obligations would be because of the expansion in the next few years. He said that is uncertain.

Under initial estimates, based on the study by PriceWaterhouse Coopers, expansion was expected to cost the state only about $150 million a year when it was paying 10 percent of the cost. But the study only forecast that fewer than 300,000 newly eligible Kentuckians would sign up for Medicaid in the first year, but about 337,419 did.

To get updated cost projections, Beshear has contracted for a second analysis by an independent agency, which Friedlander said should be completed by mid-January, reports Ronnie Ellis of CNHI News Service.

The governor said the new study will speak for itself, reports Tom Loftus of The Courier-Journal. "I was confident after that initial report that we could certainly afford down the road over the next eight years to expand Medicaid and stay within our budget. I'm still confident," Beshear said.
Tweet
Newer Post Older Post

Popular Posts

  • Lexington is considering whether to add electronic cigarettes to its anti-smoking ordinance
    The Lexington-Fayette Urban County Council will discuss whether to expand its smoking ban to include electronic cigarettes, possibly as earl...
  • As part of UK campus food deal, Aramark puts up $5 million for Food Connection, vows to purchase Kentucky products
    By Melissa Patrick Kentucky Health News The University of Kentucky has entered a $5 million public-private partnership designed to promote ...
  • Heavy use of e-cigarettes may deliver big doses of formaldehyde, which can be a cause of lung cancer, study suggests
    Vapor produced by electronic cigarettes can contain a surprisingly high concentration of formaldehyde—a known carcinogen that can cause lun...
  • Ten common myths about diabetes busted
    Kentucky ranks 17th in diabetes, and many Kentuckians are newly diagnosed every year with the disease, usually Type 2 diabetes. The diagnosi...
  • Ky. ranks 8th in the number of high-prescribing Medicare physicians for powerful narcotic painkillers and stimulants
    Kentucky ranks eighth in Medicare physicians who are considered "high prescribers" of Schedule 2 medications, drugs that have the ...
  • Newport school board's smoking ban, which includes e-cigarettes, would be 38th among 173 Kentucky school districts
    The Newport Independent Board of Education  passed the first reading of a proposed smoking ban Wednesday, Jan. 28 after adding electronic ci...
  • Millions of children on Medicaid are missing free check-ups; Kentucky is a little below the national average
    Millions of low-income children across the country aren't getting free preventive exams and screenings guaranteed by Medicaid, and some ...
  • Obamacare seems to be no plus for Kentucky Democrats, perhaps mainly because of the word's first three syllables
    Though the federal health-reform law has helped cover more than half a million Kentuckians and cut the state's uninsured population by h...
  • McConnell seeks 'timely and fair review' of plan for Medicare coverage of CT scans for those at high risk for lung cancer
    U.S. Sen. Mitch McConnell asked Centers for Medicare and Medicaid Services  Administrator Marilyn Tavenner to "give a timely and fair r...
  • Research suggests eating only during a nine- to 12-hour time period can help maintain healthy weight
    For a long time, scientists supposed that eating after midnight was unhealthy, but now a study has provided support for the notion. When sci...
Bernd Meier © . All Rights Reserved. Powered by Blogger