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View Full Version : Oops: Medicaid EVEN BETTER DEAL For States Than Originally Predicted



Cigar
04-23-2014, 10:16 AM
http://images.dailykos.com/images/78789/large/Medicaid-Extension_revision1_2.jpg

Last week's report (http://www.dailykos.com/story/2014/04/14/1291947/-CBO-Obamacare-will-have-lower-premiums-insure-more-and-cost-government-less-than-nbsp-projected)from the Congressional Budget Office was a barnburner for the Affordable Care Act, predicting that Obamacare was set to deliver insurance to more people, with lower premiums and more savings for the government than all of their previous prediction. But that's not all. The Center on Budget and Policy Priorities digs a little deeper into the report, and discovers that the CBO says Medicaid expansion is an even better deal for states than originally predicted.



CBO has sharply lowered its estimates of the costs to states of adopting the Medicaid expansion.


CBO now estimates that the federal government will, on average, pick up more than 95 percent of the total cost of the Medicaid expansion and other health reform-related costs in Medicaid and the Children’s Health Insurance Program (CHIP) over the next ten years (2015-2024).

States will spend only 1.6 percent more on Medicaid and CHIP due to health reform than they would have spent without health reform (see Figure 1). That’s about one-third less than CBO projected in February. And the 1.6 percent figure is before counting the state savings that the Medicaid expansion will produce in state expenditures for services such as mental health and substance abuse treatment provided to the uninsured.

http://www.cbpp.org/cms/index.cfm?fa=view&id=4131




Now the CBO is projecting fewer people—who were eligible but not enrolled for Medicaid before health reform—will enroll in it now. That's because of a variety of factors: some will just refuse to sign up, but some will become eligible for private coverage. Because of that increasing flux in the population that has always been eligible for Medicaid, CBO now expects fewer of them to enroll, and thus expects states to spend less over the next decade than it previously assumed.


Expansion states are saving money by taking the expansion. They're no longer having to pay hospitals and other providers for the care they are providing that isn't covered by private insurance or Medicaid. And none of the states that is rejecting the expansion is going to save money (http://www.dailykos.com/story/2013/12/06/1260733/-Medicaid-refusal-isn-t-just-a-health-care-issue-it-s-a-political-issue) over the next decade because of it. So as many as 17,000 people could die (http://www.dailykos.com/story/2014/01/31/1270171/-Harvard-Study-States-Medicaid-expansion-refusal-will-kill-nbsp-thousands) prematurely and unnecessarily this year, and next year, and the next, because states aren't willing to spend 1.6 percent more on Medicaid and CHIP. Purely out of political spite.

http://www.dailykos.com/story/2014/04/22/1293823/-CBO-Medicaid-even-better-deal-for-states-than-originally-nbsp-predicted


Ladies and Gentlemen ... The Democratic Ads keep writing themselves................http://www.democraticunderground.com/emoticons/rofl.gif

Matty
04-23-2014, 10:20 AM
The Federal Government doesn't pay for shit. The taxpayers do. You know the people who get up every single day, rain or shine, sick or well and go to work and pay Federal Taxes. There's a hardworking human behind all your freebies!

Captain Obvious
04-23-2014, 10:23 AM
This is stuff I'd normally be interested in and discussing but seeing that Cigar posted it, a) it's a waste of time to read since it's probably full of misstatements and distortions and b) he ain't going to discuss anything like this intelligently, so what's the point?

Cigar
04-23-2014, 10:24 AM
The Federal Government doesn't pay for shit. The taxpayers do. You know the people who get up every single day, rain or shine, sick or well and go to work and pay Federal Taxes. There's a hardworking human behind all your freebies!


Never stopped us before ... :laugh:

http://www.kitsune.addr.com/Rifts/Rifts-Pre-Rifts-Vehicles/United_States/US_CVN-89_Saratoga_Carrier.gif

U.S. CVN-89 Saratoga class Nuclear Stealth Carrier:

Cigar
04-23-2014, 10:25 AM
This is stuff I'd normally be interested in and discussing but seeing that Cigar posted it, a) it's a waste of time to read since it's probably full of misstatements and distortions and b) he ain't going to discuss anything like this intelligently, so what's the point?

If I were you, I'd run also :grin:

hanger4
04-23-2014, 11:05 AM
Daumn Capt. Cigars next two posts proved your point to a T. Who'd a thunk. :)

Captain Obvious
04-23-2014, 11:07 AM
Daumn Capt. Cigars next two posts proved your point to a T. Who'd a thunk. :)

Yeah, lol!

I must be psychic.

:afro:

Cigar
04-23-2014, 11:45 AM
Daumn Capt. Cigars next two posts proved your point to a T. Who'd a thunk. :)

When's the next repeal vote? :laugh:

Kalkin
04-23-2014, 12:17 PM
When's the next repeal vote? :laugh:
Not soon enough. And they'll keep coming until one succeeds.

lynn
04-23-2014, 05:26 PM
Are you stating that because those states that did expand Medicaid that their entire population now has coverage?

Cigar
04-24-2014, 06:51 AM
Not soon enough. And they'll keep coming until one succeeds.

Enjoy :laugh:

zelmo1234
04-24-2014, 07:05 AM
What is really great is the Feds keep cutting their portion of what they will pay!

In less than 10 years they are in for half, in 25 years they are in for nothing! and the states have the entire burden

This will bankrupt every state, that is why 34 said NO!

Mainecoons
04-24-2014, 07:27 AM
Details, details, don't confuse Cigar with details.

:grin:

lynn
04-24-2014, 09:06 PM
Those Republican states will expand next year at the tune of an additional 4 million new signups and the year after that another 3 million will sign up and then it will start leveling off.

momsapplepie
04-24-2014, 09:20 PM
What is really sad is the feds are forcing the states to raise taxes, on top of the feds raising taxes. Redistribution and the destruction of the middle class anyone?

Professor Peabody
04-24-2014, 11:25 PM
The States that refuse to expand Medicaid will make out like bandits. The state that didn't expand Medicaid, low income folks will be forced to buy insurance or pay the Obama fine. Since most are renters, they can just pack up the Prairie Schooner and move to a liberal state that will give them free health care on top of the other free stuff. The state that expanded Medicaid will have an increase cost across the entire social safety net spectrum. States that refused to expand Medicaid will enjoy reduced costs for Welfare, Food Stamps, WIC's Coupons, Section 8 Housing, Low Income Energy Assistance (especially important due the the steep rise in energy costs), education and other social services. Meanwhile, States that did expand Medicaid will pick up all those additional costs. Democrats are desperate to get all the states on board so the poor and needy don migrate to their states. That's why we see such desperation on their part, I believe the migration has already begun.

lynn
04-25-2014, 10:49 AM
The odds that poor people will move to expanded Medicaid states is highly unlikely. Poor people rely on networking with each other to meet their needs that the state does not provide. They won't move unless they know people in those states.

Most of the Republican states will expand, they are holding out for political donations from those that are investing off of it as a result of their state expanding. Besides that the states that did expand really only added 3.6 million new people. Since they are presumed healthy, they should not add that much to insure them.

Newpublius
04-25-2014, 10:56 AM
The cooperative federalism model we currently employ which is epitomized by Medicaid (which is essentially a joint federal/state project) demonstrates how government spending runs amok and there is nothing so rare as a shrinking government. The reason, never government shoulders the full cost, so both governments are collectively making a spending decision based on the perceived 'discounted' cost.

From the state's point of view, just like Cigar said, it's a 'good' deal, they only pick up the bill for the portion not covered by the fmap which is a low of 50% in the wealthier states and in actuality much higher in states like West Virginia.

Mainecoons
04-25-2014, 11:14 AM
The odds that poor people will move to expanded Medicaid states is highly unlikely. Poor people rely on networking with each other to meet their needs that the state does not provide. They won't move unless they know people in those states.

Most of the Republican states will expand, they are holding out for political donations from those that are investing off of it as a result of their state expanding. Besides that the states that did expand really only added 3.6 million new people. Since they are presumed healthy, they should not add that much to insure them.

Not at all. Read the history of the migration of the black poor from the south to the north after WWII. Poor people can and will move to get more free benefits just as they moved then to get work (there were very few free benefits then).

http://128.135.46.110/sites/default/files/meyer_do_the_poor.pdf

See page 30.

Bob
04-25-2014, 11:20 AM
Never stopped us before ... :laugh:

http://www.kitsune.addr.com/Rifts/Rifts-Pre-Rifts-Vehicles/United_States/US_CVN-89_Saratoga_Carrier.gif

U.S. CVN-89 Saratoga class Nuclear Stealth Carrier:



An aircraft carrier designed by democrats.

One deck. Stunning

An aircraft carrier designed by republicans.

6998

Two decks

The right way

Bob
04-25-2014, 11:25 AM
If I were you, I'd run also :grin:

You always tout the ACA.

Tell us all this.

Why are 70 percent of the public that you claim needs insurance, not taking your deal?

And those who took it, were previously insured and the ACA drove them off.

So, a lousy product, paid for upon orders and you want to talk as if you are proud?

Bob
04-25-2014, 11:27 AM
Yeah, lol!

I must be psychic.

:afro:

Of course you must be.

So, what would I have said, had you not said what you said?

Bob
04-25-2014, 11:49 AM
Those Republican states will expand next year at the tune of an additional 4 million new signups and the year after that another 3 million will sign up and then it will start leveling off.

http://www.washingtonpost.com/blogs/wonkblog/wp/2013/10/15/obamacare-is-a-bit-like-the-astronaut-on-top-of-the-rocket/

The products offered are lousy.

It is like the public picking up milk and upon opening it, discover it is sour.

People who signed up, were covered until Obama scare became law. Can you afford super high deductibles and poor quality plans?

Bob
04-25-2014, 11:50 AM
http://www.washingtonpost.com/blogs/wonkblog/wp/2013/10/15/obamacare-is-a-bit-like-the-astronaut-on-top-of-the-rocket/

lynn
04-26-2014, 11:47 AM
http://www.washingtonpost.com/blogs/wonkblog/wp/2013/10/15/obamacare-is-a-bit-like-the-astronaut-on-top-of-the-rocket/

The products offered are lousy.

It is like the public picking up milk and upon opening it, discover it is sour.

People who signed up, were covered until Obama scare became law. Can you afford super high deductibles and poor quality plans?


They don't care that you cannot afford the deductibles for this wasn't about you actually getting healthcare. It was about collecting those premiums per month, year after year is what they wanted. The preventative care at no cost to the insured was for a base line data on the health of the population that is transmitted from the provider of care to the government as in electronic medical records data.