Tag: "Medicaid"

More Reasons Why Doctors Do Not Participate in Medicaid

doctor-xray-2This blog has many entries discussing how few doctors participate in Medicaid, the joint state-federal healthcare program for low-income people that ObamaCare expands. One reason is that fees are too low to induce doctors to participate. But even if doctors are willing to accept low fees, they find that Medicaid is the worst payer in their practices:

  • Medicaid programs have the highest number of days to collect payment (days accounts receivable): All payer average = 26 days; Medicaid average = 44 days.
  • Medicaid programs have the highest denial rate: All Payer average = 6.8%; Medicaid average = 18.5%.
  • Medicaid programs have the lowest transparency in electronic explanation of payment and adjudication of claims (electronic remittance advice): All Payer average = 95%, Medicaid average = 89.4%.

Hits and Misses

Scale with tape measure bowThe post-2008 recession is associated with increasing obesity in rich nations.

The actual waiting time for an appointment at Phoenix VA hospital was 115 days – 91 days longer than falsely reported.

Samsung’s new watch has medical sensors that scan below the skin and read data deep inside veins.

Stanford University doctors are using iPhones to photograph the inside of the eye.

Federal grants to states for health care increased 34 percent, 2008-2014. Grants for everything else dropped.

No kidding! States that accepted ObamaCare’s Medicaid expansion face unanticipated health expenses.

Headlines I Wish I Hadn’t Seen

Window Sill with HandsThousands of 2-year old and 3-year old toddlers are medicated for ADHD.

If you lied about your earnings when you applied for ObamaCare, you can be fined $250,000.

If a family of four raises its income from $35,300 to $47,100, ObamaCare hikes its taxes 13 percent.

Zeke Emanuel thinks ObamaCare needs a Czar.

Medicaid fails preventive health: Patients arrive at hospital in worse shape, suffer more complications, and stay longer than privately insured.

Hits and Misses

Ambulance at Emergency EntranceEmergency department visits for traumatic brain injury increased 29.1 percent, 2006-2010.

“Buying health insurance across state lines”: The most popular Republican talking point is uncompetitive, unconstitutional, and unnecessary.

Early ObamaCare 2015 premium notices have double digit hikes.

Medicaid expansion creates poverty by punishing work.

Price transparency: Three major insurers to publish provider prices online in 2015.

Study: Surgeries take 25 percent less time in ambulatory surgery centers than hospitals.

Will ObamaCare Prove More Costly Than Medicare and Medicaid?

One consistent argument in favor of expanding government-run health care in the U.S. goes like this: “We’re the richest country in the developed world, so we should be able to provide universal health care like all the other developed countries.”

Well, we are a heck of a lot richer than we were in the 1930s or 1960s, when Social Security, Medicare, and Medicaid rolled out. Despite our significant increase in income, those three programs are bankrupting the nation. And ObamaCare wreaks more fiscal havoc at a significantly faster rate than any of those programs.

With two simple charts, Charles Blahous of the Mercatus Center shows how much more expensive ObamaCare will be than Social Security, Medicare, or Medicaid — just five years after Congress enacted them.

In one chart, Blahous illustrates that the federal deficit will be about 5.5 percent of GDP five years after ObamaCare’s enactment — versus only 3 percent five years after Social Security’s enactment and less than one percent five years after Medicare’s and Medicaid’s enactment.

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Source: Mercatus Center.

Headlines I Wish I Hadn’t Seen

Why thretirement-crackede disabled on Medicaid can’t afford to retire. Here’s how Chile solved that problem.

ObamaCare pushes doctors and hospitals to consolidate; then the FTC and the DOJ claim they’ve violated anti-trust law.

30 percent fewer “young invincibles” enrolled in ObamaCare than expected; administration gets two Pinocchios.

More than 1,100 IRS employees who owe back taxes received more than $1 million in bonuses and more than 10,000 hours in time-off awards.

Will Vermont Ever Get a Single-Payer System?

money-rollsJust two small issues need to be resolved before the state gets to all systems go: First, it needs the federal government to grant waivers allowing Vermont to divert Medicaid and other health-care funding into the single-payer system. And second, Vermont needs to find some way to pay for it.

Although Act 48 required Vermont to create a single-payer system by 2017, the state hasn’t drafted a bill spelling out how to raise the additional $1.6 billion a year (based on the state’s estimate) the system needs. The state collected only $2.7 billion in tax revenue in fiscal year 2012, so that’s a vexingly large sum to scrape together…

Paying for this program would likely make Vermont the highest-taxed state in the nation, by quite a lot.

Megan McArdle.

Headlines I Wish I Hadn’t Seen

black-man-worriedWhy liberal cities are bad for blacks: Some of the most segregated cities in the U.S. are above the Mason-Dixon line, including Chicago, Milwaukee, Philadelphia and Detroit.

Flight 370: If nothing else can be learned from this bizarre hunt, one thing has become clear: There’s a ton of trash in the Indian Ocean.

Day care costs more than college in 31 states.

Processing backlog: Hundreds of thousands of consumers who may qualify for new Medicaid coverage aren’t getting it.

The TRICARE Quagmire

TRICARE, the health insurance program for active duty military and their families, has a well-deserved reputation for inadequate quality at an exorbitant public cost:

  • A 2008 survey found that 96 percent of physicians accepted new commercially insured patients, 86 percent accepted new patients on Medicare, and 72 accepted new patients on Medicaid. By contrast, between 2008 and 2011, only 58 percent of civilian providers accepted new TRICARE patients.
  • Premiums for enrollees have not risen in the 17 years since TRICARE’s inception in 1996. As a result, enrollment fees for TRICARE Prime recipients remain at $38 a month, about 12.5 percent of the average cost of comparable private insurance.
  • From 2001 to 2011, general military health care spending  grew twice as fast as the rise in the nation’s overall health care costs.  The TRICARE program has largely contributed to this growth, tripling over the last decade. TRICARE spending now accounts for about 10 percent of the baseline defense budget.

Here are some solutions, proposed by NCPA’s Jacob Casey.

ObamaCare to Increase Disruption and Discontinuity of Care for Low-Income Americans

A new Health Affairs study:

  • PiStock_000004347437XSmallre-ObamaCare, approximately half of low-income adults might have experienced a change of circumstances that caused churn between Medicaid and private coverage each year.
  • Higher-income states and states that had more generous Medicaid eligibility criteria for nonelderly adults before the ACA experienced more churning.
  • Under ObamaCare, more than 40 percent of adults likely to enroll in Medicaid or subsidized exchange coverage would experience a change in eligibility within twelve months.

Why is this important? Because people who are eligible for Medicaid are not allowed to get private, subsidized insurance in the exchange and vice versa.