Pre-existing conditions and the health plan: Who's covered?
- Author: Leroy Wright May 06, 2017,
May 06, 2017, 20:37
It would send the states a fixed amount of money for each Medicaid enrollee, known as a per-capita cap.
In states that did not expand Medicaid, a provision of Obamacare that broadened the eligibility of the federal health insurance program for the poor but was subject to approval by state legislatures, hospitals are particularly anxious about rising premium costs.
The program cost $186 million that year, and the state had to kick in $82 million to cover these residents.
Either of those options would limit federal funding, shifting that burden to the states. But many states don't have the money to make up any shortfalls, so in such cases they would likely either curtail benefits, reduce eligibility or cut provider payments. The block grant would be more restrictive since the funding level would not adjust for increases in enrollment, which often happens in bad economic times.
"They are talking about slashing $800 billion, Chris, from Medicaid coverage". High-risk pools could fill up fast with patients who have a lapse in coverage. It hurts poor people, sick people, old people ... everyone. "People will die if this becomes law of the land", he added.
Democrats passed the Affordable Care Act in 2010 and then for the next seven years called it good, despite many problems with the law and its implementation.
"9 years ago we said it's really flawed.They said we know that, we'll fix it.they never got around to fixing it".
"Virtually every health care analyst that you talk to will tell you that these things just don't work very well", said Slavitt. "$800 billion", McAuliffe said.
"I think the decision-making that we have to make right now has to be based on the reality as it is today", Aetna's chief financial officer, Shawn Guertin, said in an interview on Tuesday after reporting that Aetna would lose $200 million on the business this year.
This time, he said, Republicans rushed to a vote after posting the bill at 8 p.m. the day before they were leaving town in order to avoid giving the CBO time to calculate the bill's impact. "It started in the House yesterday". Assuming you don't need health care insurance whatever your age is foolish.
But fellow lawmaker Rep. John Garamendi (D-Calif.), a former California insurance commissioner, disputed the notion that high-risk pools were effective.
In West Virginia, Bright said she has been drug-free for more than 100 days.
Coffman made clear to leadership what it would take to win his support - an amendment limiting how much more those with pre-existing conditions could be charged for coverage.
Kasich cited the importance of coverage for individuals "dealing with mental illness, addiction and chronic illness" and said he was "hopeful" that the Senate would revise the bill.
In a statement from Dr. Jack Ende, the group's president, it vowed to fight for a better change to the health care system instead of this "harmful legislation".
Paul Ginsburg, PhD, director of the Center for Health Policy at the Brookings Institution, a left-leaning Washington think tank, said he believes moderates who were unhappy with numerous bill's provisions were persuaded to vote for it with the thought that the Senate would offer something better.
"We estimated about a third people on exchange will drop it", said Will Ferniany, CEO of the University of Alabama at Birmingham (UAB) Health System. States have not said how they might cope with reductions in Medicaid funding or if they would alter covered benefits.
The House approved the bill Thursday without a full analysis by the Congressional Budget Office of its costs and how many people would be covered.
"In its current form, the (American Health Care Act) would roll back major provisions in the Affordable Care Act, jeopardizing the health care of 350,000 Oregonians, increasing prices for elderly Oregonians, reducing federal funding for Medicaid enrollment, and risking the loss of more than 23,000 jobs that were created in OR after the implementation of the ACA".