Some low-income seniors who qualify for both Medicare and Medicaid — the dual eligibles — have the chance to age in place in their communities thanks to Medicaid’s coverage of long term services and supports (LTSS). This is especially important for older adults who are juggling multiple chronic conditions and may require help with activities of daily living, like bathing, dressing, or eating.
This is a population at high risk for needing expensive institutional care, and is not the preferred site of care for most people. Community-based LTSS avoids institutionalizing many older adults and is a more cost-effective solution to the growing aging population. Continue reading
Source: U.S. Census Bureau, American Community Survey, 2013 and 2014Population Without Health Insurance Coverage by State: 2013 and 2014 (Click to enlarge.)
For the past two months, new data on the rate of the uninsured in the United States have reached what appear to be historic levels.
Last week, the U.S. Census Bureau released the latest numbers, reporting that the percentage of Americans who were uninsured last year dropped by 2.9 percentage points from 2013, the largest percentage-point decline since 2008.
In an article for Kaiser Health News, Julie Rovner went further, quoting Paul Fronstin, director of health research for the Employee Benefit Research Institute. The decline of almost 3 percent is, “probably the biggest drop ever,” Fronstin said. Continue reading
Photo: Rob via Flickr
Back in May, reporters in Florida stayed busy covering the nightmarish story of a Jacksonville dentist under investigation for Medicaid fraud by the state attorney general’s office.
Howard S. Schneider, who made nearly $4 million from Medicaid over five years, according to state records, gave up his license in the wake of allegations that he had overtreated and abused children. Continue reading
Medicaid expansion under the Affordable Care Act has brought health coverage to millions of new beneficiaries.
But even with the new benefits, poor adults in many states still are likely to lack dental care. While children are entitled to dental services under Medicaid, in many states, dental benefits for adults are lacking. What’s more, even in states that do offer dental coverage for adults, participating dentists can be extremely hard to find. Continue reading
A recent post by Bruce Japsen at Forbes makes a quick supplement to a post we did recently highlighting how hospitals are faring in Medicaid expansion states vs. nonexpansion states.
Japsen knows a lot about the business side of the hospital industry and has written about the ACA’s impact on hospital finance. Recently he’s been paying attention to second-quarter earnings reports of publicly traded hospital companies. (As he notes, it’s the sixth quarter since ACA coverage expansion began.) Continue reading
Photo: Gulkana WSR via photopin (license)Alaska’s dramatic landscape, seen here at Gulkana River, a popular sportfishing river known for its salmon and other fish.
President Barack Obama’s trip to Alaska this week is aimed at highlighting climate change and the environment, but his health care overhaul has turned up in the news, too.
This particular story by Alaska Public Media’s Annie Feidt paints the Alaskan health landscape in full relief, profiling the state’s top health official amid wrangling over the expansion of Medicaid under the Affordable Care Act, or so-called Obamacare. Continue reading
Here is an article that stood out amid the tidal wave of media coverage of Medicare and Medicaid’s 50th anniversary this year. It’s a piece about why Medicaid matters, posted on the Health Affairs blog.
As you read, keep in mind that the article is written by two people who strongly support the program: former Denver Health Chief Executive Patricia Gabow, who serves on the Medicaid and CHIP Payment and Access Commission and on the National Governors’ Association Health Advisory Board, and former Senate Democratic Leader Tom Daschle. It is not, by and large, a critique. Continue reading
We’ve all written a lot about the “Medicaid gap” – the low-income people who can’t get coverage under the Affordable Care Act because their states have opted out of Medicaid expansion. The Kaiser Family Foundation has estimated that 4 million people fall in this gap.
According to Moody’s Investors Service, nonprofit hospitals in expansion states have seen their bad debt from unpaid bills drop an average of 13 percent as they treated more patients who have coverage. In non-expansion states, bad debt rose.
Reuters’ Robin Respaut recently looked at how the Medicaid gap has affected two iconic urban safety net hospitals who treat a lot of low income people – Cook County in Chicago and Grady Memorial in Atlanta. Continue reading
Source: 19th Annual Towers Watson/National Business Group on Health Employer Survey on Purchasing Value in Health Care. © Towers Watson 2014.
For the purpose of this blog post, let’s leave aside the decade-plus ideological fight about whether health savings accounts (HSAs) are a good or bad idea.
Let’s just look at what happens to people who have them, at least according to this recent article by Michael Fletcher, a national economics correspondent for The Washington Post. His argument is that people could save money on health care – if they knew how to use their HSAs. Continue reading
The months-long controversy between Florida and the federal Medicaid program over funding for hospitals and clinics that serve uninsured low-income people drew attention to these uncompensated care pools. In Florida the arrangement is called the Low-Income Pool – better known as “LIP” (a gift to headline writers).
So what are these payments? And how do they differ from a Disproportionate Share Hospital (DSH) arrangement?
At least nine states, including Florida, have some kind of Medicaid waiver arrangement with the federal government that involves payments to safety net hospitals and, in at least some states, community health centers.
Joanne Kenen, AHCJ’s core topic leader on health reform, explains in a new tip sheet. Read more.