A federal law that has long led to severely mentally ill Medicaid patients not receiving needed care at many psychiatric facilities has outlived its presumed usefulness, according to a recent report.
A February 2021 analysis by the Manhattan Institute documents how a federal institutes for mental diseases (IMDs) exclusion enacted in 1965 discourages states from investing in patient care and restricts care and access. The IMD exclusion bars states from using the federal portion of Medicaid payments for services rendered “inside or outside” IMDs. They include hospitals, nursing homes or other facilities with 16 or more beds that primarily provide mental health care. The exclusion targets Medicaid patients ages 21 to 64 years old. Continue reading
Private equity firms are in the business of making money. On the surface, there is nothing wrong with that. However, a disturbing story in The Washington Post alleges that when private equity is involved in the buying and selling of nursing homes, things are often worse than they seem.
The story, by reporters Rebecca Tan and Rachel Chason, looks at Portopiccolo Group, which has a history of buying one- and two-star rated facilities. Continue reading
President-elect Joe Biden has an ambitious plan to build upon the Affordable Care Act, in effect evolving “Obamacare” into “Bidencare.”
But depending on the outcome of the two Georgia Senate run-offs, Biden either will face a Republican-controlled Senate or a tied Senate in which Vice President Kamala Harris can cast a tie-breaking vote. On some issues, the Democrats might pick up a few Republicans, and on others, they could lose a few votes from their side. Continue reading
On Tuesday, the U.S. Supreme Court will hear oral arguments on whether it should strike down the individual mandate and the entire Affordable Care Act.
As always, SCOTUSblog has all the details on the case, California v. Texas and Texas v. California (both of which have been consolidated for oral arguments on whether the ACA’s requirement that Americans get health insurance is constitutional and, if not, whether the rest of the ACA can survive). Continue reading
Source: Analysis of the Fiscal Impact of Medicaid Expansion in Missouri, Center for Health Economics and Policy, Institute for Public Health, Washington University in St. Louis, 2019. Reprinted with permission.
Missouri voters in August approved a ballot measure that would expand Medicaid eligibility to include healthy adults, beginning July 1, 2021.
According to reporting at NPR by Alex Smith, 53.25% of 1.2 million voters approved the measure, meaning Missouri joins 36 other states and the District of Columbia in expanding Medicaid under the Affordable Care Act. The approval came despite strong opposition from Republicans and rural voters, Smith wrote. Continue reading