Issue: Medicaid

The Deep Divide: State Borders Create Medicaid Haves And Have-Nots

State borders have become arbitrary dividing lines between Medicaid’s haves and have-nots, with Americans in similar financial straits facing vastly different health care fortunes. This affects everything from whether diseases are caught early to whether people can stay well enough to work. It wasn’t supposed to be this way. The ACA, passed in 2010, called for extending Medicaid to all Americans earning up to 138% of the federal poverty level, around $17,000 annually for an individual. But the U.S. Supreme Court in 2012 let states choose whether to expand Medicaid.

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Coordinating Care Of Mind And Body Might Help Medicaid Save Money And Lives

Modern medicine often views the mind and body on separate tracks, both in terms of treatment and health insurance reimbursement. But patients with psychological disorders can have a hard time managing their physical health. So some Medicaid programs, which provide health coverage for people with low incomes, have tried to coordinate patients’ physical and mental health care. The goal is to save state and federal governments money while improving the health of patients.

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How Medicaid Work Requirements Undermine Hospitals

A move in more than a dozen states to impose work requirements as a condition of Medicaid coverage could not only result in people losing health insurance, but could also impact hospitals’ revenue, increase uncompensated care costs and have a detrimental economic effect on local communities, according to a new Commonwealth Fund report. Rural hospitals could be especially hard hit, the report noted.

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Iowa Hospitals Outline 2019 Legislative Priorities

Iowa hospitals and their 74,000 employees across the state are on the frontline of maintaining and improving the health of Iowans by providing quality care services and leadership to community health initiatives. The Iowa Hospital Association (IHA), which represents all of the state’s 118 community hospitald, supports policies that improve the experience of health care delivery, improve the health of the population and control health care costs.

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How Medicaid Work Rules Are Failing

Before Arkansas began implementing its new Medicaid work requirement policy, it was predicted to lead to large coverage losses, including among beneficiaries who are eligible but get tripped up by red tape, and would not meaningfully increase employment. As of December 1, nearly 17,000 Arkansas Medicaid beneficiaries have lost coverage. Here’s why.

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Suddenly, Progress on Children’s Health Coverage Reverses

For many years, the rate of uninsured children in the United States has been declining thanks to bipartisan efforts to extend coverage through Medicaid and the Children’s Health Insurance Program. But in 2017, approximately 276,000 more children became uninsured, leading to a total of 3.9 million uninsured children nationwide. The rate for children age 18 and younger went up from 4.7 percent in 2016 to 5 percent in 2017,

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More Rural States Vote to Expand Medicaid

The Affordable Care Act (ACA) allows states to expand Medicaid access to childless adults whose incomes are below 138 percent of the federal poverty level. In the last two years, multiple attempts in Congress to repeal the ACA would have also ended expanded Medicaid. Where it has been adopted, expanded Medicaid has bolstered finances at rural hospital. The majority of recent rural hospital closures – about 90 since 2010 – have occurred in non-expansion states.

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