Medicaid Expansion

HC1348

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Feb 18, 2013
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Missouri Medicaid expansion models predict that in 2014, the number of individuals newly eligible for Medicaid will be 218,165 and that by 2020 this number will grow to 220,932; to compliment this model, another predicts that in 2014 newly enrolled individuals will be 159,260 and will grow to reach 161,281 by 2020 (University of Missouri School of Medicine & Dobson DaVanzo & Associates, 2012). In terms of contributions, the Missouri government will begin paying $58 million in 2017, which will climb to $119 million by 2020; after this point, it is unclear how the proportion of state and federal Medicaid funding will change (2012).
In fact, Missouri governor Jay Nixon has already accepted the Medicaid expansion on the basis that 300,000 poor Missourians would receive coverage under extended Medicaid; his motion is awaiting approval from the Senate (Young, 2012). In further support, Missouri University published a report on Medicaid expansion, which stated the Missouri economy would benefit greatly from the expansion, as it would increase jobs, payroll, gross state product, and tax revenue (University of Missouri School of Medicine & Dobson DaVanzo & Associates, 2012).
In terms of new job opportunities, healthcare organizations will see the most growth as they respond to the boom in the Medicaid population (2012). By 2014, analysts estimate that 24,008 new jobs will become open for employment—the number of sustainable jobs slightly being less at 22,000—producing a combined labor income of $977,105,129 (2012). The major employment sites include nursing and residential care facilities, retail stores (health and personal care), employment and payroll only, private hospitals, and home health care services (2012). As for location, the regions of Missouri expected to yield the most job openings include, in descending order, St. Louis, Kansas City, Central, Ozark, Southeast, Southeast, South Central, West Central, Northwest, and Northeast (2012). Moreover, analysts anticipate a statewide reduction in unemployment of 12.8% (2012).
In summary, the Senate’s decision to agree or disagree with Governor Jay Nixon will have a substantial impact on the state’s economy. If Missouri chooses to be included with the other states participating in the Medicaid expansion, over 200,000 residents would become eligible for the program (2012). The total cost to Missouri to opt into the expansion would total approximately $333 million and would create 22,000 sustainable jobs; to put this number into perspective, adding 22,000 new jobs to the economy would the equivalent “to adding the total workforce of Missouri’s 10 Fortune 500 companies (2012).” Though these numbers are all pleasing, only time will tell how the potential implementation of the Medicaid expansion will actually affect Missouri and what unforeseen side effects the initiative will bring.
 
Get back to me after it is fully implemented and the 90% fed reimbursement fails to materialize and they are forced to cut benefits or raise taxes. Oh wait, once they opt in they have to abide by fed mandates so they won't have the option of cutting benefits, hello higher taxes.
 
Personally, it would have tickled me pink if they'd have just expanded Medicaid eligibility to include anyone who couldn't afford health insurance, rather than passing Obamacare.

No muss, no fuss, probably not as expensive.
 
Get back to me after it is fully implemented and the 90% fed reimbursement fails to materialize and they are forced to cut benefits or raise taxes. Oh wait, once they opt in they have to abide by fed mandates so they won't have the option of cutting benefits, hello higher taxes.

With more and more MDs NOT taking Medicaid patients (below normal reimbursement and Gov red tape) how will all of these people under Medicaid get in to see a Doc?
 

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