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  • barbershores barbershores Aug 17, 2014 12:03 PM Flag

    OT BS Impact on states from medicaid

    "California's Medi-Cal explosion"

    latimesDOTKOM/opinion/op-ed/la-oe-gorman-medi-cal-obamacare-california-20140812-story.html

    "Under the Affordable Care Act, the federal government pays 100% of the costs for newly eligible Medi-Cal enrollees for the first three years. But the state is responsible for 50% of the costs for those who qualified for the program before the Obamacare expansion, even if they hadn't previously enrolled. Publicity and outreach about the healthcare law brought hundreds of thousands of people forward who were previously eligible but hadn't signed up."
    -----------------------------------------------
    With this article, I just finally caught on to the issue of the economic impact on the states.

    I had been thinking that the impact was likely net positive to the states. Somehow, this got past me.

    I had been thinking that "all" the new enrollments in medicaid since the passing of Obamacare, was 100% federally paid for 3 years, followed by 90% after. I thought this a great deal for the states, but wondered where the money was going to come from.

    It ends up that this is not actually the case. I had read several articles explaining how with all the news and information available about Obamacare medicaid, that enrollment had increased dramatically even in states that had not accepted the new program.

    It ends up that new enrollment of those individuals that "qualified" for medicaid prior to the enactment of
    Obamacare, are 50% paid for by the states.

    So, for both states that accepted the Obamacare medicaid expansion, and those that did not, they are experiencing a huge increase in enrollments compensated at only 50%. Not good for states.

    It comes down to advertising and societal acceptance.

    So, both at the federal and the state level, all of the cost projections are drastically under budgeted.

    It will be years until all the convoluted and hidden impacts will be understood regarding Obamacare.

    Just my take.

    Best of luck,

    Barbershore

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