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The Great Medicaid Unwinding
Reaon ^ | 11.17.2023 | Markus Bjoerkheim

Posted on 11/20/2023 1:33:36 PM PST by nickcarraway

click here to read article


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1 posted on 11/20/2023 1:33:36 PM PST by nickcarraway
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To: nickcarraway

BS, they cut it back to give it to illegals.


2 posted on 11/20/2023 1:38:27 PM PST by dforest
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To: nickcarraway
... Second, the cost of having those 18 million ineligible people on Medicaid is around $80 billion per year. It's an end to a subsidy that primarily benefits insurance companies who currently receive monthly membership fees for ineligible recipients who incur little or no health care costs, or who use employer-sponsored insurance when they do...

Do Medicaid payments not go directly from government coffers to the provider? I've never heard of Medicaid "membership fees" to insurance companies. Is that something cooked up as part of Obamacare?

3 posted on 11/20/2023 1:45:53 PM PST by gloryblaze
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To: nickcarraway

Article:

“as you remove your shoes in an airport this holiday season”

Nope.

If relatives want to see me they can take off their shoes. They know where to find me.


4 posted on 11/20/2023 1:51:09 PM PST by cgbg ("Creative minds have always been known to survive any kind of bad training." Anna Freud.)
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To: gloryblaze

“Do Medicaid payments not go directly from government coffers to the provider?”

You are correct—and the article was incorrect for suggesting otherwise.


5 posted on 11/20/2023 1:55:12 PM PST by cgbg ("Creative minds have always been known to survive any kind of bad training." Anna Freud.)
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To: nickcarraway

Every illegal child (under 18) and every illegal pregnant woman are eligible for full Medicaid, including full dental care for illegal children.

Plus - 100% of illegals are eligible for Emergency Room treatment.

The ER illegals get billed, but very few illegals pay a dime for treatment, or medication.


6 posted on 11/20/2023 1:58:17 PM PST by zeestephen (Trump "Lost" By 43,000 Votes - Spread Across Three States - GA, WI, AZ)
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To: nickcarraway

Remember when Obama was pushing the states to basically extend Medicade to everyone to make his healthcare takeover fly? Now we get to see the results of that.


7 posted on 11/20/2023 1:58:54 PM PST by VTenigma (Conspiracy theory is the new "spoiler alert")
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To: cgbg
What if a Medicaid client enrolls for 100% of their health care from a major provider, like Kaiser Permanente?

Does that generate monthly Medicaid premiums?

8 posted on 11/20/2023 2:11:38 PM PST by zeestephen (Trump "Lost" By 43,000 Votes - Spread Across Three States - GA, WI, AZ)
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To: zeestephen
...Medicaid premiums...

That is an oxymoron, or always has been.

9 posted on 11/20/2023 2:19:38 PM PST by gloryblaze
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To: cgbg

Medicaid has “management” companies such as CHPW and Molina in my own state that administer the plans and, in fact, receive payments as the article suggest and in turn pay providers.


10 posted on 11/20/2023 2:21:48 PM PST by steve86 (Numquam accusatus, numquam ad curiam ibit, numquam ad carcerem™)
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To: zeestephen

While Medicare Advantage insurers go out of their way to deny valid claims to their insured.


11 posted on 11/20/2023 2:35:39 PM PST by texas booster (Join FreeRepublic's Folding@Home team (Team # 36120) Cure Alzheimer's!)
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To: steve86
Medicaid has “management” companies such as CHPW and Molina in my own state that administer the plans and, in fact, receive payments as the article suggest and in turn pay providers.

I knew Medicare had gotten wedded to insurance companies, ... but it looks as though Medicaid is following suit. That will insure that weaning people from the dole will really be uphill.

12 posted on 11/20/2023 2:39:07 PM PST by gloryblaze
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To: dforest

Be careful. Biden is allowing illegals to get on SS disability. So with one hand they say we are cutting Medicaid glut, with the other hand they are rapidly bankrupting SS disability.


13 posted on 11/20/2023 2:46:14 PM PST by Kaiser8408a (z)
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To: cgbg

No, the article in not incorrect. Many private insurance companies have DUAL PLANS for Medicare/Medicaid eligibles, so they manage that beneficiary and recieve the state and fed payment for doing so. ....ymmv


14 posted on 11/20/2023 3:03:41 PM PST by PalominoGuy ( )
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To: gloryblaze

The government contracts insurance companies to administer the medicaid program. They get paid per capita. That is the “membership fee” they are referring to, I believe


15 posted on 11/20/2023 3:16:56 PM PST by armydoc
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To: armydoc
The government contracts insurance companies to administer the medicaid program. They get paid per capita. That is the “membership fee” they are referring to, I believe.

That appears to be the case. I knew so for Medicare; otherwise, why are the Insurance companies courting the old folks with big health concerns and offering policies with "zero premiums?" That is, zero to the policyholder, some from the taxpayers, and severe limits to allowed charges.

What a mess.

16 posted on 11/20/2023 3:31:56 PM PST by gloryblaze
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To: gloryblaze

No lots of insurance Co pay for medicaid patients, yes a state will contract with a company to do the paying of said claims


17 posted on 11/20/2023 4:37:09 PM PST by markman46 (engage brain before using keyboard!!!)
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To: zeestephen

No there are no medicaid premiums never have been


18 posted on 11/20/2023 4:38:38 PM PST by markman46 (engage brain before using keyboard!!!)
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To: PalominoGuy

They are called special needs plans or SNP what Medicare does not pay the medicaid makes up for. Most if not all health insurance cos do this.

Been going on for over 30 years


19 posted on 11/20/2023 4:47:54 PM PST by markman46 (engage brain before using keyboard!!!)
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To: texas booster

Nope they have to follow the same Medicare rules as regular Medicare, there is a letter process plus a time limit a provider must submit a claim period.


20 posted on 11/20/2023 4:49:34 PM PST by markman46 (engage brain before using keyboard!!!)
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