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While Washington lawmakers are discussing an expansion of Medicaid, Arizona is having trouble paying for the program at its current level. The state has one of the highest Medicaid rates in the country, with about 1 out of every 5 residents covered by the program for the poor. This story comes from our partner NPR News.
While states and the federal government struggle to update Medicaid though a maze of waiver programs and patches to an increasingly outdated law, their efforts are a little like trying to add disc breaks and electronic ignition to a 1965 Plymouth. It is, in the end, still a 1965 Plymouth.
An agreement between the House leadership and conservative Democrats sparked protests from states worried about higher Medicaid costs and liberals upset about the paring back of subsidies.
There are two separate problems that led to the shortage of health care workers to treat the elderly and disabled.
To encourage people to buy long-term care insurance, more states are starting programs that allow people to keep some assets if they exhaust insurance benefits and need to go on Medicaid. Without such an arrangement, they would have to "spend down" assets to qualify for Medicaid. But, experts warn, the policies need strong inflation protections.
Medicaid is front and center in the debate on overhauling the U.S health system and expanding coverage to the uninsured. With 60 million enrollees, Medicaid dwarfs other insurance programs, including its cousin, Medicare, which covers 44 million elderly and disabled people. Here's a chance to test your knowledge of Medicaid.
Medicaid's role in health reform is emerging as a flash point, exposing policy and political rifts not only between the two parties but also among Democrats themselves.
Once a senior begins receiving long-term care services, she and her family often are in for two shocks. The first is that Medicare won't pay beyond perhaps a few months after a hospitalization. The second is that while Medicaid, the state-federal program for the poor, may help, chances are it will only do so for nursing home residents.
Some CEOs of America's largest health care providers called Friday for an end to fee-for-service payments under Medicare and incentives to create administrative efficiencies to lower costs to help pay for America's try at health care reform.
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