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Map of states opting out of ACA mandated medicaid expansion:
Anonymous Kritter Show this Post
10-17-2013, 02:22 AM #1
Anonymous Kritter Incognito Anonymous
 
Anonymous Kritter Show this Post
10-17-2013, 02:30 AM #2
Anonymous Kritter Incognito Anonymous
 
Who is expanding—and who is paying?

From 2014 to 2017, the federal government will pay for 100% of the difference between a state's current Medicaid eligibility level and the ACA minimum. Federal contributions to the expansion will drop to 95% in 2017 and remain at 90% after 2020, according to the ACA.

As the ACA was originally written, states would lose all Medicaid funding if they refused to expand their program to the ACA minimum.

However, the Supreme Court in June 2012 ruled that the federal government could not withhold Medicaid funding for states that chose not to expand their programs. The decision effectively allowed state officials to opt out of the expansion, and some have said they will do just that.

...

Who is eligible for Medicaid under the ACA expansion?

States that participate in the ACA expansion must provide Medicaid coverage to all state residents below a certain income level.

Specifically, participating states must cover all residents ages 19 to 65 who have a household income below 133% of the federal poverty level (FPL), with a 5% income disregard. Effectively, this means that adult residents with a household income below 138% of the FPL would be eligible for Medicaid under the expansion. That's nearly $32,000 for a family of four, and $15,400 for an individual.

Why not just set the official eligibility level at 138% of the FPL? When the Senate passed the ACA in 2009, it set the eligibility level at 133%. However, the House wanted to set eligibility at 150%. Lawmakers said the Senate rules might prevent them from changing the eligibility level during reconciliation, so they decided to keep the Senate-approved 133% eligibility level and include a 5% income disregard.
http://www.advisory.com/Daily-Briefing/R...-expansion
Anonymous Kritter Show this Post
10-17-2013, 02:53 AM #3
Anonymous Kritter Incognito Anonymous
 
So if your premiums are high.

*Do you live in a state that isn't expanding their medicaid?

*Is your income somewhere in the 38% above the FPL(federal poverty line)? ...so you don't qualify for medicaid?

If the above is true do not blame Obama(care) for your high premiums. Blame your republican state legislature for refusing to expand their medicaid program ...even though it is at no cost to the state for the next 3 years and 90% covered by 2020.
10-17-2013, 04:02 AM #4
Shadow Mrs. Buckwheat
Posts:12,782 Threads:1,182 Joined:Feb 2011
My premiums are $120/mnth ($60 each) for two med income taxpayers, no deductible, no co-pay and 100% coverage. When Obamacare can offer that, he'll be offering slightly more than the OECD average and cost the taxpayer half as much by GDP.

Obamacare is a trainwreck rofl.gif
10-17-2013, 04:11 AM #5
Softy Incognito Anonymous
 
nice posts,,,of course,,,someone has to pay for this,,,

one way or another,,,sooner or later...

(:X
10-17-2013, 04:13 AM #6
Shadow Mrs. Buckwheat
Posts:12,782 Threads:1,182 Joined:Feb 2011
(10-17-2013, 04:11 AM)Softy Wrote:  nice posts,,,of course,,,someone has to pay for this,,,

one way or another,,,sooner or later...

(:X

Absolutely. But do you pay your doctor, or pay your (wall street) insurer who decides how much money your doctor gets and how much care you get?
10-17-2013, 04:14 AM #7
Softy Incognito Anonymous
 
(10-17-2013, 04:02 AM)Shadow Wrote:  My premiums are $120/mnth ($60 each) for two med income taxpayers, no deductible, no co-pay and 100% coverage. When Obamacare can offer that, he'll be offering slightly more than the OECD average and cost the taxpayer half as much by GDP.

Obamacare is a trainwreck rofl.gif

Yeah,,,the government is picking up the rest of the tab,,,

but you are right,,,if you are going to do this,,,might as well do it completely,,,

right now we are half baked,,,and the insurance companies want theirs...

(:X
10-17-2013, 04:17 AM #8
Softy Incognito Anonymous
 
(10-17-2013, 04:13 AM)Shadow Wrote:  
(10-17-2013, 04:11 AM)Softy Wrote:  nice posts,,,of course,,,someone has to pay for this,,,

one way or another,,,sooner or later...

(:X

Absolutely. But do you pay your doctor, or pay your (wall street) insurer who decides how much money your doctor gets and how much care you get?

Hi Shadow,

that was really directed at AK,,,but you are right the insurer at this point,,,

is half money wasted...

(:X
10-17-2013, 04:18 AM #9
Shadow Mrs. Buckwheat
Posts:12,782 Threads:1,182 Joined:Feb 2011
Quote:Sometimes it’s good to be a health-care CEO. Health-care company chief executives had the highest median pay of any industry captured by the recent The Wall Street Journal CEO Compensation Study.

The median CEO pay in the industry was $10 million, according to the study, which was done in conjunction with consulting firm Hay Group. That beat out consumer goods at $8.9 million and telecom and oil and gas, both with median CEO pay of $8.6 million. The study looked at total direct compensation, which includes salary, bonuses and the value of long-term incentives, including stock and stock options at the time of the grant.

http://blogs.wsj.com/health/2010/11/16/h...the-bacon/
10-17-2013, 04:22 AM #10
Shadow Mrs. Buckwheat
Posts:12,782 Threads:1,182 Joined:Feb 2011
(10-17-2013, 04:17 AM)Softy Wrote:  Hi Shadow,

that was really directed at AK,,,but you are right the insurer at this point,,,

is half money wasted...

(:X

Hiya Softy. Not so much half money wasted as profitting from the pwned gov allowing cost quadrupling. And everyone's arguing about which political party delivers the worst H/C laws and ignoring we're all held hostage to survival. It's the ultimate blackmail.
10-17-2013, 05:04 AM #11
Softy Incognito Anonymous
 
Hi Shadow,

Canadian H/C is better deal,,,all around,,,we have alot of things

that could get fixed,,,one is the cost of Pharma,,,remember US folks

buying same stuff,,,US made,,,and bringing it back,,,half price,,,

for US made,,,Your Welcome,,,and every other ad on TV is for some

prescription medication,,,now someone has to pay for those ads,,,

and remember years ago first seeing one or two and thinking wtf???,,,

now it is normal,,,thought doctor was supposed to pick these out for ya,,,

and we pay for all the Research and Development,,,also bothers me that

this is one of few really paying industries we have,,,that and making

Japanese cars,,,thought we won that war,,,anyway,,,doctor told me if

someone comes in asking for whatever,,,he just writes the script,,,

have fun playing doctor,,,but with R&D and ads,,,no wonder pricey,,,

and hospitals can be a factor of 10 difference easily for the same thing,,,

yeah,,,blackmail,,,and everyone will pay,,,you are right there...

(:X
Anonymous Kritter Show this Post
10-17-2013, 11:12 AM #12
Anonymous Kritter Incognito Anonymous
 
(10-17-2013, 04:02 AM)Shadow Wrote:  My premiums are $120/mnth ($60 each) for two med income taxpayers, no deductible, no co-pay and 100% coverage. When Obamacare can offer that, he'll be offering slightly more than the OECD average and cost the taxpayer half as much by GDP.

Obamacare is a trainwreck rofl.gif

How do you know? did you go onto the healthcare marketplace and get a quote?

Is your payment after an employer contribution?

...and correct if I am wrong but aren't they encouraging people to keep their current plan if it is better/cheaper? It's not suppose offer a replacement for everyone but help people stuck in over priced plans or with no plan.
Anonymous Kritter Show this Post
10-17-2013, 11:19 AM #13
Anonymous Kritter Incognito Anonymous
 
...but do go on explaining how your cheap coverage that Obamacare can't beat is proof of it being a trainwreck. coffeetime.gif
10-19-2013, 04:01 PM #14
Shadow Mrs. Buckwheat
Posts:12,782 Threads:1,182 Joined:Feb 2011
(10-17-2013, 05:04 AM)Softy Wrote:  Hi Shadow,

Canadian H/C is better deal,,,all around,,,we have alot of things

that could get fixed,,,one is the cost of Pharma,,,remember US folks

buying same stuff,,,US made,,,and bringing it back,,,half price,,,

for US made,,,Your Welcome,,,and every other ad on TV is for some

prescription medication,,,now someone has to pay for those ads,,,

and remember years ago first seeing one or two and thinking wtf???,,,

now it is normal,,,thought doctor was supposed to pick these out for ya,,,

and we pay for all the Research and Development,,,also bothers me that

this is one of few really paying industries we have,,,that and making

Japanese cars,,,thought we won that war,,,anyway,,,doctor told me if

someone comes in asking for whatever,,,he just writes the script,,,

have fun playing doctor,,,but with R&D and ads,,,no wonder pricey,,,

and hospitals can be a factor of 10 difference easily for the same thing,,,

yeah,,,blackmail,,,and everyone will pay,,,you are right there...

(:X

I'm not sure you understand how pricing works for US pharmaceuticals. When a US developed drug is sold in say Canada for ie, the R&D costs are factored in along with manufacturing and a reasonable profit.

Any extra you pay is not for our benefit, but for big pharma's lobbying.
10-19-2013, 11:42 PM #15
Softy Incognito Anonymous
 
Hi Shadow,

I will admit I don't know how pricing works on pharma,,,

assume like alot of things,,,what the market will bare,,,

do know the northern US states lots of folks were going

to Canada,,,and buying the same thing cheaper,,,

much cheaper,,,worth the trip,,,know them tried to shut it down,,,

whatever,,,know someone is paying for the tv ads,,,

lobbying too,,,and sure them are still making lots o profit on

the Canadians as well,,,500 percent,,,instead of 1000 percent,,,

something like that...

(:X



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