HHS Details Limits to Medicaid Expansion
The memo went on to state that: "in 2017, when the 100% federal funding is slightly reduced, further demonstration opportunities will become available to states under State Innovation Waivers with respect to the Exchanges, and the law contemplates that such demonstrations may be coupled with section 1115 Medicaid demonstrations."
"This demonstration authority offers states significant flexibility while ensuring the same level of coverage, affordability, and comprehensive coverage at no additional costs for the federal government. We will consider section 1115 Medicaid demonstrations, with the enhanced federal matching rates, in the context of these overall system demonstrations."
For one person, 133% FPL is an annual income of $14,856. For a family of four it is $30,657.
On other issues, the memo noted that the Obama administration no longer supports the Medicaid blended matching rate that it initially proposed. By some estimates the federal government had hoped to save about $100 billion over the next decade by using the blended rates to shift costs to states.
But when the U.S. Supreme Court ruled last June that the Medicaid expansion under the PPACA was optional, the Obama administration had to sweeten the pot to attract more states.
- Providers' Push to Consolidate Roils Payers
- Former NQF Co-Chair Linked to Conflicts of Interest in Journal Probe
- As Retail Clinics Surge, Quality Metrics MIA
- RN Named Chief Patient Experience Officer
- Medicare Cost, Quality Data Tools Weak, Says GAO
- No Employee Satisfaction, No Patient-Centered Culture
- Six Not-So-Good Reasons for Avoiding Population Health
- In PCMH, the 'P' is Not for 'Physician'
- Population Health Pays Off for NY Collaborative
- How Simple Data Analytics is Driving Physician Incentives