Medicaid Expansion Now in States' Hands
Because the premium tax credit schedule for health insurance exchanges begins at 100%, Florida's decision not to expand its Medicaid program will leave an estimated 995,000 eligibles, whose incomes are less than 100% FPL, with no access to either tax credits or subsidies.
Nationally 11.5 million adults will find themselves in the same boat because their income is less than 100% of the FPL.
Reuben's group will also keep a close eye on efforts by the Centers for Medicare & Medicaid Services to encourage states to increase Medicaid coverage. "What kind of give and take is there between the federal government and state governments that would make it more interesting for states to expand Medicaid coverage?"
He points to Florida's Medicaid program, which currently operates under a CMS waiver. The state has asked CMS for a waiver to treat all Medicaid recipients under a managed care program. "That's an opportunity for some give and take."
DSH payments may present another opportunity for give and take. Disproportionate share hospital programs for facilities that treat a large number of indigent patients are embedded in the ACA, which provides the Department of Health and Human Services with the discretion to allocate the cuts.
- How Top-Ranked MA Plans Earn Their Stars
- Readmissions: No Quick Fix to Costly Hospital Challenge
- How Hospitals Can Become 'Upstreamists'
- 4 Ways to Lower the Cost to Collect from Self-Pay Patients
- WellPoint Dominates Nearly Half of Markets, AMA Says
- CMS Offers Some ACOs $114M for 'Upfront' Costs
- 4 Tips for Managing Employed Physicians
- House Calls Key to Pioneer ACO Success
- Ebola: Second TX Nurse Diagnosed After Improper Protective Gear Application
- Providers Ask HHS to Address EHR Interoperability Barriers