Medicaid Expansion Has Been Bigger Than Expected And Some States Fear Costs
The federal government is picking up all expenses for the new enrollees now but eventually 10 percent of that cost will fall to the states. Plus, states are on the hook for beneficiaries who have moved into Medicaid and qualified under old rules. Also, get a look at one community health clinic in Missouri, which did not expand Medicaid.
The Fiscal Times:
Soaring Medicaid Enrollment Could Hit State Budgets
Under the Affordable Care Act’s Medicaid expansion, enrollment in the program is soaring past expectations in a handful of states, raising some concerns about whether states will have trouble covering the costs down the road. (Ehley, 5/19)
St. Louis Public Radio:
A St. Louis Clinic Buckles In For Another Year Without Medicaid Expansion
Despite the efforts of healthcare advocates, hospitals and notable former legislators, the Missouri legislature did not pass Medicaid expansion this year, or even bring it to the debate floor. That means an estimated 147,000 Missourians will have another year without health coverage, and the community health clinics that care for the uninsured will continue trying to bridge the gap. “I don’t know what it will take, I don’t know what more information [lawmakers] need to motivate them to change,” said Dr. Johnetta Craig, Chief Medical Officer at Family Care Health Centers in St. Louis. Craig said that if the past two years are any indication, patients will defer care when they can’t afford it, leading to emergencies and more expensive health care down the road. (Bouscaren, 5/18)