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Medicaid cost and forcast - trouble


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This article appeared in the LHL today. Its AP but includes significant specifics for Kentucky.

 

Health law causes surge in Medicaid enrollment in states like Kentucky, stirs budget worries | State | Kentucky.com

 

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In Kentucky, for example, enrollments during the 2014 fiscal year were more than double the number projected, with almost 311,000 newly eligible residents signing up. That's greater than what was initially predicted through 2021. As a result, the state revised its Medicaid cost estimate from $33 million to $74 million for the 2017 fiscal year. By 2021, those costs could climb to a projected $363 million.

 

"That is a monstrous hole that we have got to figure out how to plug, and we don't know how to do it," said Kentucky state Sen. Chris McDaniel, a Republican who leads the Senate budget committee and opposed expansion. "The two biggest things that keep me up at night are state pensions and the cost of expanded Medicaid."

 

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The federal government agreed to pay all costs for the new enrollees through 2016, but it will begin lowering its share in 2017. States will pay 10 percent of the costs by 2020.

 

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Not sure if this is related but interesting that audits are getting more aggressive for Medicaid providers. Article on same day in LHL:

 

LOUISVILLE: Kentucky caregivers criticize Medicaid audits | State | Kentucky.com

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I've worked closely with Medicaid with three different non profit organizations serving different groups. It's a real problem. I have no idea how it's going to continue.

 

 

Single payer system, rationed healthcare.....

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