Medicaid expansion cuts uncompensated care costs

One would think that this is a no-brainer for healthcare providers in states such as the bloggist’s residence, but the only conclusion I can make is that the politicians in power have some other non-rational explanation for why Medicare expansion was not implemented. This article eliminates the financial part.

In states that expanded their Medicaid programs under the Affordable Care Act, uncompensated care costs are down and revenues are up compared to those that didn’t.

Why the health care crisis is not solved?

Why the health care crisis is not solved?
Medical Collection Debt
healthcare collection letter

What you see on the left is an actual collection letter authorized by the dominant medical system locally. Part of the sales job that is the Affordable Care Act “Obamacare” is the ability to rein costs, cover most people (not everybody), and allow to see the doctor when needed. The dirty little secret is that it does none of these things very well, and that seems to be OK with the current electorate at best, and part of which would return to the no insurance days of yesteryear. Keeping it 💯 “100” requires more substantive dialog than any of the 3 major candidates will provide.

While it has done a lot of good, the Affordable Care Act is not a long-term solution to the US health care crisis. P.S. #feelthebern

Source: Why Hillary Clinton and Obamacare Will Not Solve the Health Care Crisis

Is the Health Insurance industry heading on a ‘death march’?

This is not surprising, given the political realities of passing the Affordable Care Act (ACA) to begin with. North Carolina and all states that touch it made the decision to dispense with expanded Medicaid, even though it was paid for in the first 3 years of its existence. Their excuses are very lame and politically motivated, but that is life. As for this author, the choice of passable healthcare should not be determined by geography in the United States of America.

The health insurance industry has been undergoing tremendous reforms in recent years due to new federal regulations including the Affordable Care Act.

Source: Is the Health Insurance Industry Heading on a ‘Death March?’

Providers collect more revenue due to ACA Medicaid expansion

What really gets me is that the economics is cut and dried, but dislike for the current President trumps reason. That is the only way I can explain this. Now we have proof that should quiet the doubters, that is if they open their mind.

Due to Medicaid expansion, low income populations with coverage have less unpaid non-medical bills that they owe to collection agencies.

State Medicaid expansion should reduce ER visits

Health Payer Intelligence Photo

This would seem to be a no-brainer to me, but what do I know? I am not in government. If you are North or South Carolina, as an elected body, the hate for the “player” i.e. President Barack Obama has overshadowed the hate for the “game” i.e. Obamacare/ACA. The state will pay for everyone’s healthcare at some point. It would seem to be cheaper to keep them out of Carolinas Medical Center ER as the most costs are borne there.

‘The Affordable Care Act called on for Medicaid expansion among the 50 states.


UPDATE 3/10/2020 Since this story was first published years ago. North & South Carolina continues to avoid Medicaid Expansion