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Why are the states so hesitant about Medicaid expansion?

Policy Interns


Where the States Stand

Figure 1. States position on Medicaid Expansion under the ACA.

Via: The Advisory Board Company

To expand, or not to expand Medicaid, that is the question.

Why are some states skeptical about Medicaid expansion and making the assumption that the “plan is [too] costly?” If the states expand their Medicaid program, they would receive federal funds up to 100 percent until 2017 under the ACA. It seems silly that the states would reject the idea of expanding Medicaid programs if it could potentially benefit them financially as a result of the reduction in uncompensated health care costs as well as reducing the number of uninsured individuals.

The purpose of Medicaid expansion under the ACA is to provide broader health coverage to lower-income individuals. States are not required to implement the provisions, however, it is “the single largest source of coverage for nursing home and community-based long-term care.”

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My post about health information technology.

Policy Interns

Here’s a novel idea: Facebook co-founder Eduardo Saverin proposes an idea to enforce the use of real names and identity of Facebook users in order to provide accurate health related information to the right person.

Health information technology is an idea that has been discussed in the past, but more so now because of the buzz of healthcare resulting from the ACA. Last week, Bipartisan Policy Center hosted an event entitled “An Oversight Framework For Assuring Patient Safety in Health IT.” The BPC proposes a set of recommendation for an oversight framework to protect patient safety, provide flexibility to the patients, avoid regulatory duplication, and provide support to experts and stakeholders in every sector of healthcare.

According to a study from The Office of the National Coordinator for Health Information Technology, the Pennsylvania Patient Safety Authority finds that health information technology was used in only 3,900 of 1.7 million…

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Do you think this is necessary? Would this prevent future healthcare spendings and aid in preventing high healthcare costs?

Policy Interns

What are your thoughts about a federal tax on sugary drinks (ie. Soda, energy, and sports drinks)?

The Field Poll, a non-partisan media-sponsored public opinion news service, found an interesting result in their survey of Californians’ views on the tax on sugary drinks. Approximately 40 percent of California residents voted in support of a soda tax when first asked; the statistics increased to a drastic 68 percent when suggesting that the revenues made from taxes were going to be used to improve school nutrition standards and physical activity programs. Also, the survey finds that three in four California voter participants (75%) understand that those who consume sugary drinks regularly increase their chances of obesity and weight-gain problems.

According to the Dietary Guidelines for Americans (2010), 35.7% of added sugars in Americans’ diets come from sugary drinks such as soda, energy drinks, and sports drinks.

Awareness of the impact…

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Opinions and views are of my own.

Policy Interns

The big question in healthcare this week is what impact, if any, President Obama’s immigration proposal will have on the ACA. Will those immigrants benefit from the ACA if immigration reform is passed? And will they receive the same health coverage and benefits as the American people? It depends.

Currently, under the ACA, naturalized citizens and legal immigrants will have access to free or subsidized health coverage if have been living in the United States for more than five years. Those legal immigrants who have been residing in the country for five years or less with incomes below 400 percent of Federal Poverty Level also receive access to subsidized coverage.

However, unauthorized immigrants are not eligible to receive Medicaid, Children’s Health Insurance Program coverage, or subsidies. Also, they are not allowed to even purchase private coverage health insurance exchanges. Therefore, unauthorized immigrants are at risk of having no health coverage…

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