Tuesday, March 5, 2013

Medicaid Expansion: Too Many Questions

In the midst of the multitudes of updates, sometimes daily, on Governors' decisions on whether their state will participate in the Medicaid expansion provision of the Affordable Care Act {ACA}, it can be difficult to keep up with the latest in strong opinions and scoffs.  To this Everyday Jane, I need all the help I can get on understanding this complicated section of the endless ACA.  Many questions come to mind when considering the Governors: Are their constituents truly aware of what's at stake?  Are Governors communicating their plans to accept or refuse in a way that their constituents can rally behind them? What about the newly elected Governors, and what's the appropriate expectation of them?

For the poorest states, cost is a 'nail in the coffin' in so many minds.  No one can deny there will be significant costs associated with a Medicaid expansion, but are the expansion opponents considering the 'rubber meets the road' aspects of closing the door on the provision?  How many state-supplied dollars are states already spending on this particular population, and how much could they receive from the government if they participate?  Where would these potential Medicaid recipients go for care with or without the expansion?

When reading through my daily smattering of health care news, I pulled out the following detail from The Advisory Board Company, which 'keeps score' on where each Governor stands {without any of the usual flair from the national media outlets} to share and discuss.

{Actual link.}

I find it interesting that both states I've resided in {Texas and Pennsylvania} have chosen against Medicaid expansion, of course citing costs. What is your governors decision {If they've made one at this point}?  How do you personally feel? How will this affect your local hospital?

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