Friday, May 30, 2014
Medicaid Premature Birth
Medicaid is much like a premature child….not ready for discharge, and underweight.
The operation of Medicaid varies greatly from state to state. Funding for medicaid is shared between the state and the federal treasury. It is complicated, and from there on down it becomes worse…..eventually serving as a ‘safety-net’ for the medically indigent and financially unfortunate.
Medicaid attempts to fill a very large black hole, and as such gravity will spin and suck it into it’s voracious maul.
Many states are reappraising how medicaid functions in their state. The feds set a standard and in order for states to receive their matching funds from the U.S. Treasury states must comply...Who cares about the beneficiaries of our collective largesse. Medicaid services often consume most of state budgets, and it is the focus of looking for fraud and abuse, or waste. Waste by whom ? Patients, providers, or perhaps the very medicaid system. The medicaid system produces a prodigious amount of data, first stored on paper and now on a storage drive in some cloud server facility. The paperwork at times gets lost, deadlines for filing are often less than one week after the request is received.
It deserves reevaluation for the sake of the increasing number of beneficiaries who are eligible for Medicaid due to the Affordable Care Act.
Some states are creating out of the box solutions including market driven private models.
Market-based Medicaid reform in the age of Obamacare:
Remarks from Indiana Gov. Mike Pence
Indiana has been at the forefront for innovations,including the earliest health data exchange. Perhaps things get done in Indiana because it is in the center of the country, it is not overpopulated, and is also in the political center and moderate.
Since taking office in January 2013, Indiana Governor Mike Pence has stressed the need for state-level innovation to address pressing national issues. In the area of Medicaid, Gov. Pence has promoted the Healthy Indiana Plan (HIP), which has operated on a demonstration basis in Indiana for several years and uses a consumer-driven model featuring health savings accounts (HSAs).
After negotiating a one-year waiver for 40,000 HIP recipients, Gov. Pence has now developed plans to expand the program as an alternative to Medicaid. Please join us for a conversation with Gov. Pence as he discusses how he plans to use private market–based reforms, employer-based plans, and HSAs to transform health care in a fiscally responsible manner for the Medicaid-eligible population in Indiana.
What are your suggestions ?