Our study shows a mortality reduction associated with state Medicaid expansions to cover adults. Using state-level differences in Medicaid expansion as a natural experiment avoids the confounding between insurance and individual characteristics (e.g., poverty or health status) that plagues cross-sectional observational studies. These results build on previous findings that Medicaid coverage reduces mortality among infants and children3,4 and are consistent with preliminary results of a randomized, controlled trial of Medicaid in Oregon, which showed significant improvement in self-reported health during the first year (although objective measures of health are not yet available and 1-year mortality effects were not significant and were imprecisely estimated).
Video: What is medicaid?
CBO: If States Opt Out of Medicaid Expansion, $84B Saved
Trying to put a truly accurate number on the effects of various states joining or not joining the Medicaid expansion is difficult at best, and not something I care that much about. What I care about is how many people have health insurance and access to competent, timely medical care. States that opt out of the Medicaid expansion are knowingly, intentionally killing some number of people. It really is that simple. By ensuring that millions of people will not have health insurance, the Republicans are guaranteeing that some of those people will die — unnecessarily and prematurely. They are also guaranteeing that some number of Americans will face financial ruin as a result of their inability to afford the medical care they need. Both outcomes are the result of selfish and immoral people — Republicans.
Expanding Medicaid Reduces Death Rates
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Businesses will push Perry to rethink Medicaid expansion
So, contrary to what The Supreme Court says (a branch that unconstitutionally expounds the Constitution ale cart and is actually NOT the final arbiter as to what the Constitution means, anyway, which is made plain in the Constitution if they bother to actually study, understand and support it), any tax for the purpose of providing healthcare to INDIVIDUALS is utterly unconstitutional on its face for that reason alone; and, no State, whatsoever, has a right to accept money from the “Federal” government for objects outside its legitimate authority and constitutional bounds. And, since providing health care to individuals (not to mention governing individuals in the first place) is NOT one of the few enumerated and limited powers granted to it in the Constitution and is plainly repugnant and contrary to its FUNDAMENTAL purpose and existence, and since all officers and agents of a State are sworn by solemn oath to uphold and support the Constitution of the United States, Texas, regardless what some of the people might want, has a DUTY and OBLIGATION, as do all States, to reject all moneys fur such purposes offered by the Federal government and to defend its State, and the citizens thereof that compose said State, from the “Federal” government trying to unconstitutionally collect any revenue from within the jurisdiction for such repugnant and “Federal” unconstitutional objects as Heath Care for the general masses, above all, any individual segment(s) of the whole according to arbitrary politically motivated tests.
Study: Medicaid Expansion Has Potential To Be A Lifesaver
McClatchy Newspapers: Medicaid May Help People Live Longer, Study Indicates As states consider whether to expand their Medicaid insurance programs for the poor under President Barack Obama’s health care law, new research indicates the decision may have life-and-death consequences. A study published Wednesday in the New England Journal of Medicine indicates that residents of states that expand coverage will likely live longer, be healthier and have better access to medical care. Researchers at the Harvard School of Public Health – who compared states that voluntarily expanded their Medicaid programs over the last decade with neighboring states that did not – found mortality rates were more than 6 percent lower in states with more generous coverage (Levey, 7/25).
San Antonio women support Medicaid expansion in Texas
Olga Kauffman of the National Conference of Jewish Women stressed that Texas has the highest uninsured rate, with about 25 percent of the population uninsured, almost six million people. The women believe the Affordable Healthcare Act could reduce that number by 50 percent, providing healthcare to three million people.
New Resources Available on Medicaid Expansion in Wake of Supreme Court Decision
Study Finds Evidence of Reduced Mortality in Expansion States. A study published today in the New England Journal of Medicine details the results from a three-state study examining the impact of Medicaid eligibility expansions on mortality. The researchers looked at all-cause, all-population mortality in Maine, Arizona, and New York for a period 5 years before and 5 years after those states’ Medicaid expansions. They compared this data with mortality in control states and found that the Medicaid expansions were associated with a relative mortality decline of 6.1%, or 2,480 fewer deaths per year for every 500,000 people added to the Medicaid rolls. Expansion states also experienced a 21% reduction in delayed care because of cost and a 3% increase in self-reported “excellent” or “very good” health. The researchers cautioned that limitations in the data make it difficult to know whether Medicaid expansions in other states will achieve the same results. However, this study adds to earlier research from Oregon’s Medicaid expansion showing evidence of the health benefits of Medicaid coverage.
The Politics Being Played In Louisiana’s Medicaid Fake ‘Crisis’
First, it is a myth that the uninsured loosen a barrage onto hospital emergency rooms. In fact, it is not the uninsured who over-utilize hospitals as primary care vehicles – they are only slightly more likely to use them as privately-insured folk – but Medicaid patients. And in a state whose policy until recently was to encourage Medicaid clients to visit its own hospitals, this would exaggerate even more this inefficient tendency. But with the advent of the Bayou Health program that steers deliberately about three-quarters of all Medicaid clients to non-state primary care givers outside of hospitals of any ownership, this should decrease demand on hospitals. Which is all well and good because hospitals aren’t there to provide primary care, only the far fewer cases where more intense medicine needs to be practiced.
Why Perry made the right call on Medicaid
Finally, the governor should reconsider his decision to allow the federal government rather than the state to set up and manage the health insurance exchange. Because eligibility for Medicaid can shift several times in one year — a national study estimates more than one-third of adults with family incomes below 200 percent of the federal poverty level will experience a shift in eligibility within six months — the gatekeeper to the exchange will have to make countless decisions about whom to admit and whom to reject. It’s better for Texas if that decision-maker answers to the state.
Disease Management Care Blog: Medicaid Is Better Than Nothing
That’s the DMCB conclusion after reading this hot-off-the-presses New England Journal article on Mortality and Access to Care among Adults after State Medicaid Expansions. Three states (Maine, Arizona and New York) in the 2000-2005 time frame increased Medicaid eligibility to mostly include childless adults meeting a variety of poverty thresholds. The authors compared changes (“pre-post”) in publicly available death rates and health status statistics in these “intervention” states to neighboring states that acted as quasi-experimental ”controls (New Hampshire for Maine, Nevada and New Mexico for Arizona and Pennsylvania for New York). Over time, new Medicaid enrollees were slightly older (40.6 years vs. the average of 40 years), more likely to be male (57% vs. 49% in the general population), nonwhite (27% vs. 20%) and in fair or poor health (20% vs. 11%). What was interesting was that the authors compared the county-level changes in mortality for the entire state population, not just Medicaid enrollees. Using standard statistical methods to account for baseline differences, the authors found that adjusted all-cause mortality for the intervention states declined by 19.6 per 100,000 versus the control states. Since it takes time for Medicaid enrollment to actually increase after a change in eligibility, the authors also examined the impact over time. They found a strong statistically significant correlation between growing Medicaid enrollment and mortality. Medicaid expansion was also associated with decreases in rates of patient surveys showing that there was “delayed care” and increases in self-reported excellent or good health status. The obvious conclusion of the study was that expanding Medicaid eligibility allows persons who are otherwise without insurance to access the health system and receive care for conditions that would otherwise kill them. The DMCB finds the results convincing and should inform the debate in some states about the life-saving merits of expanding Medicaid. Critics could quibble that unknown factors not captured by the study could have accounted for the observed differences (did pumping more Medicaid money into the system enrich hospitals, enabling them to provide a higher level of care?) and that association does not prove causality (could booming state economies lead to a healthier population, while a generous Medicaid expansion had nothing to do with it?). DMCB questions: 1) This study doesn’t compare Medicaid insurance vs. commercial insurance. If there were a way to use the commercial markets (for example, vouchers), would patients far better? There is research that suggests the answer could be yes. 2. A cruel but important question: how much did it cost? Expanding Medicaid did not save money, it cost and it would be interesting to know the cost per person, per person-year or per quality adjusted life year.
Republicans: Delay Medicaid expansion
>>* FRAUD: Stiffer penalties must be instituted for fraud and extraordinary measures must be taken to prevent it, Republicans say. The biggest expense in medical fraud is not on the recipient end,… You nailed that one cleaner than I’ve seen it done before. Soon as measures are up that would actually detect and prevent fraud Republicans will scream Anti-Bidness regulations. The main fraud deterrent they could do is enhanced whistle blower laws. No need to expand the bureaucracy just make it simple and safe to file a whistle blower complaint. Include stiff penalties and punishment for those in government who willfully impede a whistle-blower complaint and prosecution. My late friend in Dallas who began a new career by auditing Medicare payments to a Medical firm blew the whistle on them when he discovered systemic overcharges by the physicians group. He notified the physicians group twice and they persisted in over charging. He filed a whistle-blower complaint. He had to hire a lawyer just to deal with the weasely government lawyers who wanted to punish him. That was during the last Bush regime. He finally got his 2.1 million which was a percentage of what he saved Medicare then six months later he passed away. People have no idea of how insidiously corrupt the Bush-Cheney regime was.
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