Friday Five - September 1, 2017

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September 01, 2017

In this week’s Friday Five, MAXIMUS is reading about why Medicare and Medicaid can be more cost-effective than private insurance, the impact of Medicaid on state budgets, and states making moves to prevent Medicaid fraud and implement work requirements.

1. Why Medicare and Medicaid can outmatch private plans on cost

The New York Times reports on studies finding that while Medicare and Medicaid may affect your initial access to healthcare, they have little effect on your medical treatment as compared to private plans. In fact, Medicare and Medicaid are more cost-effective than private insurance because they reimburse at lower rates without a drop in the quality of care.

2. Study: Proposal to replace Obamacare particularly bad for Florida

The Cassidy-Graham plan would do away with tax subsidies for insurance premiums and replace them with a steadily decreasing block grant, while also making dramatic changes to Medicaid. According to WUSF News, this bill would have a more severe impact on Florida (losing approximately $9.66B by 2026) because it has the highest numbers of individuals insured under the Affordable Care Act of any other state.

3. How Medicaid, and its costs, grew in Nevada

This article in the Las Vegas Review Journal charts the expansions in Medicaid coverage over the years in Nevada.  Despite Nevada’s spending per enrollee being the lowest in the nation, both the number of enrollees and costs have risen due to expansion of eligibility as well as an influx of low-income seniors.

4. State recovers $11 million in audit by Medicaid division, Attorney General

Mississippi recovered $11 million after auditors reviewed medical claims paid throughout the state. The Jackson Free Press reports that most of this funding was from bills that should have been paid by insurance other than Medicaid; accordingly, the state invests in preventative measures to combat fraud and abuse.

5. Majority of voters support Medicaid work requirements

In a recent poll, Morning Consult found that Medicaid work requirements are supported by just over half (51%) of respondents, with Republicans expressing the strongest support. Four states have applied for waivers that would allow them to implement work requirements, although most Medicaid enrollees would not be affected.