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While many states have expanded their Medicaid home and community-based services (HCBS) for frail older adults, others continue to steer most enrollees into nursing ho...
It work, you're seeing a much faster drop in the uninsured rate which really does suggest that the law is having a tangible effect, and it does matter whether states embrace it with open arms or really oppose it and try and block implementation. >> and if data is your friend here, you also have to acknowledge that states that have not embraced the medicaid expansion specifically, there is actually hard data that people are actually going uninsured as a result of that. so this is a way in which data could come back to bite those criticizing this change, no? >> yeah. you know, we're definitely s...
High of 90/10. >> but there is a problem. the new law requires everyone to have insurance or pay a fine is a lot of people already eligible for medicaid who had not signed up will now be forced to, in order to avoid fines. analysts call that the woodwork effect. meaning, people will come out of the woodwork to get back up. and for that group, the administration gives no additional money. officials seem to recognize the problems. >> we are committed. to working with governors. to help them manage their medicaid costs. their medicaid programs. >> there are lots of ideas about how to make the law...
>> then the states would have to pay a bigger share but there's another problem. the new law will require everyone to have insurance or pay a fine. a lot of people now eligible for medicaid have not signed up, but will be forced to if they want to avoid fines. that is known by analysts as the woodwork effect. meaning people come out of the woodwork to sign up. for that group the administration will give no extra financial help, meaning the states will have even finance larger financial expenditures. secretary sebelius who was once a governor, medicaid averages 16% of the state's budgets but ma...
Private insurance, the affordable act expands medicaid coverage up to 138% of the federal poverty line, which is about 16,000 for an individual this year. it's also leading to the woodwork effect. patients already eligible for med kate cade come out of the carpentry to enroll in the plan. 120,000 of the new enrollees were eligible for medicaid coverage but just didn't know it until the law went into effect. as with all things aca expansion does not come without hitches. in 2012 they allowed state to opt out even though it would help thousands with no cost. 25 gop states have refused the expans...