Trump’s win opens the door for Medicaid alternative in Georgia

So certain were Georgia politicos of a Hillary Clinton presidency that 2017 was to be the year state legislators considered expanding Medicaid, after four years of pooh-poohing the idea. Donald Trump’s victory ended that.

stethoscope

Still, no one really thinks the status quo will hold up much longer. If adding hundreds of thousands of Georgians to the state’s already swollen Medicaid rolls would be extremely expensive, doing nothing is costly in a different way. Poor Georgians still get sick, and rural hospitals still lose money on uninsured patients at a rate that forces some of them to close their doors.

“We’ve tried Medicaid expansion” in other states with lackluster results, says Kelly McCutchen, president of the pro-free-market Georgia Public Policy Foundation. “We’ve tried not expanding Medicaid. Neither has really worked. Let’s try something different.”

Even the uninsured consume health care, to the tune of $2,500 per person per year on average. Someone pays for this, whether it’s loss-making hospitals, taxpayers, or those with private insurance paying higher prices. With some 565,000 uninsured Georgians living below the poverty line, McCutchen says, that comes out to $1.4 billion a year.

Yet Medicaid expansion, estimated to cost some $7,300 per new enrollee, would have been triple that amount — a $4 billion answer to a $1.4 billion problem. That wasn’t its only shortcoming: Opinion polls of doctors show a third or more of them won’t take new Medicaid patients, because they lose money on them.

“It was more comprehensive coverage, but what is comprehensive coverage worth if you can’t find a doctor?” McCutchen asks. “It looked good on paper, but it really wasn’t that good in practice.”

So McCutchen devised a different solution. It starts with passing a state law to authorize a practice known as direct primary care. Under this arrangement, McCutchen says, patients pay a flat fee of $40 to $80 per month to a primary-care physician, which affords them a range of benefits. There’s no insurance involved, lowering the overhead cost for the doctor. More than a dozen states currently allow the practice and have lowered their health spending as a result, McCutchen says.

At an annual cost of about $750 per person, Georgia’s low-income, uninsured population could be covered for about $400 million a year. The rest of their current annual health cost of $2,500 — or $1 billion total — could go toward true catastrophic-coverage insurance. Key to the deal, McCutchen says, is that the money for any eligible person who didn’t enroll in these programs would be set aside to reimburse hospitals for treating the uninsured.

“If you funded this fully,” McCutchen says, “you could eliminate uncompensated care, which would save our rural hospitals.”

Ah, but who is “you” here? McCutchen says the $1.4 billion should come from federal tax dollars, for two reasons: First, it’s billions less than Washington would spend if Georgia simply expanded Medicaid. Second, the reason hospitals rack up all this uncompensated care is because of the huge, unfunded federal mandate that they treat anyone who walks in the door.

With Trump winning the election and choosing Georgia’s Tom Price to lead Health and Human Services, there may be a real opportunity for our state to try something creative like this as part of the replacement for Obamacare. It would be a way to improve access to health care while cutting the cost to taxpayers. It certainly looks like the most palatable option yet for Georgia’s legislators.

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194 comments
lvg
lvg

New Year Greetings from the other side:


As I await higher premiums for Medcare and less reimbursements for Prescriptions with higher profits to the providers and Big Pharma; the cons are celebrating that they finally can undo Obama care.  And people like Kyle and the right wing fascists here are celebrating

AndyManUSA#45
AndyManUSA#45

The one and only gripe I have with the Trump administration so far, and I'm not even sure if Trump is the perpetrator, is the floating of trial balloons to gauge public opinion. This is the same crap that the establishment Republicans used and completely failed with. 


#1 - You campaigned on a promise and now you are not sure if the public will accept that promise, the same public that voted you into office?


#2 - You govern based on the opinion of the public instead of your knowledgeable and thoroughly researched decisions?


Again, on behalf of the fanatical liberals who might think I am souring on Trump, I do not believe these trial balloons are his idea. But I do think he should squash them and take command of his office.


Go with it, Donald. You won.

AndyManUSA#45
AndyManUSA#45

The democrat party and it's lunatic following have subtracted themselves from any reasonable conversation and have reduced themselves to this-


There once was a shepherd boy who was bored as he sat on the hillside watching the village sheep. To amuse himself he took a great breath and sang out, "Wolf! Wolf! The Wolf is chasing the sheep!"

The villagers came running up the hill to help the boy drive the wolf away. But when they arrived at the top of the hill, they found no wolf. The boy laughed at the sight of their angry faces.

"Don't cry 'wolf', shepherd boy," said the villagers, "when there's no wolf!" They went grumbling back down the hill.

Later, the boy sang out again, "Wolf! Wolf! The wolf is chasing the sheep!" To his naughty delight, he watched the villagers run up the hill to help him drive the wolf away.

When the villagers saw no wolf they sternly said, "Save your frightened song for when there is really something wrong! Don't cry 'wolf' when there is NO wolf!"

But the boy just grinned and watched them go grumbling down the hill once more.

Later, he saw a REAL wolf prowling about his flock. Alarmed, he leaped to his feet and sang out as loudly as he could, "Wolf! Wolf!"

But the villagers thought he was trying to fool them again, and so they didn't come.

At sunset, everyone wondered why the shepherd boy hadn't returned to the village with their sheep. They went up the hill to find the boy. They found him weeping.

"There really was a wolf here! The flock has scattered! I cried out, "Wolf!" Why didn't you come?"

An old man tried to comfort the boy as they walked back to the village.

"We'll help you look for the lost sheep in the morning," he said, putting his arm around the youth, "Nobody believes a liar...even when he is telling the truth!"


Fact.

AndyManUSA#45
AndyManUSA#45

Dearest Republicans,


You don't have to "replace" obamacare with anything. Government run health care IS the problem, remember? We already have medicaid, don't we? We already have schip, don't we? What exactly is the purpose of these government programs but to provide health care to those who cannot afford it? Am I missing something here?


Incentivize the private health care industry to help them lower their prices, give them tax breaks, remove onerous regulations, re-implement free market practices. Get them back to practicing medicine instead of pushing paperwork. The costs of health care go down and more people can afford it.


Are you stupid or what?


Sincerely,


Andyman

breckenridge
breckenridge

@AndyManUSA#45 

If you want to repeal Obamacare, then you  must also want to repeal Medicare.  The two programs are opposite sides of the same coin.

And if you want to repeal Obamacare but not Medicare? Then you're a filthy hypocrite.

AndyManUSA#45
AndyManUSA#45

(Cue Bing Crosby please)


He's making his list


He's checking it twice


Gonna find out who's naughty or nice


Forty Five is comiiinnnnng to town



Would the last lib leaving Washington DC please turn the lights out? Thank you.


LOCK HER UP!

breckenridge
breckenridge

Kellyanne Conway, President-elect Donald Trump's former campaign manager and newly named White House aide, said Thursday the new administration would not pursue a ban on Muslims solely based on their religion. 

Asked repeatedly if an individual's religious affiliation would trigger heightened scrutiny, Conway said, "No."Instead, Trump will focus more on the country of origin, Conway said."You're going back to over a year ago in what he said about the (Muslim) ban versus what he said later about it, when he made it much more specific and talked about countries where we know that they've got a higher propensity of training and exporting terrorists," she told CNN's Chris Cuomo during an interview on "New Day," after he prodded her to share more details. 

Any such ban would have to start with the terrorist exporting capital of the world - Saudi Arabia.  

AndyManUSA#45
AndyManUSA#45

Pryor is a 54-year-old Alabaman who got his law degree from Tulane University and is close with Trump’s choice for attorney general, Senator Jeff Sessions of Alabama. Pryor’s appeals court nomination by President George W. Bush sparked a two-year, highly partisan battle before his confirmation in 2005.


Pryor’s outspoken nature -- he once described the landmark Roe v. Wade abortion-rights ruling as the "worst abomination" of constitutional law in U.S. history -- makes him perhaps the most contentious possible nominee for Trump.


Perfect. That's^^ our man.


MAGA #45


LOCK HER UP!



https://www.bloomberg.com/politics/articles/2016-12-22/wanted-top-court-justice-who-s-solid-conservative-no-surprises

Nick_Danger
Nick_Danger

@AndyManUSA#45 

Jeff Sessions? 

The guy who was too racist for REPUBLICANS to confirm as a Federal Judge?  That Jeff Sessions?

breckenridge
breckenridge

@AndyManUSA#45 

The last thing we need on the Supreme Court is some social conservative gutter-filth that wants to legislate his perverted version of religion.

lvg
lvg

Notice how Andyman and the cons are now rewriting history and denying that  Clown-elect lost by a bigger majority and number than  practically any prior President-elect. Expect new Minister of  Propaganda, Ms Conway to make other major revisions to Orange Clown's promises and recent history. 

AndyManUSA#45
AndyManUSA#45

@lvg


She lost votes on the recount.


She lost electors.


She has 3% of her voters regretting their choice.


Deal with it.


Mandate.

Nick_Danger
Nick_Danger

@AndyManUSA#45 @lvg 

Mandate? 

Listen, when millions more voters vote for your opponent than vote for you, you do NOT have a mandate.

SGTGrit
SGTGrit

@Nick_Danger @AndyManUSA#45 @lvg  When you have as many republican majorities in state houses, governors, a majority in both chambers of congress along with the executive branch, yeah, you have a mandate.


breckenridge
breckenridge

President-elect Donald Trump is calling on President Barack Obama's administration to veto a U.N. resolution that denounces Israeli settlements, backing the Israeli government and weighing in on a highly sensitive topic weeks before he takes office.


He's wrong. Israel must stop their illegal expansion.

lvg
lvg

@breckenridge Agreed. Time for US to stop being  the servant for Israel and being marched around like a toy.

AndyManUSA#45
AndyManUSA#45

A Pew Research survey Wednesday showed a whopping 97 percent of all voters would cast the exact same vote they did on Election Day, including 99 percent of Trump voters and 96 percent of Clinton voters. As with the recount that saw Clinton lose votes and the Electoral College vote that saw her lose electors, only 1 percent of Trump voters regret their vote, while 4 percent of Clinton voters do.


Well, there goes that whole popular vote thingy, right out the window.


MAGA #45


LOCK HER UP!


http://nypost.com/2016/12/21/why-hillary-clinton-is-still-losing-supporters/

lvg
lvg

Kyle must have been kidnapped by the libs.

SGTGrit
SGTGrit

How could anyone of sound mind not support N.C.'s bathroom law.

Starik
Starik

@SGTGrit I'm of sound mind (so far) and I don't care about it.

Nick_Danger
Nick_Danger

@SGTGrit 

Because it makes so much sense to take those people who have been using one bathroom for years, with zero problems ever, and have government force them to use a different background. 

Real conservative of you!  /SMH

SGTGrit
SGTGrit

Geez, Breckinridge is a smacked a$$.

breckenridge
breckenridge

@SGTGrit 

What are you mumbling about now? Sounds like you have chits in your grits.

AndyManUSA#45
AndyManUSA#45

Paragraph 21 of the affidavit states that the U.S. government concluded that the unauthorized disclosure of the 2,028 "confidential" emails could cause "damage" to national security, unauthorized disclosure of the 65 "secret" level emails could cause "serious damage" to national security, and unauthorized disclosure of the 22 "top secret" emails could cause "exceptionally grave damage" to national security.


LOCK HER UP!

AndyManUSA#45
AndyManUSA#45

In addition, WikiLeaks founder Julian Assange denies Russian involvement.  So does Britain’s former ambassador to Uzbekistan, Craig Murray, who said, “I’ve met the person who leaked them [the emails]” and that the individual is an “insider” representing Democrats angry over “the corruption of the Clinton Foundation and the tilting of the primary election playing field against Senator Bernie Sanders.”  Moreover, both FBI director James Comey and James Clapper, director of National Intelligence, said there’s “no credible evidence” that Russia influenced Nov. 8’s outcome, according to reporter Ed Klein. 


The truth will come out.


LOCK HER UP!

breckenridge
breckenridge

Your fuhrer enters office under the darkest cloud of illegitimacy in US presidential history.

Oh you mean that Russian thing? The little Putin inconvenience that the CIA and FBI have both concluded he's guilty of?


Sigh.....yes, that is a dark cloud on the orange clown.

AndyManUSA#45
AndyManUSA#45

hillary spent 1.3 Billion and lost.


Trump spent $300 Million and won. 


Which of these do YOU think is the stoopid one?


LOCK HER UP!

AndyManUSA#45
AndyManUSA#45

@Eye wonder @AndyManUSA#45 He did self fund, his primary campaign. During the general election, he solicited donations. Maybe you should study up on the man, eyeball, instead of just running with every kook conspiracy that is planted into your empty head.


You might just come to admire him.

breckenridge
breckenridge

Why would Hillary expect electors to be faithful to her?  Her husband hasn't been. - El Rushbo

Rush actually stole this from Russell Moore of the Southern Baptist Convention and spun it on its head.  Two weeks before the election, Moore said that Trump hasn't kept his vows to his wife, so there's no reason for social conservatives to expect Trump to keep his vows to them.



That worthless and disgusting tub of goo Limbaugh can't even come up with his own material.


lvg
lvg

@breckenridge High priest and titular leader of  the  brainless cons.

breckenridge
breckenridge

President-elect Donald Trump on Wednesday appeared to stand by his plans to establish a registry for Muslims and temporarily ban Muslim immigrants from the United States.

Speaking outside his Mar-a-Lago resort in Florida, Trump did not walk back the proposals after he was asked by a reporter whether he was rethinking or reevaluating them in the wake of a fresh terrorist attack in Berlin.

“You know my plans,” Trump said.

His plans are unconstitutional and will not fly.


Next.

AndyManUSA#45
AndyManUSA#45

Trump was smart enough to focus his campaign on winning the electoral college vote, which is what decides the presidency. He made numerous last minute stops in WI, PA and MI, all which helped put him over the top. He never once went to kalifornia during the entire campaign. 


hillary blew off campaigning in the states she needed to win, save for MI, during the very last week, in which she sent obozo/bubba to insult the intelligence of that states great citizens. 


In other words, hillary was too stupid to run an effective political campaign.


This is who the democrats wanted to lead our country?



AndyManUSA#45
AndyManUSA#45

@Eye wonder @AndyManUSA#45 Player A wins the first set 6-0 but then loses the next two sets 5-6, 5-6. Yes, player A has won a substantial number of games more than player B did but who won the match?



Eye wonder
Eye wonder

@AndyManUSA#45

Not just Democrats, IReport. 

In total, almost 3,000,000 more people of all shapes, sizes and colors wanted her. 

Your fuhrer won the EV by a total of 80,000 votes out of almost 129,000,000 votes cast.

Your fuhrer lost the PV with the biggest deficit since 1876.

Your fuhrer's EV 'landslide' ranks 44 out of 55 US presidential elections.

Your fuhrer enters office under the darkest cloud of illegitimacy in US presidential history.

I predict your fuhrer won't serve the entirety of his first time, and I'll wager another $50, payable to a charity of your or my choice, on said prediction. You up for it?

Starik
Starik

@Eye wonder @AndyManUSA#45 ''almost 3,000,000 more people of all shapes, sizes and colors wanted her.'' Lots wanted anybody but Trump. Hillary was an unattractive candidate who ran her campaign badly. 

Eye wonder
Eye wonder

Yo, IReportYouWhine / @AndyManUSA#45 -- how do you feel now that Newt has confirmed your new fascist overlord's promise to drain the swamp was a lie?  


Do you see the Big Con?


Naaah. Of course you don't.  You'll be all in for America's new fuhrer even when he finds himself sitting on the inside of a jail cell.



Eye wonder
Eye wonder

@AndyManUSA#45 @Eye wonder

From their own website: 

"Avenue Strategies is a full service government affairs and political consulting firm located in the heart of downtown Washington, D.C.  Our firm provides client-tailored strategy and guidance carefully designed to help our clients navigate our government."

https://www.avenuestrategies.com/

If you send me an address I'll send you a cloth to wipe the egg off your face.