So what are the NH State Senate Rogue Republicans and Democrat appointed Speaker Jasper going to do about chopped Fed Medicaid rates? - Granite Grok

So what are the NH State Senate Rogue Republicans and Democrat appointed Speaker Jasper going to do about chopped Fed Medicaid rates?

“…doctors who have been receiving the enhanced payments will see their fees for primary care cut by 43 percent, on average”

As Medicaid Rolls Swell, Cuts in Payments to Doctors Threaten Access to Care

WASHINGTON — Just as millions of people are gaining insurance through Medicaid, the program is poised to make deep cuts in payments to many doctors, prompting some physicians and consumer advocates to warn that the reductions could make it more difficult for Medicaid patients to obtain care. The Affordable Care Act provided a big increase in Medicaid payments for primary care in 2013 and 2014. But the increase expires on Thursday — just weeks after the Obama administration told the Supreme Court that doctors and other providers had no legal right to challenge the adequacy of payments they received from Medicaid.

Obamacare -Year of the SnakeThey NEVER said anything about this when passing Obama’s Medicaid Expansion here in NH, did they?  Now with having shoved 20,000 new people  onto the dole’s Medicaid Expansion to yells of joy of “FREE MONEY!!!!” (and knowing durn well there wasn’t any to begin with):

  • What are they going to tell those new dole people who can’t find care with their new coverage?
  • Who is going to pay that new bill – are they about to prove their membership in the Bipartisan Fusion Party?

After all, being part of the Bipartisan Fusion Party is just the same thing as being the Jr. Lackeys of the Welfare State – and they never have to pay for THEIR mistake out of their own pockets (only us).  More details:

The impact will vary by state, but a study by theUrban Institute, a nonpartisan research organization, estimates that doctors who have been receiving the enhanced payments will see their fees for primary care cut by 43 percent, on average.  Stephen Zuckerman, a health economist at the Urban Institute and co-author of the report, said Medicaid payments for primary care services could drop by 50 percent or more in California, Florida, New York and Pennsylvania, among other states.

It didn’t say what it would be here in NH, but one thing is for sure – this Blue Social Model experiment is acting like most of us that learned math other than by Common Core said it would – NO amount of math would make it work.  Sad to see that NH Republicans like Morse, Bradley, Odell, Stiles, Boutin, and others decided to be so careless (or is that reckless) as well.  But, as it was Obama’s main goal during his Presidency was to do redistribution on a huge scale.  Nice to see these Republicans threw in with him as well:

In his budget request in March, President Obama proposed a one-year extension of the higher Medicaid payments. Several Democratic members of Congress backed the idea, but the proposals languished, and such legislation would appear to face long odds in the new Congress, with Republicans controlling both houses.

Yeah, one more year closer to the time that he wouldn’t be in office (not that he cares at all – he already got it into law) in an attempt to do what he’s already done – get the program to be further accepted and closer to that point where it could never be repealed – let the taxes fly!

Dr. David A. Fleming, the president of the American College of Physicians, which represents specialists in internal medicine, said some patients would have less access to care after the cuts. It would make no sense to reduce Medicaid payments “at a time when the population enrolled in Medicaid is surging,” he said.  Dr. George J. Petruncio, a family physician in Turnersville, N.J., described the cuts as a “bait and switch” move. “The government attempted to entice physicians into Medicaid with higher rates, then lowers reimbursement once the doctors are involved,” he said.

But “bait and switch” is perfectly legal when done by Government – after all, the Feds run the biggest Ponzi scheme ever (called Social Security).

But Nicole Brossoie, a spokeswoman for the New Jersey Department of Human Services, which runs the state’s Medicaid program, said the increase was not meant to be permanent. “The enhanced rates will not be extended in New Jersey,” Ms. Brossoie said. “It was always understood to be temporary.”  The White House says Medicaid is contributing to the “largest coverage gains in four decades,” with 9.7 million people added to the Medicaid rolls since October 2013, bringing the total to 68.5 million. More than one-fifth of Americans are now covered by Medicaid. But federal officials have not set forth a strategy to expand access to care with enrollment, and in many states Medicaid payment rates for primary care services, like routine office visits and the management of chronic illnesses, will plunge back to 2012 levels, widely seen as inadequate.

For the last two years, the federal government has required state Medicaid agencies to pay at least as much as Medicare pays for primary care services. Family doctors, internists and pediatricians have thus received Medicare-level payments for primary care, with the federal government making up the difference in costs.

Coverage is not the same as “receiving care” and please note that at NO time, has Obama or his sycophants (Democrat or Republican) have said the latter, hoping that people would never notice the difference.  Well, golllllly!  They’re about to get a vocabulary lesson when the docs that are about to get screwed over royally (and you thought the AMA (American Medical Association) was for the doctors?  Hah!) and decide to decline taking many (most? nearly all?) of those new NH Medicaid dole souls.  And what are they going to do when those people (and the Democrats) start complaining?  Well they stay true to the NH GOP Platform, or will they further earn that moniker of Jr. Lackeys of the Welfare State?  And will they:

  • Force doctors to accept their rates?
  • Force taxpayers to make those on the dole whole?
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