December 1, 2017, Kaiser Health News, Phil Galewitz- Two months past its deadline, Congress has yet to fund the Children’s Health Insurance Program, leaving several states scrambling for cash. Lawmakers grappling with the failed repeal of the Affordable Care Act allowed authorization of the program to lapse on Sept. 30. Although CHIP has always had broad bipartisan support, the House and Senate cannot agree on how to continue federal funding. And the Trump administration has been mostly silent on the issue. CHIP benefits 9 million children nationwide and 370,000 pregnant women a year. It helps lower- and middle-income families that otherwise earn too much to be eligible for Medicaid. Like Medicaid, CHIP is paid for with state and federal funds, but the federal government covers close to 90 percent of the cost.
November 29, 2017, Health Affairs Blog, Timothy Jost- Finally, the greatest threat of the tax bill to health coverage may not be the individual mandate repeal, but rather the large deficits built into the tax bill.The CBO estimates that the tax bill would increase the budget deficit by $1.4 trillion over the next decade. The agency predicts that it would not increase the deficit beyond 2027, but that conclusion is based on the individual tax cuts expiring at the end of 2025, which no one believes will happen. Moreover, if the CBO is wrong and fewer than 13 million individuals lose insurance coverage because of the individual mandate repeal, the budget savings of $318 billion the CBO projects from the repeal will shrink and the deficit will correspondingly grow. In fact, the deficits created by the tax bill can only be balanced by massive spending cuts, and the biggest targets for such cuts would be the Medicare and Medicaid programs. Indeed, current PAYGO rules could require sequestration of $25 billion in Medicare funds for the fiscal year 2018 if the tax bill passes, although Congress would most likely waive this requirement. In any event, unless completely unrealistic assumptions are made about future economic growth, the deficits caused by the tax bill would unavoidably result in later attempts to enact deep cuts in Medicaid and Medicare. It is not just the individual market that is at risk.
Federal investigators are examining whether Mississippi officials manipulated federal reporting within a public assistance program, even as Mississippi leaders continue looking for ways to limit “welfare fraud” among participants.The U.S. Department of Justice is investigating Mississippi Department of Human Services over its management of the Supplemental Nutrition Assistance Program, formerly known as food stamps. Human Services is also the state agency expected to soon assume responsibility of Medicaid eligibility. The department first hired consultant Julie Osnes in 2011 to help improve its SNAP error rate, which, if low, can earn the state cash incentives. Federal investigators have discovered that through consultants like Osnes, states have manipulated their reported numbers, making them unreliable.
November 27, 2017, The Clarion-Ledger, Geoff Pender- Most state agencies would see cuts again for the coming fiscal year in the proposal adopted Monday by legislative leaders as lawmakers seek to deal with an anemic economy and tax cuts, sock away more reserves for emergencies and keep credit rating agencies happy. “If you define the success of our state by how much money our government spends, then you ain’t gonna be happy with this budget recommendation,” Lt. Gov. Tate Reeves said. The plan calls for state spending of nearly $6 billion - $76.1 million, or 1.3 percent, less than the current year. It calls for “deleted funding” for 2,687 vacant state government positions - those that have been vacant for six months or more.
November 27, 2017, Kaiser Health News, Melissa Bailey- Q: When I call 911, can I choose where the ambulance takes me? Possibly. Most ambulances will take you to the “closest appropriate facility,” but protocols vary from town to town. If you’re not in dire condition, the ambulance crew may agree to take you to your preferred hospital. If you’re on Medicare, you may have to pay for the extra miles. If you’re set on going to a particular hospital, ask if they’ll take you there before you get in.Q: Can I avoid these bills ahead of time?Possibly, if it’s not an emergency. First, ask your insurance company: Which ambulance companies are in-network? What do you pay for in-network and out-of-network ambulance rides? If you’re on Medicare or Medicaid, you should be protected from surprise bills, though there are exceptions.
November 27, 2017, Kaiser Health News, Julie Appleby- Consumers coping with the high cost of health insurance are the target market for new plans claiming to be lower-cost alternatives to the Affordable Care Act that fulfill the law’s requirement for health coverage. But experts and regulators warn consumers to be cautious - and are raising red flags about one set of limited benefit plans marketed to individuals for as little as $93 a month. Offered through brokers and online ads, the plans promise to be an “ACA compliant, affordable, integrated solution that help ... individuals avoid the penalties under [the health law].“Such skinny plans - sold for the first time to individuals - come amid uncertainty over the fate of the ACA and whether President Donald Trump’s administration will ease rules on plans for individuals. Dozens of brokers are offering the plans.