Tag Archive: Medicaid


Audit: State Paid $12 Million In Health Costs — For Dead People

 

 

 

 

 

 

” Cook County has long been ridiculed for allowing dead people cast votes, but the state may have just garnered a new distinction.

  It paid $12 million in health care for people who were already dead — including in one case, for a person who had died in 1989.

  A new financial audit released by Auditor General Bill Holland’s office on Thursday found that the Illinois Department of Health and Family Services had 8,232 people still on Medicaid rolls qualifying for benefits, even though they were dead.

  The state paid monthly premiums totaling almost $7 million for 561 people who had already been dead for an average of nearly two years before they were enrolled in a state managed care program.

A person was dead for 663 days and then they were signed up for Managed Care,” an incredulous Holland told the Sun-Times. “They need to improve their system to ensure the death dates for current enrollees, and just to ensure that people who were deceased were not enrolled.”

 

Continued at Chicago SunTimes

 

 

 

 

 

 

 

 

 

 

Waste, Fraud, And Abuse In Federal Spending

 

 

 

 

 

” The federal government spent over $100 billion in taxpayer funds improperly in 2012— one element of that notorious “waste, fraud, and abuse” in federal spending that we hear so much about. Scholars at the Mercatus Center recently released a chart that shows the breakdown of these improper payments across federal programs.

  Perhaps not surprisingly, the lion’s share of this improper is in three largest healthcare entitlement programs: Medicare Fee-for-Service, Medicare Advantage (Part C), and Medicaid. Combined, these programs account for a whopping $61.9 billion in improper payments. To put that in perspective, $61.9 billion is more than the entire 2014 budget for the Department of Homeland Security. In other words, we’re talking about real money.”

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Yet Another Reason To Worry About Obamcare: Property Seizures?

 

 

 

” Obamacare requires everyone to have health insurance. In more than half of the states in the country, that comes through an expansion of Medicaid, the joint federal-state program for the poor. Under a 1993 federal law, states can recoup the costs of Medicaid by seizing the property of deceased Medicaid recipients.

  With the vast expansion of who can enroll in Medicaid under Obamacare, that could mean significantly more property. Though The Washington Post called it “scary but improbable,” the newspaper reported there are people who are concerned about it and that the federal government has not rejected it out of hand.

  Before the expansion, it was an option rarely used, so there’s little national data. But in Oregon, from July 2011 to June 2013, the state snatched $41 million in assets from about 8,900 people, the Post reported.”

Medicaid Expansion Brings Latest Unpleasant Surprise From Obamacare

 

 

 

 

 

” Now we have the latest in the long and growing list of unpleasant “surprises” about the Affordable Care Act.

  It turns out that expansion of Medicaid coverage for low-income Americans increases rather than decreases visits to hospital emergency rooms.

  According to just-released results of a new study published in the journal Science based on 10,000 low-income residents in Oregon newly covered by Medicaid, emergency room visits were 40 percent higher than those with no insurance at all.

  It was supposed to be the opposite. Supposedly, a big driver of our high expenditures in health care has been due to those without insurance going to emergency rooms.

  So get more of these folks covered with government health insurance, they stop going to the emergency room, and we all save money. Right? Wrong.”

 

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The Heritage Foundation

 

    Total US Government unfunded liabilities are estimated to be between $195 Trillion as stated above and $238 Trillion , not including another unfunded liability of $4 Trillion that belongs to the individual states .

 

 

 

 

 

 

 

 

Thanks To America’s Freedom Watcher

 

 

 

 

   The Obamacare enrollment numbers to date , even including the Medicaid enrollments  , are dwarfed by a 10 to 1 margin as compared to the existing policy cancellations . Taking out the Medicaid applicants , which do nothing to help pay for the “free” healthcare promises , the ratio of cancellations to new policies climbs to a staggering 50 to 1 . Well done Dem’s , well done . 

  Put another way , since October first the combined enrollment totals of the state and the federal websites (106,185) works out to a daily average enrollment success rate of 2,413 .29 . At that rate it will only take 7.94 yearts to reach the first year’s enrollment goals . The websites are on fire … LOL

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

” Obama’s easing of the non-citizen Medicaid enrollment process opens up Medicaid to being overwhelmed by fraud. This problem is compounded by the Navigator/Assister program being on the “honor system,” and the scores of troubling Navigators/Assisters appearing on Healthcare.gov.  Though a sideshow throughout Obamacare’s passage and litigation, Medicaid’s pivotal role in President Obama’s health care reform effort has become apparent following the law’s October 1 implementation. In many states, Medicaid enrollment through the Healthcare.gov portal is dwarfing the number of “private” insurance plan purchases.”

 

Is there any policy that Obama and the Dem’s push through that doesn’t involve fraud and abuse ? 

 

 

 

 

 

Fewer Than 50,000 Have Enrolled Through Healthcare.gov So Far

 

 
” This is a disaster, and it explains why the White House insisted on delaying the release of official enrollment statistics for as long as they have. Jay Carney has been warning that the initial figure is going to be “low,” even when it’s padded by the law’s demographically-perilous Medicaid numbers. The only question was how low. The apparent answer: The number of Americans who have managed to sign up for Obamacare through Healthcare.gov over the last month-and-a-half could fit into Yankee Stadium, with seats to spare. The Wall Street Journal reports:

 

 So far, private health plans have received enrollment data for 40,000 to 50,000 users of the federal marketplace, the people familiar with the figures said. The federal marketplace uses an industry-standard format to exchange enrollment information, known as an 834 transmission…In some cases, insurers have reported duplicated 834s and other data-integrity problems, but the people familiar with the matter said they believed these figures reflected an accurate count of enrollments through late last week…The initial federal numbers set for release this week are expected to show enrollment only through the end of October, so the figures are expected to be lower. Efforts to clean up the data and reduce duplications could further cull the formal count.

Illustration by Glenn Foden

Who Counts As An Obamacare Enrollee? The Obama Administration Settles On A Definition

 

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” The fight over how to define the new health law’s success is coming down to one question: Who counts as an Obamacare enrollee?

Health insurance plans only count subscribers as enrolled in a health plan once they’ve submitted a payment. That is when the carrier sends out a member card and begins paying doctor bills.

When the Obama administration releases health law enrollment figures later this week, though, it will use a more expansive definition. It will count people who have purchased a plan as well as  those who have a plan sitting in their online shopping cart but have not yet paid.

“In the data that will be released this week, ‘enrollment’ will measure people who have filled out an application and selected a qualified health plan in the marketplace,” said an administration official, who requested anonymity to frankly describe the methodology.

On Monday, the Wall Street Journal, citing anonymous sources, said insurance companies have received about 50,000 private health plan enrollments through HealthCare.gov. Even combined with state tallies, the figure falls far short of the 500,000 sign-ups the administration initially predicted for both private sign-ups and those opting for the expansion of Medicaid. ” 

 

The Washington Post has more

 

 

 

 

 

When Welfare Pays Better Than Work

 

 

” The federal government funds 126 separate programs targeted towards low-income people, 72 of which provide either cash or in-kind benefits to individuals. (The rest fund community-wide programs for low-income neighborhoods, with no direct benefits to individuals.) State and local governments operate more welfare programs.Of course, no individual or family gets benefits from all 72 programs, but many do get aid from a number of them at any point in time.

Today, the Cato institute is releasing a new study looking at the state-by-state value of welfare for a mother with two children. In the Empire State, a family receiving Temporary Assistance for Needy Families, Medicaid, food stamps, WIC, public housing, utility assistance and free commodities (like milk and cheese) would have a package of benefits worth $38,004, the seventh-highest in the nation.

While that might not sound overly generous, remember that welfare benefits aren’t taxed, while wages are. So someone in New York would have to earn more than $21 per hour to be better off than they would be on welfare.That’s more than the average statewide entry-level salary for a teacher.

 

 

 

 

 

 

 

President Says Obamacare Is Going Great

 

 

 

” Obamacare is “working fine,” President Obama said yesterday in his press conference. It’s made health insurance “stronger, better, more secure than it was before.”

Right. There’s nothing to worry about, which is why Members of Congress are trying to exempt themselves and their staffs from Obamacare.

In reality, health insurance premiums are rising, and states—meaning taxpayers—are staring down some astronomical expenses. A new study from the Government Accountability Office cites Obamacare and Medicaid costs as budget busters for states that are just starting to get their budgets in order.”

 

 

>>> See How Much Obamacare’s Medicaid Expansion Would Cost Your State

 

 

 

 

 

 

Medicaid Expansion: Déjà Vu All Over Again

 

 

 

” Republican governors are following the script of Obama and Clinton in their campaign strategy for the Medicaid expansion that is needed to implement ObamaCare: The cast of earnest white coats and tearful upstanding, hard-working patients with hard-luck stories. Statements that sound as though they were written by the same PR firm. The same dire consequences of inaction.

“It’s just the right thing to do,” is a favorite concluding sentence.

What “it” basically means is to get the “free” federal money before somebody else does. Since it doesn’t cost “us” anything, at least not at first, it’s a “no brainer” to just grab it. It means billions of dollars, and thousands of jobs, for “us.

But if we exercise our brains for a minute, we see that in reality the billions go to “them,” not “us.” They are the ones in the expensive suits lurking in the background and attending the closed-door meetings. They are the million-dollar-a-year executives of managed-care companies or administrators in big hospital chains. They get the billions and trickle a portion down to people in scrubs and white coats who do real work, for the care of approved patients. They are the real players; the visible ones are props, shills, or camouflage. They are the decision-makers, who decide who is eligible for what.

They don’t think like doctors. Doctors ask, “What is the best way to help this patient with hepatitis c?” Rather, they ask, “Is this person with a certain set of social characteristics worth spending some of ‘our’ resources?” ”

 

 

 

 

 

Millions Improperly Claimed U.S. Phone Subsidies

 

 

 

 

” The U.S. government ( Taxpayers ) spent about $2.2 billion last year to provide phones to low-income Americans, but a Wall Street Journal review of the program shows that a large number of those who received the phones haven’t proved they are eligible to receive them.

The Lifeline program—begun in 1984 to ensure that poor people aren’t cut off from jobs, families and emergency services—is funded by charges that appear on the monthly bills of every landline and wireless-phone customer. Payouts under the program have shot up from $819 million in 2008, as more wireless carriers have persuaded regulators to let them offer the service.

A review of five top recipients of Lifeline support conducted by the FCC for the Journal showed that 41% of their more than six million subscribers either couldn’t demonstrate their eligibility or didn’t respond to requests for certification.

Suspecting that many of the new subscribers were ineligible, the Federal Communications Commission tightened the rules last year and required carriers to verify that existing subscribers were eligible. The agency estimated 15% of users would be weeded out, but far more were dropped.

The carriers—AT&T T +0.62% Inc.; Telrite Corp.; Tag Mobile USA; Verizon Communications VZ -0.05% Inc.; and the Virgin Mobile USA unit of Sprint Nextel Corp. S +1.04% —accounted for 34% of total Lifeline subscribers last May. Two of the other largest providers, TracFone Wireless Inc. and Nexus Communications Inc., asked the FCC to keep their counts confidential. Results for the full program weren’t available.

The program is open to people who meet federal poverty guidelines or are on food stamps, Medicaid or other assistance programs, and only one Lifeline subscriber is allowed per household.

The program, which is administered by the nonprofit Universal Service Administrative Co., has grown rapidly as wireless carriers persuaded regulators to let people use the program for cellphone service. It pays carriers $9.25 a customer per month toward free or discounted wireless service.

Americans pay an average of $2.50 a month per household to fund a number of subsidized communications programs, including Lifeline.”

14 Big Government Programs That Failed to Achieve Their Goals

 

 

prohibition

 

 

” Prohibition was instituted with ratification of the Eighteenth Amendment to the United States Constitution on January 16, 1919, which prohibited the “…manufacture, sale, or transportation of intoxicating liquors within, the importation thereof into, or the exportation thereof from the United States…”

Congress passed the “Volstead Act” on October 28, 1919, to enforce the law, but most large cities simply ignored the law and bootlegged alcohol to meet demand, creating a huge black market rife with crime and corruption. Prohibition was repealed by the Twenty-First Amendment in 1933, essentially acknowledging the exercise had been pointless and counter-productive.”

How to Prepare for Life Under Obamacare

 

 

 

” Across the country, governors face two key decisions post-election: do they force the feds to implement exchanges, or do they try to do it themselves, in which case the states have to rush to make them work, to pay for them with higher taxes on premiums, and could see a good deal of political blowback; and do they implement the Medicaid expansion, which will lead to short-term benefit but in the long-term create the need for higher taxes as states’ percentage of payments increase. Governors are generally unlikely to implement the exchanges — at least 20 of them have already said no — and if they are going to expand Medicaid, governors will attempt to use their leverage to extract vastly more freedom for their Medicaid systems, along the lines of what Florida has done, which has already been endorsed in spirit by the administration.

But that’s the decision process that faces the states—what about the ramifications for the rest of us? We talked about it the other night on The Blaze. Here are a few points I’ve highlighted to those with questions about coming policy changes ang how they will effect you: “

Ponder the future that fact conjures .

    And while you’re at it ponder this graph from the CBO . Bear in mind that the actual spending stops at the 2009 level . That leaves three more years of actual spending to be added to bring us up to date

” · UPSIDE DOWN – The combined number of people enrolled in Medicaid and Medicare–the government health-care programs for the poor, disabled and elderly–now exceeds the number of full-time private sector workers in the United States. ”

America’s Youth ?    Are You Listening Hearing ?