Ryan Health Plan Could Be Double Trouble for Former BadgerCare Participants

Monday, June 27, 2016 at 8:00 AM by

If Ryan Plan Passes, Continuation of BadgerCare Changes Would Amount to a “Bait and Switch”

A health care plan introduced last week by Speaker Ryan would roll back many of the improvements in health care that have been achieved over the past several years. It would reverse much of the huge increase in the number of people with insurance, undermine improvements in access to preventive health care services, and raise costs for many people with insurance.

I could go on at length about problems with the plan, but I want to focus now on an important Wisconsin angle – how the Ryan plan would adversely affect many of the 60,000 low-income working parents that state lawmakers removed from BadgerCare two years ago. Many aspects of the Ryan plan would compound the difficulties those parents are already coping with because of the policy choices in Wisconsin, and would take away what they were promised when the state ended their BadgerCare coverage. Read more

A Missed Opportunity to Learn from Wisconsin’s Health Reform Implementation

Tuesday, June 14, 2016 at 12:56 PM by

National Health Policy Expert Critiques State’s Narrow Evaluation of BadgerCare Changes

Wisconsin received a federal waiver to make significant changes to BadgerCare in 2014, and one of the conditions of that “demonstration waiver” was that the state would evaluate the effects of the policy changes. A national health policy expert, Sara Rosenbaum, reviewed the planned evaluation and in a blog post last week wrote that the analysis designed by state officials fails to address several of the key aspects of the policy changes being implemented in our state. Read more

Opponents of BadgerCare Expansion Miss the Mark on Cost Concerns

Wednesday, June 1, 2016 at 2:02 PM by

The Legislative Fiscal Bureau (LFB) has calculated that expanding BadgerCare and thereby qualifying for a higher federal reimbursement rate would yield huge savings for Wisconsin.

The most recent LFB analysis, issued last December, examined the effects of boosting the BadgerCare income limit for adults to 133 percent of the federal poverty level (FPL) from 100 percent of FPL now (which amounts to just $7.70 per hour for single parent with one child). The LFB concluded:

  • Initiating that change in January 2016 would have saved state taxpayers $323.5 million during the 2015-17 biennial budget period, while covering an additional 83,000 adults.
  • The state would have netted nearly $1 billion in savings over a six-year period!
  • A one-year delay in the expansion would reduce the savings by $236 million, but Wisconsin would still save an average of more than $15 million per month once the change took effect.

Opponents of expansion haven’t directly challenged those estimates. Read more

Categories: BadgerCare Plus, Blog, health care reform, Medicaid | Comments Off on Opponents of BadgerCare Expansion Miss the Mark on Cost Concerns

Federal Change Offers Opportunity to Reduce Severe Health Disparities for Native Americans

Wednesday, May 18, 2016 at 1:25 PM by

A change in federal Medicaid policy announced in February creates an exciting opportunity to improve health care for Native Americans. It’s an opportunity that Wisconsin tribes and state officials should seize in order to help alleviate the extreme disparities in health between Native Americans and whites in Wisconsin.

The revised interpretation of Medicaid reimbursement policy expands the scope of health care services for Native Americans that are fully paid for by the federal government, without the usual requirement for state matching funds. In the past, the federal government paid 100% of the cost of Medicaid services provided directly by Indian Health Services (IHS), but not for health care provided outside of IHS facilities. Under the new policy, federal funding will also cover the full cost of Medicaid services delivered to American Indians by providers under contract with IHS, if IHS or a tribal practitioner refers the Medicaid patient and continues to oversee their care. Read more

Categories: BadgerCare Plus, Blog, Medicaid | Comments Off on Federal Change Offers Opportunity to Reduce Severe Health Disparities for Native Americans

It’s Time to Shed More Light on State Medicaid Quality

Friday, March 18, 2016 at 2:37 PM by

Wisconsin Lags Far Behind in Reporting on National Standards

This week has been Sunshine Week, which is the annual nationwide celebration of access to public information. That makes this a good time to bring up an area where Wisconsin needs to let in considerably more sunshine – health care quality measures for children served by Medicaid and the Children’s Health Insurance Program (CHIP).  Federal law encourages voluntary reporting of those measures, but Wisconsin is lagging well behind most other states in reporting that information. Read more

Categories: BadgerCare Plus, Blog, Medicaid | Comments Off on It’s Time to Shed More Light on State Medicaid Quality

BadgerCare Income Limit Updated: $7.70 per Hour for Single Parent with One Child

Monday, February 15, 2016 at 3:55 PM by

Federal officials recently released the 2016 Federal Poverty Income Guidelines, better known as the federal poverty levels (FPL).  States and the federal government use the guidelines to determine eligibility for many public assistance programs, such as Medicaid, BadgerCare and child care subsidies.

Our website has several tables showing the new poverty levels and how they relate to eligibility for various public benefits. In addition to showing the annual income figures, the tables convert those into monthly and hourly income. Read more

Categories: BadgerCare Plus, Blog, ECONOMIC SECURITY, Medicaid, poverty | Comments Off on BadgerCare Income Limit Updated: $7.70 per Hour for Single Parent with One Child

The Growing List of Reasons to Expand BadgerCare

Wednesday, February 10, 2016 at 4:35 PM by

President Obama’s Budget Would Make Expansion an Even Better Deal

The budget bill introduced this week by President Obama would make the expansion of Medicaid an even better deal for states like Wisconsin that have not yet taken up the option. If Wisconsin expanded BadgerCare eligibility in January 2017, the president’s recommendations would increase the savings for Wisconsin taxpayers by $252 million by the end of fiscal year 2021.

The president’s proposal calls for reimbursing each state for the full cost of newly-eligible adults for the first three years after expanding coverage, regardless of when the expansion begins. As a result, states that expand coverage of adults this year or any time in the future would get the same enhanced federal funding as the states that expanded coverage in 2014. Read more

Categories: BadgerCare Plus, Blog, federal issues, HEALTH & HUMAN SERVICES, Medicaid | Comments Off on The Growing List of Reasons to Expand BadgerCare

Medicaid Savings Could Create Options for Policymakers

Thursday, December 31, 2015 at 5:17 PM by

[January 4th UPDATE: The quarterly Medicaid report issued today by the Dept. of Health Services estimates that the changes I discuss below and a couple of smaller items are expected to yield net savings of $72.6 million GPR by the end of the biennium.]

A couple of factors should yield significant savings in state spending for Medicaid and BadgerCare during the current biennial budget. If state tax collections don’t fall short (which is a definite possibility), Medicaid savings could be used to build up the states meager budget reserves, and I hope state policymakers will also invest a little in initiatives to make the health care system more efficient, in order to hold down the future growth of Medicaid spending.  

Early next week the Department of Health Services (DHS) should release a quarterly report about Medicaid spending from October through December. I expect that report to shed a little more light on the potential savings, but DHS might focus just on the estimated savings during that specific quarter, and not on the much larger savings over the next 18 months of the biennium.  Read more

Categories: 2015-17 biennial budget, BadgerCare Plus, Blog, HEALTH & HUMAN SERVICES, health care reform, Medicaid | Comments Off on Medicaid Savings Could Create Options for Policymakers

New Estimate of BadgerCare Expansion Savings: $1 Billion over Six Years

Tuesday, December 15, 2015 at 9:01 PM by

Two state senators released a Legislative Fiscal Bureau (LFB) memo today that provides an updated estimate of the potential savings to Wisconsin from expanding BadgerCare to more adults. The Fiscal Bureau estimates that expanding BadgerCare for adults up to 133% of the federal poverty level would cover an additional 83,000 adults, but would yield a net savings for the state of more than $1 billion over a six-year period – by taking advantage of increased federal funding available for states that expand Medicaid. 

If the expansion were to begin on January 1, 2016, the net savings for state taxpayers during the 2015-17 biennial budget period would be $323.5 million. Because that starting date is no longer a realistic option, the paper also lays out the projected fiscal effect of beginning expanded coverage a year later. Under either of those two options, Wisconsin would save an average of more than $15 million per month once the change took effect. Read more

Categories: 2015-17 biennial budget, BadgerCare Plus, Blog, HEALTH & HUMAN SERVICES, health care reform, Medicaid | Comments Off on New Estimate of BadgerCare Expansion Savings: $1 Billion over Six Years

Contrasting Positions on Medicaid Expansion: Montana vs. Wisconsin

Wednesday, November 11, 2015 at 9:00 AM by

The list of states that are taking federal funding to expand Medicaid got a little longer last week when Montana received approval from CMS for its Medicaid expansion waiver. That makes Wisconsin one of only 20 states that aren’t yet taking advantage of the federal Medicaid expansion funds that Wisconsinites have been helping contribute to the federal treasury. 

The approval of the Montana plan reinforces a couple of key points about Medicaid expansions:

  • First, even conservative states like Montana, Arizona and Alaska understand the merits of expanding Medicaid for more parents and childless adults. (Ten of the 30 expansion states have GOP governors.)
  • Second, it’s possible for states to get federal waivers for compromise expansion plans. 
Read more