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Medicaid expansion is an important part of affordable care

Lisa Esposito
Health Day Reporter

Thursday, March 22 (HealthDay News)- Medicaid The program is preparing for an expansion that will add an estimated 16 million Americans to the healthcare safety net as needed. Affordable care method..

But whether that happens depends on how the US Supreme Court decides on legal issues for large-scale healthcare reform legislation.

Twenty-six states have challenged the requirement to comply with the new Medicaid eligibility rules or lose the federal matching fund, calling it compulsory and infringement of state rights. On March 28, they claim in the Supreme Court that the provisions of the Affordable Care Act are unconstitutional.

With the expansion of Medicaid, from January 2014, all people with household incomes of up to 133% of the federal poverty level (unemployed or the so-called working poor) will be eligible. This equates to an individual’s annual income of approximately $ 14,850. According to the US Department of Health and Human Services, a family of four will cost $ 30,650 in 2012.

To date, the main groups covered by the Medicaid program have been low-income parents and children, the frail elderly and the disabled.

The Medicaid Expansion Clause is more likely to overcome legal challenges than the most controversial clause in the Affordable Care Act, the individual’s obligation to require health insurance or a fine for most adults. Is believed to be.

“I do not think [the Medicaid expansion] It’s vulnerable, but it’s not a completely trivial matter. The basic point is [U.S. Supreme] The court has long made it very clear that Congress can require the state to do things using Congressional spending, “said Professor Lenny M. Landers of Suffolk University Law School in Boston. ..

“Problems faced by challengers [arguing] That [Medicaid expansion] Being compulsory means that the federal government has paid 100 percent of the expansion during the first decade of law enforcement, “says Landers.

On February 17, a group of 12 state attorney generals submitted a brief explanation in support of the extended constitution.

“In the co-operative federal program, the federal government establishes the core requirements of the program and gives the states the freedom to implement their own programs within those requirements,” a brief state excerpt.

At least five states are expanding their Medicaid programs early. California, Connecticut, Minnesota, New Jersey, Washington, and Washington DC Illinois are also planning early expansion.

Do you have enough doctors to handle Medicaid patients?

Some groups of physicians are concerned about the impact of the mass influx of registrants into the already tense Medicaid system.

The shortage of doctors already exists in the areas of expertise most likely to deal with Medicaid patients, such as pediatricians and family doctors. Doctors also say that the current Medicaid reimbursement rate from the government is too low to encourage more doctors to treat Medicaid participants.

“Expanding Medicaid’s access to more low-income Americans under the Affordable Care Act was an important step in the right direction, but more progress is needed,” he said. American Medical Association.. “Currently, most physicians are unable to accept Medicaid patients due to low reimbursement rates. This issue needs to be addressed when new patients join the program.”

One of the opponents of the Affordable Care Act said that the expansion of the Medicaid program would reduce access to healthcare providers and increase waiting times without helping new qualifications to help current registrants. Said it would hurt.

“Medicaid may give them a health insurance card-take care of them and do your best,” said Grace Marie Turner, president of the Conservative Galen Institute.

Dr. Glenstream, President American Academy of Family PhysicsCited some of the new legislation he said needed to attract and train more doctors in an environment that serves Medicaid patients.

“The elements that teach health centers are part of affordable care,” he said. “It’s about using a federally qualified health center to provide internships and medical education at that health center.”

And he said student loan forgiveness provisions can help medical students overcome barriers to choice. Regular medicine And other primary care disciplines.

“It is important to acknowledge that we are a member. [the new law] “There are 100,000 members across the country, and they certainly represent the political diversity of our society,” said Stream.

“Our academy helps preserve, expand and implement what we consider important to the health of the people of our country, as the Affordable Care Act is now a law. We are focusing on, “he added.

Copyright © 2012 HealthDay.. all rights reserved.

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References

Source: Renee M. Landers, JD, Professor of Law at Suffolk University Law School in Boston. Grace Marie Turner, Director of the Galen Institute in Alexandria, Virginia. Dr. Peter Carmel, President of the American Medical Association.Dr. Glenstream Medicine, President of the American Academy of Family Physics, Leawood, Kansas; February 17, 2012, News Release, Oregon Department of Justice



Medicaid expansion is an important part of affordable care

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