About Careers MedBlog Contact us

Many States Refusal to Expand Medicaid Will Leave Millions Without Health Insurance

by Vanessa Jones on October 24, 2013 at 5:39 PM
Font : A-A+

 Many States Refusal to Expand Medicaid Will Leave Millions Without Health Insurance

Jeffrey Zeints, one of the top management gurus was appointed by President Obama to head the trouble shooting team and fix the federal government website - HealthCare.gov. This is the website where people from 36 states need to enroll for health insurance under the Affordable Care Act.

Many citizens will find that they are not eligible for health cover - only because some states have opted not to expand their Medicaid program. Bruce Siegel, president and CEO of America's Essential Hospitals which is a group that oversees safety net institutions -said that by opting out of Medicaid expansion it defeated the purpose of the new health law.


"Originally the idea was that millions and millions of Americans would get health insurance," says Siegel, "They'd get coverage through Medicaid or through private insurance on the exchanges."

In many states only children, disabled people or pregnant women are eligible for Medicaid. According to the new health law citizens earning $15000 or less were eligible. The federal government is paying for the expansion of Medicaid for three years and only after that the states would pay 10%. Many states objected to this and in 2012 the Supreme Court left the decision to the state.

Siegel says. "They said states had the option of expanding their Medicaid program or not expanding it. And that led to a very, very different landscape than what we expected." There are some 6-7 million people in the low income bracket who cannot get health insurance.

"Over 3 million of them live in just four states," says Genevieve Kenney, senior fellow and co-director of the Urban Institute's Health Policy Center. Those states are Florida, Texas, Georgia and North Carolina. According to Kenney many of those who should be under Medicaid cannot buy private insurance as to do so their income needs to be $11000 a year individually.

"I think it's going to be confusing for individuals who are applying for coverage," says Kenney. "It certainly makes the message about the new affordable coverage that's available a lot more complicated to target." In states which have agreed to expand the Medicaid program a lot more people will get health covers and in states with no intention to expand, many people will remain working, poor and uninsured. These people will have to turn community clinics and public hospitals for help. As a result free care costs will be higher in these states.

"Many of these hospitals will be overwhelmed," Siegel says. "Some of them are already overwhelmed; many of them are already losing money, providing a high level of service to people in need. And this will simply not be a tenable position."


Hannah Punitha (IRDA Licence Number: 2710062)

Julie Rovner, Oct 2013

Source: Medindia


Recommended Reading

Latest Health Insurance News

Why Do Few Medicaid-Participating Physicians Provide Long-Term Contraception Care?
Medicare beneficiaries face challenges when accessing contraceptive or birth control care, especially long-acting birth control methods.
Medicaid Expansion Decreases Disparities in Preventable Hospital Visits
Medicaid expansion improves access to care and addresses health gaps in the 11 states that have opted against Medicaid expansion.
 Dental Services Use Among Medicare Beneficiaries
: Is Medicare beneficiary to oral health? Following enrollment, traditional Medicare and Advantage beneficiaries used fewer dental services.
Can Expanding Medicaid Led to Reduced Postpartum Hospitalizations
A third of women with pregnancy coverage through Medicaid are uninsured before or after pregnancy, says study.
Medicaid Improves Cancer Survival Outcomes in the US
Young adults with breast cancer and stage IV cancers had pronounced improvements attributable to the US' Affordable Care Act (ACA)-expanded Medicaid.
View All
This site uses cookies to deliver our services.By using our site, you acknowledge that you have read and understand our Cookie Policy, Privacy Policy, and our Terms of Use  Ok, Got it. Close

Many States Refusal to Expand Medicaid Will Leave Millions Without Health Insurance Personalised Printable Document (PDF)

Please complete this form and we'll send you a personalised information that is requested

You may use this for your own reference or forward it to your friends.

Please use the information prudently. If you are not a medical doctor please remember to consult your healthcare provider as this information is not a substitute for professional advice.

Name *

Email Address *

Country *

Areas of Interests