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2.2 Million FL folks covered by Medicaid. I assume this is because of the age, income, etc.
Comments?
Good?
Bad?
Seems like the welfare system is broken and too many people just sponge off the system (and the rest of us).
2.2 Million FL folks covered by Medicaid. I assume this is because of the age, income, etc.
Comments?
Good?
Bad?
Seems like the welfare system is broken and too many people just sponge off the system (and the rest of us).
Fla. Gov. Eyes Changes to State Medicaid
Tue Jan 11, 7:16 PM ET U.S. National - AP
By DAVID ROYSE, Associated Press Writer
TALLAHASSEE, Fla. - Gov. Jeb Bush outlined a plan Tuesday to link Florida's Medicaid program to private insurance companies that would set limits on health coverage.
Bush said Florida's health care safety net for uninsured nursing home patients and the poor faced unsustainable double-digit cost increases and was in dire need of revamping.
The governor said he envisions giving people with different health care needs flexibility to choose between plans, and rewarding those who make healthy lifestyle choices, such as not smoking.
Under the plan, which would need approval from Florida lawmakers and the federal government, the state would pay the premiums of Medicaid recipients for health care plans offered by private insurance companies and health maintenance organizations.
Participating insurers or HMOs, rather than the government, would set limits on care and coverage. Providers would compete to serve Medicaid patients, saving money, Bush argues.
States around the country are struggling with ballooning Medicaid costs, and Bush is not the first to consider increased privatization.
Georgia Gov. Sonny Perdue's administration recently proposed shifting 1 million Medicaid recipients into private-sector, managed care programs, and several states have already privatized parts of Medicaid. But in many of those states, private insurers won't cover those who need expensive health care, particularly the elderly, who remain in traditional state-run programs.
Bush said he anticipates all services currently covered by Medicaid continuing under various plans in the new system, which would be phased in starting later this year if it's approved.
About 2.2 million Floridians are covered by Medicaid.
Republican legislative leaders sounded generally supportive of the Bush approach.
"Changes of this magnitude are not easy," warned House Speaker Allan Bense. "But doing nothing is simply not an option if we are to adequately fund Medicaid and all the state's other critical needs."
But Bush's use of the term "defined contribution" as a method for controlling costs alarmed Karen Woodall, an advocate for low income Floridians.
"That's another way to say, 'capping the program,'" Woodall said. "It means you're going to put a limit on what people can expend on health care. What happens if an individual goes above and beyond their defined contribution?"
Others wondered what would happen if private companies determine that needed care won't be covered at all. If a private insurer does that now, often the person may be covered by Medicaid.
"If a provider says, 'Enough's enough,' what do we do with those people?" asked Senate Democratic Leader Les Miller, who said Bush's plan was too vague and a "risky experiment."