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Old 11-01-2013, 08:49 PM  
Msmith Msmith is offline
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Why doesn't the state of Kansas expand the Medicate?

The Fed would like to hand out the money 100% for the expanded Medicaid the first three years. Now there are bunch of people lost their Medicaid coverage and couldn't get a decent plan in the Exchange.

I am sure the governor, and the 26 Republican governors, has reasons. But what is it?

Last edited by Msmith; 11-01-2013 at 08:59 PM..
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Old 11-01-2013, 08:52 PM   #2
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I am no expert and don't really know much about the medicade stuff, but I would think that eventually the States are going to be picking up a larger tab than they do now. The 100% is just a carrot.
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Old 11-01-2013, 08:56 PM   #3
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I thought it is 100% for the first three years and 90% every year afterward.
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Old 11-01-2013, 08:59 PM   #4
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Quote:
Originally Posted by Msmith View Post
The Fed would like to hand out the money 100% for the expanded Medicaid the first three years. Now there are bunch of people lost their Medicaid coverage and couldn't get a decent plan in the Exchange.

I am sure the governor, and the 26 Republican governors, has reasons. But what is it?
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Old 11-01-2013, 09:00 PM   #5
2bikemike 2bikemike is offline
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Quote:
Originally Posted by Msmith View Post
I thought it is 100% for the first three years and 90% every year afterward.
But your picking up a lot more people. Like I said I am not versed in it, I am just speculating.

I liken it to the Bullet Train Carrot. The Feds were willing to give a huge amount of money to help build them but IMHO the actual construction costs along with the operating costs are going to be a huge burden to the state coffers.
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Old 11-01-2013, 09:12 PM   #6
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According to this article:

"...So why have Kansas leaders (I use that term lightly) made the decision to leave over 100,000 working Kansans without the possibility of coverage? The answer, which has been apparent for well over a year, is political posturing. Conservatives remain hostile to Obamacare, and while some Republicans have offered their own solutions to the issue, many, including those in Topeka, have chosen to simply undercut and challenge the law at every opportunity, regardless of the impact of their decisions. To the governor and his allies in the legislature, this isnít about pursuing the best policy- itís about keeping up their street cred with the Tea Party and the far right."

How true is that?
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Old 11-01-2013, 09:27 PM   #7
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Here is the Analysis the State performed it should give you the answer to your question.

http://www.kdheks.gov/hcf/kancare/do...sis_Report.pdf

Quote:
If the State chooses to expand Medicaid, Aon Hewittís best estimate is that the Medicaid/CHIP enrollment
will increase by 111,880 in CY2014, ramping up to 226,003 (25,416 from currently eligible Medicaid,
49,384 from currently eligible CHIP, and 151,203 from those newly eligible for Medicaid) in CY2016, once
ACA is fully implemented. These estimates incorporate anticipated woodwork effects, newly eligible
members and potential crowd out effects. Crowd out refers to enrollment shifts from private coverage to
public insurance as an effect of Medicaid eligibility expansion. Under the expansion scenario, the
enrollment of currently eligible but not enrolled is assumed to increase more than under the without
expansion scenario. This is due to extra outreach efforts initiated by various interest groups and
anticipated additional enrollment of currently eligible children when newly eligible parents enroll in
Medicaid. The enrollment increase from the newly eligible is mainly driven by the expansion of Medicaid
eligibility to all eligible individuals under 138% of the federal poverty level (FPL), regardless of parental
status or medical condition. The anticipated 10-year (CY2014-CY2023) State budget increase (state
share only) with expansion compared to No ACA will be $1.1B ($970.1M for Medicaid and $173.6M for
CHIP).
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Old 11-01-2013, 09:30 PM   #8
banyon banyon is offline
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The answer in kansas is:

Brownback Resumequest 2016

Anything that he can add to his bullet point list of why he'd makw a great primary candidate.

Its the only way you can explain why he simultaneously rejected federal dollars for the health exchange and money for medicare on the grounds that "he does not want to be begging for federal money" and then turns around and begs for money for the NBATH facility. Because both are bullet points. One is "look at how i stood up to obama" and the other is "i was a job creator in kansas".

Of course the sad thing is that the best for kansas doesn't really factor into that equation. And of course brownback has zero chance at the nomination because he has the charisma of a slug.
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Old 11-01-2013, 09:49 PM   #9
Msmith Msmith is offline
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So for the greater good of the common people, it should put away the petty politics?
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Old 11-01-2013, 10:01 PM   #10
banyon banyon is offline
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Quote:
Originally Posted by Msmith View Post
So for the greater good of the common people, it should put away the petty politics?
It's a bit more cynical than that.

Because his presidential bid is doomed to utter insignificance, he should stop using the state as his experimental fiefdom.
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Old 11-01-2013, 10:07 PM   #11
2bikemike 2bikemike is offline
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Quote:
Originally Posted by banyon View Post
The answer in kansas is:

Brownback Resumequest 2016

Anything that he can add to his bullet point list of why he'd makw a great primary candidate.

Its the only way you can explain why he simultaneously rejected federal dollars for the health exchange and money for medicare on the grounds that "he does not want to be begging for federal money" and then turns around and begs for money for the NBATH facility. Because both are bullet points. One is "look at how i stood up to obama" and the other is "i was a job creator in kansas".

Of course the sad thing is that the best for kansas doesn't really factor into that equation. And of course brownback has zero chance at the nomination because he has the charisma of a slug.
Quote:
Originally Posted by Msmith View Post
So for the greater good of the common people, it should put away the petty politics?
So Neither of you think this matters?

[QUOTE]The anticipated 10-year (CY2014-CY2023) State budget increase (state
share only) with expansion compared to No ACA will be $1.1B ($970.1M for Medicaid and $173.6M for
CHIP)
. [/quote]
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Old 11-01-2013, 10:08 PM   #12
jaa1025 jaa1025 is offline
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Quote:
Originally Posted by Msmith View Post
The Fed would like to hand out the money 100% for the expanded Medicaid the first three years. Now there are bunch of people lost their Medicaid coverage and couldn't get a decent plan in the Exchange.

I am sure the governor, and the 26 Republican governors, has reasons. But what is it?
Because the state of Kansas nor any other state afford it after 3 years.
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Old 11-01-2013, 10:35 PM   #13
banyon banyon is offline
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Quote:
Originally Posted by 2bikemike View Post
So Neither of you think this matters?

The anticipated 10-year (CY2014-CY2023) State budget increase (state
share only) with expansion compared to No ACA will be $1.1B ($970.1M for Medicaid and $173.6M for
CHIP)
.
First, i hope those projections weren't brought to us by the same folks who projected their massive tax cuts last year would have no impact on the budget and we are already down 19% y/oy.

Second, the taxpayers of kansas will be paying federal taxes into the expansion for all of the participating states and not getting anything back thanks to these choices.

The missing element there is to figure what the economic impact is of being drained 90% of that figure is every year out of the states economy. I think i have read that no economists unless they are truly crazy think that the economic impact of the 90% federal monet coming in wouldnt greatly outweigh the complained of state portion.

970.1 mil over ten years is 97 mil a year. Hell, brownback has already lost that in just the first couple of months of his experimental tax plan.
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Old 11-01-2013, 10:52 PM   #14
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don't worry -- the poor people will get this right because they actually run the country. and stuff.
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Old 11-01-2013, 11:04 PM   #15
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