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News & Current Events Discuss Medicaid Waivers a Path to Reform at the General Forum; Yes! It's time to rein in spending and this is an excellent place to do it. Programs are better managed ...

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Old 02-23-2018, 09:08 AM
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Default Medicaid Waivers a Path to Reform

Yes! It's time to rein in spending and this is an excellent place to do it. Programs are better managed at a more local level because then there aren't myriad layers of federal bureaucracy sucking up so many of the dollars meant to help people. I also like the idea of having the able-bodied work for benefits instead of just freely handing them out at the hard-working taxpayers' expense.

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As Congress continues to dither and delay entitlement reform, the Trump administration has empowered state lawmakers to take charge and do what Washington either canít or wonít do: reform government spending and health care.

Section 1115 of the Social Security Act authorizes the U.S. Department of Health and Human Services to approve state governmentsí requests for Medicaid waivers, allowing states to tailor the programís implementation to their respective needs.
This is a lot more efficient and makes more sense than the federal government's one-size-fits-all approach.

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In January the Centers for Medicare and Medicaid Services published guidelines for states seeking to use Section 1115 to institute work requirements affecting ďnon-elderly, non-pregnant adult Medicaid beneficiaries who are eligible for Medicaid on a basis other than disability.Ē

Many states have already started to take advantage of this go-ahead because they know it will help get people back to work. But thereís another important reason to apply work requirements to Medicaid: the governmentís massive debt time-bomb.

The federal government spent $368 billion ó about $1,138 per man, woman and child ó on Medicaid in 2016. Currently, about 11 cents out of every dollar taken from taxpayers goes to this one program. According to estimates from the Congressional Budget Office (CBO), the gap between the national governmentís income and spending, commonly referred to as the deficit, will exceed $1.46 trillion in 2027, or roughly $4,144 per person.

Absent a major course correction, the cost of Medicaid alone is expected to increase at an average annual rate of 5.9 percent over the next decade, reaching a total cost of $655 billion per year by 2027, or about $1,845 per capita. Thatís nearly double its current size.

However, using the tools provided by the Section 1115 waiver process, state lawmakers can take control of their own budgetary destiny and help prevent Medicaidís collapse by trying out new, innovative ideas that could improve the quality of care for Medicaid recipients and reduce the burden placed on taxpayers. Potential reforms include across-the-board spending caps, creating health savings accounts, and rebalancing spending on budget line items. Additional state-level control of Medicaid implementation also discourages cost overruns and incentivizes states to fight fraud and mismanagement.

When states are given more power over their welfare programs, votersí political power over the programsí administration is better concentrated, making it easier to hold bureaucrats and politicians accountable.
You can read more about this here: Medicaid Waivers a Path to Reform | The Freedom Pub
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Old 02-23-2018, 03:14 PM
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Default Re: Medicaid Waivers a Path to Reform

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Originally Posted by Lumara View Post
Yes! It's time to rein in spending and this is an excellent place to do it. Programs are better managed at a more local level because then there aren't myriad layers of federal bureaucracy sucking up so many of the dollars meant to help people. I also like the idea of having the able-bodied work for benefits instead of just freely handing them out at the hard-working taxpayers' expense.



This is a lot more efficient and makes more sense than the federal government's one-size-fits-all approach.



You can read more about this here: Medicaid Waivers a Path to Reform | The Freedom Pub
States already manage Medicare and Medicaid.

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Old 02-23-2018, 04:43 PM
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Default Re: Medicaid Waivers a Path to Reform

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Originally Posted by saltwn View Post
States already manage Medicare and Medicaid.
Yes, but will have even more leeway under the new proposal.
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