[Vision2020] Gaining and losing from Medicaid

[Ron Force]

A couple of errors (mine) in the post:
 ! The figures are for the year 2022
2. The cost to the state for Medicaid expansion in 2020 is $55 million. Still less than the state paid for indigent coverage in 2011.

Ron Force
Moscow Idaho USA



On Sunday, December 8, 2013 6:36 PM, Ron Force <rforce2003 at yahoo.com> wrote:
 
	1. Sherry Glied and Stephanie Ma: How States Stand to Gain or Lose Federal Funds by Opting In or Out of the Medicaid Expansion: "The Supreme Court ruled to allow states to choose whether to participate in the expansion. Many of the states declining to participate have pointed to a potential negative impact on their budgets.... We compare the expected flow of Medicaid expansion-related federal funds in 2022... to payments to state governments through federal highway subsidies and payments to state businesses through defense procurement... to taxes raised by the federal government to fund the program... the state’s share of the cost of the Medicaid expansion in 2022—the match needed to draw these federal funds—to state expenditures that aim to draw private investments to states. We find that the Medicaid expansion will be a relatively large source of federal revenue... 2.35 times as great as expected federal highway funds... over one-quarter as
 large as expected defense procurement... No state would experience a positive flow of funds by choosing to reject the Medicaid expansion... taxpayers in non-participating states will nonetheless bear a significant share of the overall cost of the expansion... and not enjoy any of the benefits. Most states’ budget costs of expanding Medicaid each year will be, on average, less than one-sixth the amount they pay to attract private businesses..."
>Summarized from: http://www.commonwealthfund.org/~/media/Files/Publications/Issue%20Brief/2013/Dec/1718_Glied_how_states_stand_gain_lose_Medicaid_expansion_ib_v2.pdf
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>Idaho's figures est Federal funds by 2020 (millions):
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>Additional Medicaid funds if expanded: $477 
>Federal Highway funds: $368 
>Federal Defense Procurement Contracts: $ 339
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>Flow of Federal Funds by 2020 if Idaho chooses not to expand Medicaid:
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> Idaho's payments in Federal Taxes as a percent of the whole:0.3%
>Net loss to other states –$297 million
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>State costs for Medicaid expansion, 2020, in comparison to state expenditures to attract private industry:
>Medicaid: $55 million
>Private industry subsidies; $419 million (promotions, tax breaks, etc.)
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>In addition, in 2011, the state paid out $32 million in State Catastrophic Health Care Funds; counties paid an additional $32.5 million. These are payments to health care providers (Drs. and hospitals) for indigent patients. What might the payment be in 2020? A lot more than the cost of Medicaid expansion ($47 million)!  It's unfortunate that the ideology of the majority party will end up costing the taxpayers, health care providers and hospitals of Idaho a bundle, particularly when they usually have their hands out for more Federal funds. It will also deprive the poor and near-poor of coverage for their medical expenses.
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>Ron Force
>Moscow Idaho USA
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