Lawmakers leery of upbeat Medicaid report [The Dominion Post, Morgantown, W.Va.]
|By David Beard, The Dominion Post, Morgantown, W.Va.|
|McClatchy-Tribune Information Services|
They heard the report during the opening day of the July interim meetings.
The report was commissioned by the state insurance commissioner and compiled by
That factor raised a red flag for Sen.
"I'm a little concerned that we have a report ... the architect of it was closely aligned with the Obama administration," Jenkins said, and the state used the numbers to decide to expand
The report projects how things will look in 2016. Without the ACA, there would be 246,000 uninsured West Virginians in 2016. (This is for the age group 18-64; those below 18 are eligible for CHIP, above 64 for
With the ACA, but without
In Fiscal Year 2011,
The cost projections show the state's
Jenkins also greeted the idea that costs could shrink for a couple years with skepticism. "How is that possible ?"
Borcik said it presumes the national and state economies recover.
The money to pay for the ACA and
"The people under 400 percent [of federal poverty level, FPL] will be paying a whole lot less. The people over 400 percent will be paying a whole lot more," Borcik said.
For 2013, federal poverty level for a single person is
A chart shows how premiums will change for individuals and families insured in a non-group plan. A 60-year-old man, for instance, earning more than 300 percent of FPL will see a premium decrease of 45.6 percent. But a 20-year-old man in the same income bracket will see a premium hike of 92 percent.
Jenkins observed, "The bottom line is, we have some pretty significant winners and some pretty significant losers."
Borcik answered, "Correct." The younger and healthier pick up the slack to subsidize the older and less healthy. "There is definitely an age subsidy within the law."
Jenkins raised an additional concern: Who is going to treat all the new
He said 50 of
Bond said most
"I live in rural
Compounding that problem,
"I, in my heart of hearts, know we're going to have a provider issue here," she said. "I do hope we have enough providers and they are willing to take on" the work for less income.
Bond observed that actuarial reports are based on assumptions. "This world is changing, and we'll see what happens in
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