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In the first weeks of the H1N1 pandemic, a physician became ill at a Chicago hospital and tested positive for the virus. Then other health care workers became ill and tested positive an outbreak that began at a time when the virus was not widespread in the community.
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Washington Medicaid first tried moving its high-cost Supplemental Security Income (SSI) population into managed care back in the 1990s, but that effort was a failure, according to Doug Porter, the state's Medicaid director.
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Although governors' proposed budgets for fiscal 2012 showed a 2.9% decline in Medicaid spending, state funds going to the program are predicted to increase by 18.6%, according to a spring 2011 report from the National Governors Association and the National Association of State Budget Officers.
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The approval of a Bridge waiver in January 2011 "rescued" Washington state's Basic Health plan, according to Doug Porter, the state's Medicaid director, and should give the state a preview of Medicaid expansion. "We're now drawing down federal matching funds for a program that was previously all state funded," he says.
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Some states are contemplating asking the federal government for a "waiver" of the standard Medicaid requirements modeled after Rhode Island's, which was implemented in 2009, says Jesse Cross-Call, a policy associate on the Health Policy team at the Center on Budget and Policy Priorities in Washington, DC.
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Individuals with Medicaid coverage were 70% more likely to have a regular medical office to obtain basic care, 55% more likely to have a personal doctor, and obtained more preventive care than an uninsured group, according to a new study.
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Most states can come out ahead financially under health care reform, according to Stan Dorn, a senior fellow at the Urban Institute in Washington, DC, noting that a December 2010 Urban Institute study found that states would see net budget savings of between $40.6 billion and $131.9 billion from 2014 to 2019 because of the Affordable Care Act (ACA).
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Nearly 80% of 13,069 uninsured patients in the ERs of four San Diego hospitals over an 11-month period were eligible for some form of government insurance, yet weren't enrolled, according to a Point-of-Service ER Survey conducted by the San Jose, CA-based Foundation for Health Coverage Education (FHCE).