tag:blogger.com,1999:blog-8512362.post1318798546806414734..comments2024-03-10T13:59:19.230-04:00Comments on xpostfactoid: As long as no one is thrown off Medicaid, will enrollment keep growing by 1% per month?Andrew Sprunghttp://www.blogger.com/profile/17601269968798865106noreply@blogger.comBlogger1125tag:blogger.com,1999:blog-8512362.post-43690470497619869612020-12-13T12:24:41.860-05:002020-12-13T12:24:41.860-05:00My own obsession with the issue of estate recovery...My own obsession with the issue of estate recovery on ACA expanded Medicaid and other non-long-term-care Medicaids for people 55+ in 10-14 states (including blue MA, NJ, and MD) forces me to point out that in many cases, return to normal on-exchange ACA plans would take away a financial bomb for some people's children ("insurance" in the Census Stats, but really only a loan until death for medical expenses with no insurance at all.)<br /><br />(On-exchange ACA insurance is not subject to estate recovery.)<br /><br />My first reference, for those unfamiliar, will be your own xpostfactoid mention of the matter last year.<br /><br />https://xpostfactoid.blogspot.com/2019/06/aca-medicaid-expansion-lien-on-me.html<br /><br />The second is the Wikipedia article on Medicaid estate recovery, which I actually wrote most of last year after finding out about the problem. (Everything can be verified for the references there, which are all online.)<br /><br />Also,<br /><br />2014 W Post Article:<br /><br />https://web.archive.org/web/20170213022927/https://www.washingtonpost.com/national/health-science/little-known-aspect-of-medicaid-now-causing-people-to-avoid-coverage/2014/01/23/deda52e2-794e-11e3-8963-b4b654bcc9b2_story.html<br /><br /><br />The Atlantic in 2014:<br /><br />https://www.theatlantic.com/politics/archive/2014/01/can-medicaid-really-come-after-you-house-when-you-die/357357/<br /><br /><br />Seattle Times (late 2013):<br /><br />https://web.archive.org/web/20150409115216/https://www.seattletimes.com/seattle-news/expanded-medicaidrsquos-fine-print-holds-surprise-lsquopaybackrsquo-from-estate-after-death/<br /><br />Which actually led, in just a few days, to Washington State fixing, as here: <br /><br />https://web.archive.org/web/20131221123317/http://blogs.seattletimes.com/healthcarecheckup/2013/12/16/state-will-change-asset-recovery-policy-for-medicaid-enrollees/<br /><br /><br />MN corrected in 2017<br /><br />https://web.archive.org/web/20190806154942/https://www.mlstargazette.com/story/2017/05/18/news/minnesota-ma-estate-liens-put-to-final-rest/2269.html<br /><br />Also,<br /><br />Michelle Singletary, the W. Post household-finance columnist bumped into it in MD recently.<br /><br />https://live.washingtonpost.com/color-of-money-live-20200723.html<br /><br />Scroll to "Q: Medicaid estate recovery". <br /><br />(Note this was an estate recovery of all medical bills for ACA expanded Medicaid.)<br /><br />----<br /><br />Aah: Something new: Someone indicated to me that there might actually be a bill coming up to stop the estate recovery on expanded Medicaid which is being started in the US House by an Iowa Republican:<br /><br />https://www.congress.gov/bill/116th-congress/house-bill/8836?r=7&s=1<br /><br />However, there is no text yet, so who knows?<br /><br />Obviously, even though the source is Republican, and we know about Republicans and health insurance, if the bill does stop estate recovery on expanded Medicaid it is a correct action, moving the U.S. an important bit closer to what the rest of the world has--affordable universal coverage. <br /><br />(A reason such a bill could come from the Republican side is that the estate Recovery is sometimes framed as a government seizure, causing a reaction from the right. Sometimes from the same people who oppose the ACA as "socialism". Nonetheless, we can't afford to be too picky on matters of what the people understand, and those of us who want universal affordable coverage should support it if it turns out to be what it looks like.)<br /><br />Just from the title, which is up, it is limited to "certain expansion individuals", so at most it would cover expanded Medicaid, and not other non-long-term-care Medicaids, which really should be included to get us towards real universal affordable coverage.<br />Norman Spierhttp://nasmpusicsoft.comnoreply@blogger.com