Without dental coverage, patients seek pain relief in ER, By Alison Bath, January 28, 2012, Shreveport Times: “Louisiana spent $1.7 million on Medicaid patients who visited statewide emergency rooms seeking pain relief from toothaches during fiscal year 2010-11. The year before, the state paid $1.66 million for the same reason, according to Department of Health and Hospitals data. Those hospital visits didn’t solve the problem. Unlike dentists and oral surgeons, ER doctors and other physicians can’t pull a tooth. So, the thousands of Medicaid and other government health program recipients who visit an ER each year in Louisiana seeking help for toothaches, tooth abscesses and other dental emergencies receive only palliative care and a referral to an oral surgeon…”
Month: January 2012
State Medicaid Program – Colorado
Medicaid dispute pits ‘shared responsibility,’ care of poor, By Michael Booth, January 29, 2012, Denver Post: “Colorado policymakers are wrestling to bring the burgeoning Medicaid budget under control, as critics fear health insurance for the poor will consume the state budget. But even the smallest cuts or cost-shares raise protests from patient advocates and objections that such measures will prove more expensive in the long run. ‘Sharing responsibility’ by raising co-pays and enrollment fees for public health care actually discourages patients from seeking care until they require budget-busting emergency or specialty help, researchers say. ‘There is indisputable evidence that when you ask poor people to pay more for medical care, some of them cannot afford it, so they avoid seeking the doctor or cannot afford their medications,’ said Leighton Ku, director of the Center for Health Policy Research at George Washington University. Some of those patients, Ku said, will eventually require ‘the most expensive forms of care at emergency rooms or in hospitals.’ The constraints inherent in Medicaid – a tangled web of mandates, entitlements and patients’ behavior – frustrate critics, who see the program growing even more onerous. Federal health reform and expansions from a state hospital fee will add hundreds of thousands of people to public insurance rolls who are unlikely to ever leave…”
State Medicaid Programs – Maine, Kansas
- Feds confirm high hurdle for DHHS cuts; LePage officials prepared to take case to D.C., By Steve Mistler, January 27, 2012, Lewiston Sun Journal: “The federal agency that will decide whether some of Gov. Paul LePage’s proposed Medicaid cuts qualify for waivers to make the reductions legal reaffirmed Thursday that the exemptions face long odds. In a written response to the Democratic leads on the Legislature’s budgetary committee, the federal Centers for Medicare & Medicaid Services confirmed that legislative action was not a consideration in whether the agency will grant a waiver from the federal health care law…”
- Kansas governor has no plans to slow Medicaid overhaul, By John Hanna (AP), January 26, 2012, Kansas City Star: “Kansas asked the federal government Thursday to waive some of its rules so that the state can overhaul its $2.9 billion Medicaid program, despite concerns among legislators that Gov. Sam Brownback is moving too quickly to turn all of it over to private health insurance companies. Brownback expects the state to issue contracts this year to three companies to manage the program, which provides health coverage to poor families and disabled and elderly Kansans. The contracts would take effect Jan. 1, 2013, and Kansas wants federal officials to issue a waiver so the state can include services for the disabled and elderly and build in financial incentives for improving services while controlling costs…”