Wednesday, November 11, 2015

Medicaid expansion snapshot

Medicaid enrollments shot up 34% for the 28 states that expanded Medicaid.  JJ reviewed enrollments posted on the Kaiser Family Foundation's website.  The growth occurred between the passage of the Affordable Care Act and August 2015.  The 19 states that did not expand the Medicaid program under the ACA saw their enrollments rise only 8%.


However, JJ went one step further and tried to compare the growth among states that were similar to Mississippi.  Few Southern states accepted ACA Medicaid expansion.  However, the states that did accept it ( Arkansas, Kentucky, and Maryland) saw their Medicaid enrollments skyrocket 56%.  The Southern states that did not accept such expansion increased their enrollments only 11%.

Kaiser stated that Mississippi's enrollment was 699,469 in August and 637,229 prior to the passage of the ACA.  If, and that is an if, Mississippi's enrollments would increase by 237,819 to 937,288 (Using the 34% average) or increase by 391,702 to 1,091,171  (Using the 56% average). 

Kingfish note:  Statisticians will protest that this is not an exact comparison and they are correct.  The purpose of this post is to provide a quick review of enrollments and provide a rough estimate of what would happen if Mississippi accepted Medicaid expansion.  It is a crude way to estimate enrollment growth but it provides an idea of what the general trend would be.  Many states did not accept Medicaid expansion until 2013.  Budget experts can tell us what the effect of such growth on the state budget would be. 

Note: DC is included below while several states did not provide data to Kaiser.

States that expanded Medicaid

Arizona 36%
Arkansas 46%
California 38%
Colorado 63%

Delaware 9%
DC 9%
Hawaii 16%
Illinois 19%
Indiana 25%
Iowa 23%
Kentucky 87%
Maryland 36%
Massachusetts 27%
Michigan 21%
Minnesota  17%
 Montana 20%
Nevada 73%
New Hampshire 43%
New Jersey 36%
New York 14%
North Dakota 27%
Ohio 28%
Oregon 69%
Pennsylvania 12%
Rhode Island 44%
Vermont 16%
Washington 55%
West Virginia 54%
Average increase: 34%


States not adopting Medicaid expansion
Alaska: 1%*
Alabama  10%
Florida  16%
Georgia  14%
Idaho 17%
Kansas  6%
Louisiana  5%
Mississippi  10%
Missouri 10%
Nebraska -6%
North Carolina  20%
Oklahoma 3%
South Carolina 10%
South Dakota 3%
Tennessee 22%
Texas 5%
Virginia 3%
Wisconsin 6%
Wyoming  -5%
Average increase: 7.9%

Average of Arkansas, Kentucky, and Maryland: 56%
Average of Mississippi, Louisiana, Alabama, Florida, Georgia, Virginia, North Carolina, South Carolina, Texas, Tennessee, and Missouri: 11%

*Governor expanded Medicaid program on September 1.


19 comments:

Anonymous said...

Once again the U.S. zigs and Mississippi zags. We're so much smarter than the other states. You can't tell us what to do. By God we'll let the bridges collapse and the roads go to mud before we'll raise the gas tax. We'll let the poor do without medical care because they're black. We'll raise tuition at state universities so we can say we didn't raise taxes. We'll have a tax free weekend for ammunition. We'll let hunters bait deer. We'll tax groceries because the poor should have to pay something. We'll finance a shopping center and call it a cultural attraction. We'll deny there's even a remote chance of global warming. We'll build a coal-fired generating plant when the rest of the nation converts from coal to natural gas. We'll keep the flag because it's our heritage and because the blacks want it changed. We'll vote against adequate education funding because we don't want more black school administrators. We'll vote to shut down the government but we won't offer another solution. We'll be against everything! We're so damn smart. You can't tell us what to do. Horseshit.

Bill Dees said...

Isn't the percentage increase in each state more a function of the difference between the ACA maximum qualifying income and the state's pre-ACA qualifying income? In other words, if, as in Mississippi, the income level that precludes participation in Medicaid is extraordinarily low, then raising the "disqualification" income substantially has the effect of substantially increasing enrollment. If the state's pre-ACA disqualification income level is high, then the ACA income level is proportionately smaller, resulting in a smaller increase in enrollment.

Anonymous said...

Kentucky, which has the largest expansion. reported a $15.6 billion positive economic and Budgetary impact.

Not expanding would have costs businesses $48 million year and had a $3.9 million negative impact to the State. Hospitals would have seen a $287.5 million cut for indigent care.

Other expansion states are reporting similar positive impacts on their budgets and economy.

http://governor.ky.gove/healtheathierky/medicaid/

Medicaid costs are the largest percentage of Mississippi's annual budget and are increasing. That our elected officials are still so very math challenged and thus easily misled by special interests and political nonsense continues to hurt us.





PittPanther said...

8:50am with the post of the year. In one paragraph you've correctly summarized the mentality of the average (white) Mississippian.

If KF ever moves to a commenting technology from this century, I would upvote you.

Bill Dees said...

Ditto what PittPanther said..

Anonymous said...

8:50

Your post could have only been improved by concluding with

"Hold my beer and watch this."

Anonymous said...

Maybe when Kingfish moves "to a commenting technology from this century" we'll be able to press an Ignore button and not have to read any of the drool from PPanther and Dees ever again.

PittPanther said...

10:40am, wouldn't that be the Mississippi way? To remain ignorant? Great job proving 8:50am's point.

Kingfish said...

Kentucky did not expand until 2013. Its rolls expanded by 87%. Your claims are somewhat misleading because

1. Kentucky will have to pick up the tab for 10% of the new enrollees in a couple of years. That will have a huge effect on Kentucky's budget.
2. Of course businesses like the expansion. They are off-loading their medical costs onto Medicaid.
3. $15 billion dollar impact? Show the math. As I stated earlier, wait until Kentucky has to start paying for part of the Medicaid bill. Your numbers don't take that into account.

Anonymous said...

@ 8:50- Obviously, YOU are right and everybody wise is wrong. By all means, let's raise gas tax so the poor, hard-working man can pay through the nose in order to get back and forth to work. I man, it's not like we don't already HAVE the highway gas tax in the country. And, let's reduce tuition at all state colleges and universities. Instead of increased tuition, let's just increased tax on EVERYBODY to pay for those schools. It's really not fair that only those whowho actually USE those facilities should pay more for that privilege. And, if you think top quality shopping centers don't attract tourists (thereby bringing MONEY into the state) then you have never been to one of the several Galleria Malls (Dallas, Atlanta and similar locals) and you've likely never heard of the Mall of the Americas. And since you think that only black people are poor, you've obviously never known a poor white person. Therefore, you must be incredibly rich, on which case you cannot possibly relate to the average Mississippian so you have no idea what we think, believe, or want. Personally, I'm hoping we DO get a new flag so poverty and racism will finally be OVER. That's all out will take, right?

Anonymous said...

@ 8:50- Obviously, YOU are right and everybody wise is wrong. By all means, let's raise gas tax so the poor, hard-working man can pay through the nose in order to get back and forth to work. I man, it's not like we don't already HAVE the highway gas tax in the country. And, let's reduce tuition at all state colleges and universities. Instead of increased tuition, let's just increased tax on EVERYBODY to pay for those schools. It's really not fair that only those whowho actually USE those facilities should pay more for that privilege. And, if you think top quality shopping centers don't attract tourists (thereby bringing MONEY into the state) then you have never been to one of the several Galleria Malls (Dallas, Atlanta and similar locals) and you've likely never heard of the Mall of the Americas. And since you think that only black people are poor, you've obviously never known a poor white person. Therefore, you must be incredibly rich, on which case you cannot possibly relate to the average Mississippian so you have no idea what we think, believe, or want. Personally, I'm hoping we DO get a new flag so poverty and racism will finally be OVER. That's all out will take, right?

Anonymous said...

To 12:43....I am 8:50 and I'll take the high road. I guess I'm wise enough to know I'm frequently wrong. I have been to the Mall of America several times killing time before flying out of MSP and I've never seen a roller coaster at the Pearl mall or Renaissance. Let's use fairer comparisons.
Reduced tuition and taxing everyone? I pay property taxes that fund public schools and my children never set foot in a public school. I believe that better public education lifts the entire state.
The poor are only blacks? I've got 'poor white trash' in my family and boy do I know a lot about that. I'm not but one generation from PWT myself.
Rich? Yes I am but I can relate. In 1976 I was briefly on food stamps and picked up Coke bottles by the road for the nickel deposit.
Will the new flag end poverty and racism? Why heck no nor will anything else. Both will always be with us. That doesn't mean we shouldn't try to end it.
I harbor no ill will against you or your response. I'm simply as frustrated as I've ever been at my state and the leadership. When I visit Texas, Wyoming or Oregon the people are proud of their state. I'm not proud of Mississippi and I'm tired of defending it. We go out of our way to exhibit behavior that really enforces the negative stereotypes other states have about us. It's OK for you to disagree with me and this may be yet one more time I'm wrong.

Anonymous said...

Stop Obamacare! Stop Common Core! Stop the mainstream media! Let's make America great again!!

Anonymous said...

2:20

Is that you Hillary?

Anonymous said...

Bubba Carpenter party, Bubba Carpenter party! Table for 5!

Anonymous said...

One would only remain ignorant PittPanther if you were actually enlightening. You're not.

Anonymous said...

Even with the 10% kicking in later that money for our hospitals in this state is much needed. From my understanding the taxes we would collect from the other 90% would offset the 10%, and would create a lot of jobs. Moreover, if the states can't handle the 10% later they can always back out just like Kentucky is about to do according to its newly elected governor.

Anonymous said...

4:15 Where would these billions come from in the first place? From money we borrow from the Chinese among others, now estimated to reach 20 trillion dollars by the time Obama leaves office (having been responsible for half that, the preceding 43 presidents together having racked up the other half).

Who will pay those loans off? My kids. No thanks. Living within one's means is a painful adjustment that many of us have made. It's time for EVERYONE to make that adjustment.

Money Trees For 200, Alex... said...

4:15 must be Bernie Sanders. Just do it. Don't worry about the eventual cost or where the money will come from. There's always going to be a rabbit in a hat out there somewhere.

It's not that 'Mississippi is smarter than everybody else'. It's that conservatives and those who understand where money comes from don't think those of us who work should see our state income tax tables quadruple every four years for twelve years.

But I've enjoyed reading the posts from the 'you're making too much money' crowd.

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Trollfest '09

Trollfest '07 was such a success that Jackson Jambalaya will once again host Trollfest '09. Catch this great event which will leave NE Jackson & Fondren in flames. Othor Cain and his band, The Black Power Structure headline the night while Sonjay Poontang returns for an encore performance. Former Frank Melton bodyguard Marcus Wright makes his premier appearance at Trollfest singing "I'm a Sweet Transvestite" from "The Rocky Horror Picture Show." Kamikaze will sing his new hit, “How I sold out to da Man.” Robbie Bell again performs: “Mamas, don't let your babies grow up to be Bells” and “Any friend of Ed Peters is a friend of mine”. After the show, Ms. Bell will autograph copies of her mug shot photos. In a salute to “Dancing with the Stars”, Ms. Bell and Hinds County District Attorney Robert Smith will dance the Wango Tango.

Wrestling returns, except this time it will be a Battle Royal with Othor Cain, Ben Allen, Kim Wade, Haley Fisackerly, Alan Lange, and “Big Cat” Donna Ladd all in the ring at the same time. The Battle Royal will be in a steel cage, no time limit, no referee, and the losers must leave town. Marshand Crisler will be the honorary referee (as it gives him a title without actually having to do anything).


Meet KIM Waaaaaade at the Entergy Tent. For five pesos, Kim will sell you a chance to win a deed to a crack house on Ridgeway Street stuffed in the Howard Industries pinata. Don't worry if the pinata is beaten to shreds, as Mr. Wade has Jose, Emmanuel, and Carlos, all illegal immigrants, available as replacements for the it. Upon leaving the Entergy tent, fig leaves will be available in case Entergy literally takes everything you have as part of its Trollfest ticket price adjustment charge.

Donna Ladd of The Jackson Free Press will give several classes on learning how to write. Smearing, writing without factchecking, and reporting only one side of a story will be covered. A donation to pay their taxes will be accepted and she will be signing copies of their former federal tax liens. Ms. Ladd will give a dramatic reading of her two award-winning essays (They received The Jackson Free Press "Best Of" awards.) "Why everything is always about me" and "Why I cover murders better than anyone else in Jackson".

In the spirit of helping those who are less fortunate, Trollfest '09 adopts a cause for which a portion of the proceeds and donations will be donated: Keeping Frank Melton in his home. The “Keep Frank Melton From Being Homeless” booth will sell chances for five dollars to pin the tail on the jackass. John Reeves has graciously volunteered to be the jackass for this honorable excursion into saving Frank's ass. What's an ass between two friends after all? If Mr. Reeves is unable to um, perform, Speaker Billy McCoy has also volunteered as when the word “jackass” was mentioned he immediately ran as fast as he could to sign up.


In order to help clean up the legal profession, Adam Kilgore of the Mississippi Bar will be giving away free, round-trip plane tickets to the North Pole where they keep their bar complaint forms (which are NOT available online). If you don't want to go to the North Pole, you can enjoy Brant Brantley's (of the Mississippi Commission on Judicial Performance) free guided tours of the quicksand field over by High Street where all complaints against judges disappear. If for some reason you are unable to control yourself, never fear; Judge Houston Patton will operate his jail where no lawyers are needed or allowed as you just sit there for minutes... hours.... months...years until he decides he is tired of you sitting in his jail. Do not think Judge Patton is a bad judge however as he plans to serve free Mad Dog 20/20 to all inmates.

Trollfest '09 is a pet-friendly event as well. Feel free to bring your dog with you and do not worry if your pet gets hungry, as employees of the Jackson Zoo will be on hand to provide some of their animals as food when it gets to be feeding time for your little loved one.

Relax at the Fox News Tent. Since there are only three blonde reporters in Jackson (being blonde is a requirement for working at Fox News), Megan and Kathryn from WAPT and Wendy from WLBT will be on loan to Fox. To gain admittance to the VIP section, bring either your Republican Party ID card or a Rebel Flag. Bringing both and a torn-up Obama yard sign will entitle you to free drinks served by Megan, Wendy, and Kathryn. Get your tickets now. Since this is an event for trolls, no ID is required. Just bring the hate. Bring the family, Trollfest '09 is for EVERYONE!!!

This is definitely a Beaver production.


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Trollfest '07

Jackson Jambalaya is the home of Trollfest '07. Catch this great event which promises to leave NE Jackson & Fondren in flames. Sonjay Poontang and his band headline the night with a special steel cage, no time limit "loser must leave town" bout between Alan Lange and "Big Cat"Donna Ladd following afterwards. Kamikaze will perform his new song F*** Bush, he's still a _____. Did I mention there was no referee? Dr. Heddy Matthias and Lori Gregory will face off in the undercard dueling with dangling participles and other um, devices. Robbie Bell will perform Her two latest songs: My Best Friends are in the Media and Mama's, Don't Let Your Babies Grow up to be George Bell. Sid Salter of The Clarion-Ledger will host "Pin the Tail on the Trial Lawyer", sponsored by State Farm.

There will be a hugging booth where in exchange for your young son, Frank Melton will give you a loooong hug. Trollfest will have a dunking booth where Muhammed the terrorist will curse you to Allah as you try to hit a target that will drop him into a vat of pig grease. However, in the true spirit of Separate But Equal, Don Imus and someone from NE Jackson will also sit in the dunking booth for an equal amount of time. Tom Head will give a reading for two hours on why he can't figure out who the hell he is. Cliff Cargill will give lessons with his .80 caliber desert eagle, using Frank Melton photos as targets. Tackleberry will be on hand for an autograph session. KIM Waaaaaade will be passing out free titles and deeds to crackhouses formerly owned by The Wood Street Players.

If you get tired come relax at the Fox News Tent. To gain admittance to the VIP section, bring either your Republican Party ID card or a Rebel Flag. Bringing both will entitle you to free drinks.Get your tickets now. Since this is an event for trolls, no ID is required, just bring the hate. Bring the family, Trollfest '07 is for EVERYONE!!!

This is definitely a Beaver production.

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