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:
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.
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.
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.
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.
Ditto what PittPanther said..
8:50
Your post could have only been improved by concluding with
"Hold my beer and watch this."
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.
10:40am, wouldn't that be the Mississippi way? To remain ignorant? Great job proving 8:50am's point.
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.
@ 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?
@ 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?
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.
Stop Obamacare! Stop Common Core! Stop the mainstream media! Let's make America great again!!
2:20
Is that you Hillary?
Bubba Carpenter party, Bubba Carpenter party! Table for 5!
One would only remain ignorant PittPanther if you were actually enlightening. You're not.
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.
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.
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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