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Normangee Star (Texas) - AHCA could cut $900B from Medicaid spending over decade

Madeline Patrick

Dale McCall is a fourth-generation farmer with a sprawling field where he grows alfalfa, hay and sunflowers near Yuma, Colorado.

Lawmakers in Washington should work together to strengthen our health care system, not turn the clock back to the time when far too many of our people lacked basic health coverage. His son, Tim, farms nearby and feels under-insured by his health plan. About half of Americans get their insurance through their employer. Medicaid/CHIP children with special health care needs are almost two and one-half times as likely (24%), and those with both Medicaid/CHIP and private insurance are three times as likely (30%), to have four or more chronic conditions, compared to those with private insurance alone (10%).

We received additional information today on what exactly is in the bill, and it actually increases the level of deregulation from the House’s version of the AHCA.

Enough insurers are planning to sell coverage on the Affordable Care Act’s insurance exchanges next year to keep them working – if only barely – in most parts of the country. Since health care is such a personal issue, transparency is particularly critical concerning laws governing it.

The Alliance for the Adoption of Innovations in Medicine (Aimed Alliance) ? a not-for-profit working to improve health care in the US ? today released Quality Health Care in the United States: A Roadmap for Consumer-Focused Reform with ten reform recommendations for Congress to preserve broad access to health insurance coverage, stabilize the marketplaces, and equip consumers to make responsible, informed health care decisions.

It is also fair to wonder about the long-term effects of per-capita growth caps proposed under both the AHCA and the Senate bill – though not relative to unsustainable promises under current law, but rather to an alternative method of attaining financial sustainability. Annual federal Medicaid spending is now projected (see Figure 1) to grow from $389 billion in 2017 to $650 billion in 2027. Martin Heinrich, D-New Mexico, ranking minority staff member on the Joint Economic Committee, said in a recent statement. If government helps less, then families and individuals will have to pay more to get the same insurance benefits. Before the ACA was enacted in 2010, workers in the agricultural sector had fewer options, so many remained uninsured.

“Without clarity on cost sharing subsidy payments and individual mandate enforcement, insurers are making a variety of assumptions, in some cases raising rates by 20 percentage points or more above what they otherwise would have”, Cox told Business Insider. Ruby Denison, a small-scale farmer in Hamilton, Montana, worries about the fate of those people under reform.

The health care bill passed by the House of Representatives-known as the AHCA-has a 21% approval rating. Especially for people with disabilities, Medicaid has been and remains an essential lifeline.

But those not covered under Medicaid could also be vulnerable to changes.

“You don’t mean to wish your life away, but my prayers are that I wake up and my wife is 65”, said Abe Goren, a former radio advertising salesman, referring to the age at which people become eligible for Medicare coverage. “It’s very limited protection”, McCall said. “Insurers have until early fall before they have to commit one way or the other”. “Thirty to 40 years of that really begin to take a toll on the human body”.

Later, at a Moorhead nursing home, I heard from Mari, who was able to care for her mother, Chrysann, at her home until declining health and complications required her mom to move to a nursing home. What Trump and Republicans have made a decision to do is cripple the current system while they secretly craft their own disastrous health care plan. But Medica anticipates hiking rates more than 43 percent on average.

Deductibles could range from $10,000 to $39,000 a year for consumers in median-cost counties, and up to $58,000 in high-cost regions with AHCA subsidies as the basis for purchasing coverage.

Another factor to watch is the size of premium increases insurers request.

Find the article here.