Medicaid

Kentucky's Medicaid Program Faces $611 Million Shortfall

Feb 24, 2016

Kentucky's Medicaid program is facing a $125 million deficit this year and a $611 million deficit over the next two years as it struggles to keep up with a flood of new enrollees and the end of 100 percent federal funding for its expanded eligibility requirements.

Kentucky Health and Family Services Cabinet Secretary Vickie Yates Brown Glisson told House budget writers on Wednesday she worries about the sustainability of the program that provides health insurance for more than a quarter of Kentucky's population.

Democrats were frustrated Glisson could not tell them how she planned to make up the deficit. Glisson promised to have more details next week. House lawmakers will likely vote on the budget next week.

Glisson said she would not cut benefits, programs or employees.

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A new study says the number of low-income Kentuckians without health insurance declined by 68 percent in the first year of the state’s Medicaid expansion.

The research was conducted by the University of Louisville’s School of Public Health and Information Sciences Department of Health Management and Systems Sciences by faculty members Joseph Benitez, Liza Creel and J’Aime Jennings.

It was published Wednesday in Health Affairs.

The study said 35 percent of low-income Kentuckians were uninsured at the end of 2013, and 11 percent were uninsured in late 2014. The research aligns with past studies that show sharp drops in the rate of uninsured in Kentucky since the Affordable Care Act was implemented.

Benitez and his colleagues also found declines in the number of people lacking a regular source of health care and those with unmet medical needs.

J. Tyler Franklin, WFPL

Kentucky Medicaid beneficiaries and other welfare recipients will apply for services using a new website called Benefind starting Feb. 29.

Medicaid recipients previously applied for benefits using Kynect, the state health exchange that Gov. Matt Bevin has promised to dismantle by the end of the year.

Health and Human Services Cabinet Vickie Yates Glisson said the plan does away with the paper-version of the application — the program will be entirely online.

“Whether you live in any of our 120 counties, there should be access to a computer system that you will be able to come in and access these programs,” Glisson said.

The new program will also serve as an application hub for other state health, food and cash assistance programs, replacing the Kentucky Automated Management Eligibility System.

J. Tyler Franklin

Kentucky Gov. Matt Bevin’s efforts to reshape the state’s approach to the Affordable Care Act have led to a political battle of governors unprecedented in recent state history.

On Thursday, former Gov. Steve Beshear, a Democrat, launched a political nonprofit organization to advocate for key policies implemented by his administration, which ended in December. Those policies included an expansion of Medicaid and the creation of a state health insurance exchange, called Kynect.

Both policies are being threatened by Bevin’s administration, which is seeking to add new stipulations to Medicaid enrollment and to dismantle Kynect, instead sending Kentuckians to the federal health care exchange.

Beshear’s new group is called Save Kentucky Healthcare, a 501c(4) organization.

“Save Kentucky Healthcare is committed to continuing Kentucky’s dramatic success in expanding health insurance under the Affordable Care Act. Now, why? Because it’s working,” Beshear said during a news conference Thursday in Louisville.

Gage Skidmore via Flickr Creative Commons

Former Democratic Gov. Steve Beshear says he is starting an advocacy group to oppose Republican Gov. Matt Bevin’s plans to dismantle the state’s health insurance exchange, Kynect, and scale back its Medicaid expansion.

Beshear is scheduled to announce “Save Kentucky Healthcare” during events in Louisville and Lexington on Thursday. In a news release, Beshear said he is troubled by Bevin’s plans to roll back what he called Kentucky’s nation-leading progress in improving the health of its people.

Beshear left office in December. During his eight years in office, he expanded Kentucky’s Medicaid program and created a state-operated health insurance exchange where eligible Kentuckians could purchase discounted private health insurance plans. He did so under the Affordable Care Act.

Bevin criticized both programs as too expensive. He says he will dismantle Kynect by the end of the year and is trying to replace the Medicaid expansion with a different program.

For decades, if people on Medicaid wanted to get treatment for drug or alcohol addiction, they almost always had to rely solely on money from state and local sources.

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States initiatives to expand health insurance coverage through either traditional Medicaid or private insurance have equally good outcomes for low-income adults, according to a study released Tuesday.

The Harvard’s School of Public Health study compared survey results from 5,600 low-income adults in Kentucky, Arkansas and Texas.

The study was released as Kentucky’s new governor mulls reforming the Medicaid expansion. Kentucky expanded its Medicaid program under the Affordable Care Act while Democratic Gov. Steve Beshear was in office. Arkansas, however, used federal dollars to pay for private health insurance for low-income adults.

Texas has not expanded health care at all.

Kentucky and Arkansas saw improvements in health care coverage rates and the ability of low-income adults to obtain prescription medication, chronic disease management, among other things, Sommers said.

According to the study, “the uninsured rate in Kentucky and Arkansas dropped 14 percentage points more than it did in Texas between 2013, prior to full implementation of the ACA’s health insurance provisions, and 2014, after the expansion’s first full year.”

WFPL News

More than two-thirds of Kentucky residents don’t want the state to roll back its expanded Medicaid system, according to a poll released Friday.

The Kaiser Family Foundation poll also shows that half of Kentucky residents hold unfavorable views of the Affordable Care Act, the federal law that allowed the state to expand Medicaid.

“Most of them would rather keep Medicaid as it is today than scale it back to cover fewer people,” said Liz Hamel, director of public opinion and survey research at Kaiser.

The poll found 72 percent of Kentuckians don’t want to scale back Medicaid expansion to cover fewer people.

entucky’s Medicaid expansion — and its fate — are a closely watch component of Gov. Matt Bevin’s administration. Bevin, a Republican who took office Tuesday, campaigned reforming the state’s adoption of the Affordable Care Act.

LRC Public Information

The Republican leadership of Kentucky’s state Senate says they will not block about $250 million in state spending needed to pay for the health insurance of more than 400,000 people on the state’s expanded Medicaid program.

The GOP leaders are meeting this week to prioritize bills for the 2016 legislative session, which begins in January.

Outgoing Democratic Gov. Steve Beshear used an executive order to expand Kentucky’s Medicaid program under the federal Affordable Care Act. Incoming Republican Gov.-elect Matt Bevin has promised to repeal the expansion and replace it with something else.

Kentucky will start paying a portion of the Medicaid expansion in 2017. Next month, state lawmakers will debate a two-year state spending plan that would include that money, giving Republicans an opportunity to block it. Republican Senate President Robert Stivers said the Senate does not plan to do that, instead opting for a gradual transition away from the program.

An increase in Medicaid services and a decline in the private insurance market in rural Kentucky has hit rural hospitals hard, according to State Auditor Adam Edelen.

More than two-thirds of Kentucky’s rural hospitals are below the national average on a financial strength rating system, and more than one-third are considered to be in poor financial health, according to a report released Monday.

Governor Bill Haslam is unsure of his next steps after fellow Republicans swiftly defeated his Insure Tennessee proposal in the Legislature this week.

Speaking to reporters after the measure was defeated in the Senate Health Committee on Wednesday, the governor said: "I don't know what the next step looks like."

Haslam was seeking authorization from lawmakers to proceed with an agreement with the federal government to extend coverage to 280,000 low-income Tennesseans.

While the governor had the strong support of hospital and doctors associations and the state Chamber of Commerce, many Republicans remained unwilling to cast their votes in favor of a program funded through President Barack Obama's health care law.

Under the two-year pilot program, Tennessee stood to gain $2.8 billion in federal Medicaid money.

Haslam Convenes Special Session on ACA

Feb 3, 2015

Republican Gov. Bill Haslam says his proposal to extend health coverage to 280,000 low-income Tennesseans is needed to improve lives.

Haslam told lawmakers Monday night it's also needed to fix what Haslam calls a "broken health care system."

Haslam's plan calls on state hospitals to pay the $74 million state share to draw down $2.8 billion dollars in federal Medicaid money to offer coverage to more uninsured Tennesseans.

Indiana has gained approval from the federal government to use an updated version of the state’s Health Indiana Plan, or HIP, instead of Medicaid.

The updated version will be called HIP 2.0, and it will provide health care to 350,000 uninsured Indiana residents.

Indiana Gov. Mike Pence and the Centers for Medicare and Medicaid Services announced the expansion Tuesday.

Gov. Haslam Reaches Medicaid Deal in Tennessee

Dec 15, 2014

Gov. Bill Haslam announced Monday that he has reached a deal with federal officials to expand Medicaid in Tennessee after months of discussions.

The Republican's administration is touting it as an alternative deal with federal officials. The program, dubbed Insure Tennessee, would provide coverage for the state's uninsured without creating new taxes for Tennesseans.

Haslam announced at a news conference at the state Capitol that the state would offer a voucher to purchase insurance in the private market, according to statement from the governor's office and a news conference.

Health care advocates had heavily criticized the Republican governor for refusing last year to agree to $1.4 billion in federal funds to cover about 180,000 uninsured Tennesseans under the terms the money was offered.

Some students headed to college this fall will get top-drawer health coverage at little or no cost.

How? Medicaid, it turns out, will pay the premium for the student health plan.

Proponents say students who are eligible for Medicaid, the health insurance program for low-income people, get access to a wider network of doctors and hospitals by getting coverage through the college health plans. These broad networks can be an important consideration for students who travel for internships, international study or who return to homes far from school during the summer.

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