Drudge Retort: The Other Side of the News
Thursday, July 10, 2014

Arizona Gov. Jan Brewer (R) fought hard to convince the GOP lawmakers in her state to accept Obamacare's optional Medicaid expansion. Now, she's seeing some of the fruits of her labor. According to a new report from the Arizona Hospital and Healthcare Association, hospitals in the state are saving money by providing less uncompensated care. In the first four months of this year, according to the new report, the uncompensated care at Arizona hospitals dropped by 31 percent compared to the same period in 2013. That helped the average operating margin of Arizona hospitals to rise from 4 percent to 5.2 percent over the last year.

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Uncompensated care at Arizona hospitals dropped by 31 percent. While
States that rejected Obamacare's optional Medicaid expansion. like Tennessee, Georgia, Virginia, and North Carolina have been forced to CLOSE because they can't afford to remain operating without the Medicaid reimbursements from the low-income people who would have been eligible for the expansion.

#2 | Posted by SammyAZ_RI at 2014-07-09 10:21 PM | Reply | Flag:

this story will be all forgotten as soon as the federal money runs out and Arizona has to pony up the difference and by then no telling how much more.....THEN they'll come running to states like Texas and I don't have to tell you what I"D tell them they could do instead.

#3 | Posted by afkabl2 at 2014-07-09 10:46 PM | Reply | Flag:

THEN they'll come running to states like Texas and I don't have to tell you what I"D tell them they could do instead.

Posted by afkabl2 at 2014-07-09 10:46 PM | Reply

That's funny cause Texas is always begging the Federal Government for monies.

#4 | Posted by LarryMohr at 2014-07-09 10:50 PM | Reply | Flag:

Uncompensated care at Arizona hospitals dropped by 31 percent. While
States that rejected Obamacare's optional Medicaid expansion. like Tennessee, Georgia, Virginia, and North Carolina HOSPITALS have been forced to CLOSE because they can't afford to remain operating without the Medicaid reimbursements from the low-income people who would have been eligible for the expansion.

#5 | Posted by SammyAZ_RI at 2014-07-09 10:59 PM | Reply | Flag:

#5 | Posted by SammyAZ_RI

I'm waiting for the day that the hospitals in AZ reduce their charges because of that.

You take it out of the tax pocket so you don't have to pay for it with the hospital pocket. Tell me ri-sam, how does that save me any money?

#6 | Posted by Sniper at 2014-07-10 12:40 PM | Reply | Flag:

"I'm waiting for the day that the hospitals in AZ reduce their charges because of that."

until then, all we are doing is subsidizing the profit of hospitals.

#7 | Posted by eberly at 2014-07-10 12:42 PM | Reply | Flag:

"this story will be all forgotten as soon as the federal money runs out and Arizona has to pony up the difference and by then no telling how much more....."

The federal money will not stop, it will be reduced slightly after several years.

#8 | Posted by danni at 2014-07-10 01:01 PM | Reply | Flag:

"CBO estimates show that the federal government will bear nearly 93 percent of the costs of the Medicaid expansion over its first nine years (2014-2022). The federal government will pick up 100 percent of the cost of covering people made newly eligible for Medicaid for the first three years (2014-2016) and no less than 90 percent on a permanent basis.
The additional cost to the states represents a 2.8 percent increase in what they would have spent on Medicaid from 2014 to 2022 in the absence of health reform, the CBO estimates indicate.
This 2.8 percent figure significantly overstates the net impact on state budgets because it does not reflect the savings that state and local governments will realize in other health care spending for the uninsured. The Urban Institute has estimated that overall state savings in these areas will total between $26 and $52 billion from 2014 through 2019. The Lewin Group estimates state and local government savings of $101 billion in uncompensated care."

www.cbpp.org

#9 | Posted by danni at 2014-07-10 01:03 PM | Reply | Flag:

"CBO estimates show that the federal government will bear nearly 93 percent of the costs of the Medicaid expansion over its first nine years

I guess that is some more of that obama stash. Where do you think the feds get their money? Clue, it ain't from obama.

#10 | Posted by Sniper at 2014-07-10 02:34 PM | Reply | Flag:

I'm sure that the states that signed up for Medicaid expansion would hope to (as soon as possible) be able to report that health insurance premiums in their state have dropped due to this choice.

If hospitals are being paid more, then their charges should be less, which means they should be able to charge less to insurance carriers for services rendered....which means insurance companies should be able to charge lower premiums.

When that can be established.....that would be a big deal.

#11 | Posted by eberly at 2014-07-10 02:40 PM | Reply | Flag:

"I guess that is some more of that obama stash. Where do you think the feds get their money? Clue, it ain't from obama."

You don't think those people were seeking and getting medical treatment before the Medicaid expansion? We are/were paying for the uninsured through our insurance bills which are larger because the hospitals and doctors were forced to provide uncompensated care to so many. Medicaid expansion reduces the amount of uncompensated care provided and thus will save us money on our insurance while at the same time allowing the poor to get preventive care which costs far less than treatment for preventable or controllable diseases and conditions.
Probably too complicated for you Sniper so just continue to whine like you always do.

#12 | Posted by danni at 2014-07-10 02:42 PM | Reply | Flag: | Newsworthy 1

Danni, bravo that should quiet down the haters.

#13 | Posted by junebubbles at 2014-07-10 02:46 PM | Reply | Flag:

#12

As I posted, that is a long trip from the cash register to your insurance premiums.

And you have to get that savings through the greedy hands of the CEOs and board of directors of insurance companies.....

you remember how much you love and trust those guys, right?

#14 | Posted by eberly at 2014-07-10 02:58 PM | Reply | Flag:

This sounds like really great news, but I am afraid that Eberly has really nailed it. We are the ones that will be paying for the Hospitals new profits. They are not going to lower their prices. And we will still be paying those premiums that Danni is talking about, so her entire post is irrelevant.

#15 | Posted by justagirl_idaho at 2014-07-10 03:21 PM | Reply | Flag:

"And you have to get that savings through the greedy hands of the CEOs and board of directors of insurance companies....."

Who are not limited by the 80/20 and the 85/15 rules. Also Medicaid and Medicare limit how much they will pay for services. Most predictions are that it will be difficult to find caregivers not that there will be so much profit from Medicaid patients.

#16 | Posted by danni at 2014-07-10 03:37 PM | Reply | Flag:

#14 | Posted by eberly

#15 | Posted by justagirl_idaho

It was still a better alternative than leaving them uninsured and only receiving reactive emergency care.

#17 | Posted by Whatsleft at 2014-07-10 04:58 PM | Reply | Flag:

"Who are not limited by the 80/20 and the 85/15 rules"

what % of major group health carriers were operating outside the 80/20 rule before ACA?

I don't think any around here were. Individual policy carriers are different....many of them were operating outside the guidelines and had to make adjustments.

I think you place too much value in those guidelines. They were fine to have, but they just don't impact as many insurance policies as you might have believed.

"Also Medicaid and Medicare limit how much they will pay for services. Most predictions are that it will be difficult to find caregivers not that there will be so much profit from Medicaid patients."

so, do you believe that insurance premiums will decrease from this expansion or not? it appears you just contradicted yourself. Either the extra $$$ flowing into providers will be significant enough to lower all our premiums or it won't. which is it?

#18 | Posted by eberly at 2014-07-10 05:07 PM | Reply | Flag:

The federal money will not stop, it will be reduced slightly after several years.

#8 | Posted by danni at 2014-07-10 01:01 PM | Reply | Flag: Flag:

riiiiiight...sorry if I don't believe that...I'm not talking about you..I'm talking about the people who wrote that or said that....I don't believe it for a second...in TEXAS with dems it's all about creating a state income tax....ANOTHER means of extortion.

#19 | Posted by afkabl2 at 2014-07-10 06:06 PM | Reply | Flag:

"what % of major group health carriers were operating outside the 80/20 rule before ACA?"

I don't know the percentage but I can show you a chart for Aetna insurance and the rebates they had to pay to policy holders and they types of plans those policy holders have.

www.aetna.com

"so, do you believe that insurance premiums will decrease from this expansion or not?"

I think we will continue to have healthcare cost inflation but the ACA, in its entirety, will slow that growth. That is the argument that it was sold on and I believe that is what it is, so far, doing.

#20 | Posted by danni at 2014-07-10 08:14 PM | Reply | Flag: | Newsworthy 1

I chat with every doctor I meet on this sort of issue.
I'm not a wealthy man. Apartment, one 2006 car, etc, so I'm not seeing doctors that only treat the wealthy.

But the doctors I do see, I pay.

ALL of them, ALL, do not see Obamacare adding so much as a single small drop of 'care' to the supply. Not even a tiny smidgen.

You want to add care? In the short term REDUCE work, especially document work needed for legal cover, that a doctor needs to do. Less time spent on self-covering equals more time treating patients.

In the long term, ADD doctors. That is done MAINLY by making a medical career more attractive. To a less extent it would involve scholarships.

Unless you are doing those things, all you are doing it spreading around the existing care, using up some of it in the process, and then claiming a 'fix'.

#21 | Posted by USAF242 at 2014-07-11 03:58 AM | Reply | Flag:

#12 | Posted by danni

I'll bet you anything the cost of a hospital stay will NOT go down.

#22 | Posted by Sniper at 2014-07-11 01:33 PM | Reply | Flag:

I'll bet you anything the cost of a hospital stay will NOT go down.

#22 | Posted by Sniper

What a bunch of frickin whiners.

Let me guess why you think that might be so...Because this is America! And WE have a Constitution?

If it was up to the GOTP our new motto would be:

In God we Trust that Nothing Can Be Done.

#23 | Posted by donnerboy at 2014-07-11 03:05 PM | Reply | Flag:

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