Medicaid expansion in Pennsylvania Archives - Page 2 of 7 - Safety-Net Association of Pennsylvania

SNAP Principles for Changing Course on Medicaid Expansion in Pennsylvania

With the inauguration of a new governor and the start of a new legislative session, the Safety-Net Association of Pennsylvania (SNAP) has prepared a series of four papers for leaders of the new Wolf administration and legislative and committee leaders and staff.
The third of those four papers presents eight principles SNAP believes state officials should follow if they choose to abandon the Healthy Pennsylvania model of Medicaid expansion in favor of a more traditional approach to expanding the state’s Medicaid expansion.
Those eight principles are:

communicate changes effectively to the provider community
ensure beneficiaries’ continuity of coverage and continuity of care
ensure the adequacy of provider networks
simplify beneficiary and provider enrollment
preserve vital supplemental payments to safety-net hospitals
continue pursuing Medical Assistance payment reforms
ensure the long-term financing of Medical Assistance in response to current and future threats to that financing
invest in innovative, population-based infrastructure and programmatic improvements

The first paper, “What is SNAP?”, was an introduction to the Safety-Net Association of Pennsylvania: what safety-net hospitals are, where they are located, whom they serve, and how they differ from other acute-care hospitals in the state.
The second paper, “The Challenges Pennsylvania Safety-Net Hospitals Face,” describes the special role safety-net hospitals play in serving low-income and medically vulnerable Pennsylvanians and the emerging challenges they face in fulfilling this vital role.
Find all three SNAP papers here.

PA Safety Net Admin2015-01-28T06:00:12+00:00January 28th, 2015|Healthy PA, Pennsylvania Medicaid policy, Pennsylvania safety-net hospitals|Comments Off

Millions Live in ACA Coverage Gap

Nearly four million people who were supposed to be helped to health insurance through the Affordable Care Act remain uninsured today because they earn too much to qualify for Medicaid and not enough to qualify for the reform law’s health insurance subsidies.
When the law was passed in 2010, it was supposed to provide Medicaid coverage for those earning up to 138 percent of the federal poverty level and offer subsidies to other low-income earners. But when the Supreme Court made the reform law’s mandatory Medicaid expansion optional for states and some states chose not to expand their Medicaid programs, nearly four million people found themselves wedged between eligibility for Medicaid and eligibility for subsidies, with no help forthcoming.
Among the four million, more than half work at least part-time and two-thirds reside in a household with at least one wage-earner. Most work for small companies that are not required to provide health insurance for their employees and many earn the minimum wage. Many are single adults.
The coverage gap has been a problem in Pennsylvania, which until recently did not expand its Medicaid program. As a result, many people who fell into this gap turned to the state’s safety-net hospitals when they needed care but had no health insurance.
The Washington Post has taken a look at the challenges these low-income and often medically vulnerable people face living in states that have chosen not expanded their Medicaid programs. See its report here.

PA Safety Net Admin2015-01-26T06:00:19+00:00January 26th, 2015|Affordable Care Act, Pennsylvania Medicaid policy, Pennsylvania safety-net hospitals|Comments Off

Problems Reported in Healthy PA Medicaid Enrollment

It appears some people may be having trouble taking advantage of Pennsylvania’s “Healthy Pennsylvania” Medicaid expansion.
The Pittsburgh Post-Gazette reports that there is a backlog in processing applications, some people who are eligible to participate are getting rejected for coverage, and some who need drug and alcohol treatment services have been placed in plans that do not provide such coverage.
The state has acknowledged the problem with drug and alcohol coverage but notes that processing applications can take up to 45 days. So far, the state estimates that 150,000 Pennsylvania households have applied for Medicaid coverage since the enrollment period started on December 1.
To learn more about the challenges Pennsylvania’s Medicaid expansion is encountering, see this Pittsburgh Post-Gazette article.

PA Safety Net Admin2015-01-16T06:00:04+00:00January 16th, 2015|Healthy PA, Pennsylvania Medicaid policy|Comments Off

180,000 Pennsylvanians Turn to Exchange for Health Insurance

The federal government estimates that approximately 180,000 low- and moderate-income Pennsylvanians who earn too much to qualify for Medicaid have applied for health insurance through the federal health insurance exchange.
Nearly 80 percent of them are expected to qualify for some federal subsidies to help pay their premiums. 95,000 are first-time applicants.
Last year, 320,000 Pennsylvanians applied for insurance through the federal exchange. About 60 percent did not have health insurance before doing so.
As a result, it appears as if more than 300,000 of the approximately 1.4 million Pennsylvanians who were uninsured at the time the Affordable Care Act’s insurance expansions took effect either now have such coverage or will soon have it. This figure includes those newly eligible for Medicaid under the state’s Healthy Pennsylvania Medicaid expansion program.
Learn more about the various means through which previously uninsured Pennsylvanians are obtaining health insurance in this Harrisburg Patriot-News article.

PA Safety Net Admin2015-01-07T06:00:32+00:00January 7th, 2015|Affordable Care Act, Health care reform, Healthy PA|Comments Off

100,000 Apply for Medical Assistance

As 2014 ended, Pennsylvania had received 100,000 applications for Medicaid coverage under the state’s Healthy Pennsylvania Medicaid expansion program.
State officials estimate that approximately 600,000 adult Pennsylvanians are newly eligible for Medicaid under the program. The 100,000 figure represents applications, not individuals; some applications are for families of varying size. It is not yet known how many of the applicants are currently uninsured.
The state began accepting applications on December 1 for coverage to begin on January 1. There is no deadline for applying.
Learn more about the applications the state is receiving in this Pittsburgh Post-Gazette article.

PA Safety Net Admin2015-01-06T06:00:19+00:00January 6th, 2015|Health care reform, Healthy PA|Comments Off

PA Addresses Healthy PA Transition Issues

The Pennsylvania Department of Human Services (DHS – formerly the Department of Public Welfare) has issued a memo to Medical Assistance stakeholders addressing two issues involving implementation of the state’s Healthy Pennsylvania Medicaid expansion that have been brought to its attention.
The first issue is that individuals who enrolled in Medicaid in December were not assigned to a behavioral health managed care organization.
The second addresses screening of individuals who currently qualify for Medicaid under the General Assistance category who have behavioral health needs and who likely qualify for the “Healthy Plus” Medicaid benefits plan beginning in 2015.
See the state’s message to stakeholders outlining what these issues are about and how it plans to address them in this memo from the state’s Office of Mental Health and Substance Abuse Services.

PA Safety Net Admin2014-12-30T06:00:43+00:00December 30th, 2014|Healthy PA, Pennsylvania Medicaid policy|Comments Off

Hospitals Worry About Underpayments as Medicaid Expands in PA

The Healthy Pennsylvania Medicaid expansion will bring Medicaid payments that often fall below hospital costs, potentially causing problems for hospitals that serve especially large numbers of new Medicaid beneficiaries.
While hospitals acknowledge that in some cases they will, under the program, start receiving payments for care they otherwise might have provided without any reimbursement at all, they note that the payments they expect from Healthy PA private insurers will fail to cover the cost of the care they provide in many cases.
The problem is especially acute when it comes to payment for outpatient services, which may cover only about 30 percent of the cost of outpatient care.
Because they serve so many Medicaid patients, this situation is likely to pose an especially great challenge for Pennsylvania’s safety-net hospitals.
For a look at the challenges hospitals expect under the Healthy PA Medicaid expansion and the effect it may have on their bottom line, see this Pittsburgh Tribune-Review story.

PA Safety Net Admin2014-12-11T06:00:55+00:00December 11th, 2014|Healthy PA, Pennsylvania Medicaid policy|Comments Off

Healthy PA Enrollment Begins

Uninsured Pennsylvanians with an income less than 138 percent of the federal poverty level have begun enrolling in health insurance plans under the state’s Healthy Pennsylvania Medicaid expansion.
The official date on which enrollment began is December 1 in anticipation of the program’s official implementation on January 1. During this period, an estimated 600,000 eligible Pennsylvanians may choose private insurers through which they can receive health care coverage, with their premiums to be paid with federal Medicaid funds.
While the program is expected to begin as scheduled on January 1, it is not clear how long it will last in its current form. Governor-elect Tom Wolf has expressed opposition to the approach taken by the Corbett administration through Healthy Pennsylvania and envisions a more traditional expansion of the state’s Medicaid program. Whether Mr. Wolf will pursue such an approach, and when he might do so, remains unknown.
For a closer look at the Healthy Pennsylvania launch and the immediate future of Medicaid expansion in Pennsylvania, see this Pittsburgh Post-Gazette article.

PA Safety Net Admin2014-12-03T06:00:06+00:00December 3rd, 2014|Healthy PA, Pennsylvania Medicaid policy|Comments Off

Richman to Advise Wolf on Medicaid

Pennsylvania Governor-elect Tom Wolf has appointed former Department of Public Welfare Secretary Estelle Richman to advise him on Medicaid matters during his transition period.
Richman served as secretary of the Department of Public Welfare – now the Department of Human Services – from 2003 to 2009, during the administration of former governor Ed Rendell.
Richman is expected to focus on the expansion of the state’s Medicaid program, authorized under the federal Affordable Care Act and to begin on January 1 as part of Governor Corbett’s Healthy Pennsylvania program. Instead of expanding the state’s traditional Medicaid program, Healthy Pennsylvania will involve those newly eligible for Medicaid choosing from a pool of private insurers selected by the state, with their insurance premiums to be paid with federal Medicaid funds.
Learn more about Ms. Richman and her expected role in the Wolf transition in this Harrisburg Patriot-News article.

PA Safety Net Admin2014-12-01T06:00:24+00:00December 1st, 2014|Pennsylvania Medicaid policy|Comments Off

Full Speed Ahead on Healthy PA Medicaid Expansion

When the federal government approved the Corbett administration’s Healthy Pennsylvania Medicaid proposal at a time when the governor trailed in the polls in his bid for re-election, observers wondered whether Mr. Corbett would continue to implement the program if he lost even if his opponent opposed that implementation.
The answer, apparently, is yes.
Department of Public Welfare Secretary Beverly Mackereth told the Pittsburgh Post-Gazette that the state continues to implement the Healthy Pennsylvania Medicaid expansion and will begin enrolling participants on December 1 in anticipation of the program’s official launch on January 1.
It is doing so despite being asked not to do so by representatives of Governor-elect Tom Wolf, who does not take office until January 20.
Learn more about the circumstances surrounding Medicaid expansion in Pennsylvania in this Pittsburgh Post-Gazette article.

PA Safety Net Admin2014-11-21T06:00:26+00:00November 21st, 2014|Healthy PA, Pennsylvania Medicaid policy|Comments Off

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