Per the Urban Institute, as of April 2023, there were about 18 million ineligible people enrolled in Medicaid. The approximate annual cost of ineligible enrollees: $100 billion or more.
[That’s about $1,000 for every household in America.]
Category: Medicare
Welfare and Workfare Reform Under President Clinton
New Jersey Sen. Frank Lautenberg predicted American cities would resemble the streets of Calcutta, with “children begging for food and 8- and 9-year-old prostitutes.” California Rep. Nancy Pelosi said that the bill would devastate children and was “a dishonor to the God that made them.” California Rep. Maxine Waters labeled the bill “shameful.”
John Lewis of Georgia alluded to Nazi Germany by asserting of his colleagues: “They are coming for the children . . . coming for the poor, coming for the sick, the elderly and disabled.”
Eventually President Clinton signed the Personal Responsibility and Work Opportunity Act of 1996, which proved these objections wrong.
Thursday Links
- Open source programming is making AI impossible to regulate.
- After raising $90 million, Black Lives Matter is on the verge of bankruptcy. Question: Do any of the corporations that contributed really care?
- Zeke Emanuel megatrend prediction number 1: We will see a merging of insurers and providers.
- Zeke Emanuel megatrend prediction number 2: We will see an uprooting of the payment system in Medicare Advantage – the one place where prediction number 1 is actually occurring.
- Between 1997 and 2011, 85% of the increase in real per capita Medicare spending was on newly created procedure codes marking additional medical services. There is no fiscal restraint on these spending increases.
Are Weight-Loss Drugs Right for Medicare?
Should Medicare cover weight-loss drugs under Part D plans? Currently Medicare drug plans do not cover drugs for weight-loss.
Medicare coverage of obesity services and treatments currently includes obesity screening, behavioral counseling, and bariatric surgery, but not drugs that are prescribed for weight loss. The 2003 law that established the Medicare Part D prescription drug benefit explicitly prohibits Part D plans from covering drugs used for weight loss, along with some other types of drugs, including agents used for cosmetic purposes or hair growth, fertility drugs, and drugs prescribed to treat sexual or erectile dysfunction.