Several states are re-examining their Medicaid plans, researching who is covered, and what it is costing. Among those states struggling with their current Medicaid plans and recently implemented changes are Arizona, Oregon, Florida, and several others.
Medicaid managed care plans in Florida’s five “Medicaid Reform” counties have been granted a 10.8% rate increase because of the increasing hospital costs. This was confirmed by the president of the Florida Association of Health Plans. The managed-care plans in most counties of Florida were granted an average 1.3% rate increase.
Florida economists are predicting a modest Medicaid growth as the once booming program is now slowing its numbers. Medicaid will increase by a modest $1.3 billion, or 6%, in the next fiscal year. This is due mainly to the expiration of temporary federal assistance of $550 million.
Sharp drops are being seen in adults covered by Arizona Medicaid. Over 14,000 low-income, childless adults in Arizona lost state-provided health coverage last month. This s the biggest decrease since the state froze enrollment in July. Enrollment has dropped from 217,718 to 192,011 since the state stopped accepting new applicants and began blocking re-enrollment from people in the program who did not renew coverage. Several experts stated that while the numbers were definitely down, it was not as bad as originally anticipated.
Oregon saw their Medicaid rates cut by 15%. Their hospitals are not happy with the decision by Governor Kitzhaber, one that reduced Medicaid payments by 15% on October 1st. According to Andy Van Pelt, director of communications at the Oregon Association of Hospitals and Health Systems, “Hospitals were extremely disappointed in this post-session budget decision that was made outside of the legislative process.” They also blamed the lagging economy for the decision.
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