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Medicaid Reform: The Medical Side

Medicaid Reform: The Medical Side. Ed Weisbart MD April 3, 2013. “The Missouri State Medical Association encourages the Missouri state legislature to expand Medicaid in the manner enabled by the Affordable Care Act.” January 2013. MSMA Is Not Alone In Supporting Medicaid Expansion.

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Medicaid Reform: The Medical Side

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  1. Medicaid Reform:The Medical Side Ed Weisbart MD April 3, 2013

  2. “The Missouri State Medical Association encourages the Missouri state legislature to expand Medicaid in the manner enabled by the Affordable Care Act.” January 2013

  3. MSMA Is Not Alone In Supporting Medicaid Expansion Ambulance District Association of Missouri American Cancer Society American Diabetes Association American Heart Association American Lung Association Missouri Academy of Family Physicians Missouri Academy of Pediatric Dentistry Missouri Alliance for Home Care Missouri Ambulance Association Missouri Association of County Developmental Disability Services Missouri Association of Free Clinics Missouri Association of Health Plans Missouri Association of Nurse Anesthetists Missouri Association of Rural Health Clinics Missouri Centers for Independent Living Missouri Chapter March of Dimes Missouri Chapter of the American Academy of Pediatrics Missouri Chapter of the American College of Physicians Missouri Coalition of Community Mental Health Centers Missouri Dental Association Missouri Dental Hygienists’ Association Missouri Developmental Disabilities Council Missouri Emergency Medical Services Association Missouri Health Care Association Missouri Hospital Association Missouri Nurses Association Missouri Optometric Association Missouri Pharmacy Association Missouri Primary Care Association Missouri Psychiatric Association Missouri Public Transit Association Missouri Section of the American Congress of Obstetricians and Gynecologists Missouri State Medical Association MS Society The Congress on Disability Policy The Leukemia and Lymphoma Society-Gateway Chapter

  4. Recap of MSMA Discussions “Let’s be on the right side of history”

  5. A randomized controlled trial Medicaid Is Good for Patients Oregon Health Insurance Experiment NBER Working Paper #17190, 2011 http://www.nber.org/papers/w17190.pdf?new_window=1

  6. A randomized controlled trial Medicaid Is Good for Patients Oregon Health Insurance Experiment NBER Working Paper #17190, 2011 http://www.nber.org/papers/w17190.pdf?new_window=1

  7. Medicaid Is Good for Patients Not quite as good as private insurance; much better than no insurance “Medicaid” includes other public insurance KCMU analysis of 2010 NHIS data, per ACP Uninsurance mortality from Wilper et al. Am J Public Health 2009.

  8. Medicine Is Hard EnoughPractice Is Really Tough More than $200,000 Accounts Receivable for a typical single physician practice Nearly 12 Months Average physician Accounts Receivable aging balance: Personal communication with Missouri State Medical Association. April 12, 2013

  9. It’s Just Arithmetic Low wage job + Medical bills + No health insurance Medical Group Accounts Receivable

  10. Who Is Uninsured in Missouri? Exchange Eligible Jan. 1, 2014 Medicaid Expansion Eligible? Uninsured Missourians Income as a percentage of FPL http://www.statehealthfacts.org/comparecat.jsp?cat=3&rgn=1&rgn=27 Accessed April 10, 2013

  11. Primary care services in Missouri paid at 59% of Medicare http://www.kff.org/medicaid/upload/8398.pdf

  12. “Expand Medicaid? Why would I want more Medicaid patients?”

  13. Overall 76% increase for primary care services in Missouri http://www.kff.org/medicaid/upload/8398.pdf

  14. So Where Are My Increased Rates? “…optimistic that something will move forward soon.” Ian McCaslanMD Director of MO HealthNet

  15. 2013-2014 Rates Are a Test

  16. Jefferson City Needs More White Coats

  17. Be of Good Cheer • “Missouri will expand Medicaid. • I’m just not sure which year. • Don’t give up.” • – Rob Fruend, CEO • STL Regional Health Commission

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