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Build Back Better? Fix Medicaid First

  • Jeffery Williams
  • January 24, 2022
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The people of the United States are becoming more and more aware that our country is headed in a disastrous direction. Our healthcare system, education system, and economy have all been failing for decades now. What can we do about it? We need to start building back better than before- fix Medicaid first!

The “build back better 2020” is a campaign that seeks to improve the economy by focusing on the healthcare industry. The goal of the campaign is to make sure that Medicaid is fixed before it’s too late.

Build-Back-Better-Fix-Medicaid-First

Image courtesy of Getty Images/iStockphoto

While Democrats ponder ways to expand the welfare state, consider this sobering fact about the country’s current safety net: “The national incorrect payment rate for Medicaid is approximately 22%.” That comment comes from the Foundation for Government Accountability’s (FGA) study released this week, and it just gets worse from there.

That national statistic is for 2021, and the majority of it (about 80%) is due to eligibility mistakes. To complete the picture, the FGA sends records requests to individual states, which are sampled on a rotating basis for mistakes. The paper offers data for around a dozen of them. Ohio was at the top of the list, with a problematic payment percentage of 44.3 percent. The typical suspect, Illinois, came in at 37.3 percent. Missouri had 31.7 percent of the vote, while North Dakota had 28.3 percent. These are the most recent numbers available for each state, which are from 2019.

Eligibility mistakes occur when persons obtain benefits without being able to demonstrate that they are eligible. According to the FGA, such issues accounted for 98 percent of the total in Ohio, 95 percent in Illinois, and 70 percent in Missouri. The underlying records, which the organization gave with us, demonstrate that there is a lot of doubt. For example, in Ohio, 5.7 percent of erroneous payments resulted in “a recognized monetary loss.” The remainder was “payments when there is no or inadequate documentation,” as defined by Medicaid.

Some of Ohio’s mistakes were due to a lack of records, such as when the case files said “that income was confirmed,” but “adequate evidence was not preserved to complete a review.” In other cases, “there was no evidence in the case record that the caseworker confirmed income,” or the “monthly eligibility redetermination” “was not completed.” How many of these individuals were genuinely eligible for Medicaid? Who knows what will happen.

Those figures are for 2019, thus there are no pandemic concerns. However, after the implementation of Covid-19, millions more Americans have enrolled on Medicaid. In 2020, Congress enacted an assistance measure that includes an increase in matching funds. However, states are prohibited from disenrolling Medicaid participants throughout the period of the emergency unless the individual moves out of state or expressly requests to leave the program.

Before Covid, what was the state of driving errors? “It is no coincidence,” the FGA claims, that ObamaCare extended Medicaid in the two states with the highest publicly disclosed incorrect payment rates. The nationwide rate of improper payments has “almost tripled” since that expansion. States should “cross-check Medicaid participants against death, job, wage, and residence data,” according to the study, and “self-attesting to eligibility without verification” should be eliminated.

The Build Back Better proposal, proposed by Vice President Joe Biden, would extend Medicaid while also introducing new entitlements for child care, preschool, and other services. Here’s an idea: Before Congress spends billions on tomorrow’s Great Society, it should address the reality that Medicaid can only account for $1 out of every $5 spent. Maybe the people would trust Mr. Biden with something greater if he could figure out how to fix Medicaid.

Copyright ©2022 Dow Jones & Company, Inc. All Rights Reserved. 87990cbe856818d5eddac44c7b1cdeb8

The print issue of the January 24, 2022, was published.

The “build back better immigration” is a campaign that has been started by the American Immigration Council. The goal of the campaign is to fix Medicaid first, before we build back better.

Frequently Asked Questions

What does the build back better plan include?

A: The build back better plan includes a plan to repair your home, and some of the work may be done by professionals.

What is the Build Back Better Act 2021?

A: The Build Back Better Act is a bill that was passed by the United States Congress in December of 2020. It, among other things, makes it easier for businesses to be built in areas scarred by natural disasters such as hurricanes and tornados.

What Medicare changes are in build back better?

A: Medicares current policy is to pay for 80% of medical costs after a certain deductible. In the new plan, this amount will be increased to 100%.

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Jeffery Williams

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Table of Contents
  1. Frequently Asked Questions
    1. What does the build back better plan include?
    2. What is the Build Back Better Act 2021?
    3. What Medicare changes are in build back better?
    4. Related Tags
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