Showing Tag: "aca" (Show all posts)

The Great Lamping-Silvey debate continues (this time on Twitter!)

Posted by Timothy McBride on Saturday, May 24, 2014, In : Missouri 
Those of us in Missouri, and who follow the Medicaid expansion debate closely, know that a couple key turning points that happened (in public at least) were when, first, a handful of Republican Senators (led by Sen. John Lamping) took to the floor right after their Spring break and declared their solid opposition to the Medicaid expansion, and vowed to fight this even to the point of filibusters. Shortly after that, one of Sen. Lamping's colleagues, Sen. Ryan. Silvey took to the floor and eng...
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Crunch Time: Is it time for Gov. Nixon to behave like Gov. Brewer?

Posted by Timothy McBride on Monday, April 28, 2014, In : Missouri 
So there is less than three weeks left in the Legislative session. The Missouri Legislature has yet to give Governor Jay Nixon the leading initiative he has asked for the last two years, much to his credit. As a result, the state is losing billions of dollars, losing thousands of jobs, and low-income people still don't have the coverage they need.

Maybe it is time for Gov. Nixon (who after all has always had a huge positive popularity rating) to adopt the strategy that Republican Gov. Jan Brew...
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Perplexing State Policy Decision: Tax Cut Yes, Medicaid Expansion: No?

Posted by Timothy McBride on Thursday, April 17, 2014, In : Missouri 

Today (April 16th, 2014), the state of Missouri Legislature passed a $620 million tax cut with an annual price tag.

What is rather flabber-gasting about this decision is that this Legislature has been dragging its heels for two years on another decision: to expand Medicaid to about 300,000 low-income uninsured Missourians.  By recent reports, the legislation working its way through the Legislature is not as likely to pass.

Now someone needs to explain to this economist why:

  • the Legislature would...

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Uninsured in States with State-Based Marketplaces Twice as Likely to Obtain Coverage

Posted by Timothy McBride on Thursday, March 20, 2014, In : ACA 

·  ·    The ACA left the important decision of whether to create a state-based marketplace or not up to the states, and the Supreme Court gave states the option to expand Medicaid or not.  

Fifteen states (representing about one-third of the uninsured in the U.S.) have chosen to create state-based marketplaces, 10 states are using the federally-facilitated marketplaces (FFM) but are expanding Medicaid, while the remaining 26 states have chosen to use the federally-facilitated marketplace and...


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Additional comment on Patrick Ishmael's commentary

Posted by Timothy McBride on Saturday, March 8, 2014, In : ACA 

Earlier I commented on Patrick Ishmael's comments on Medicaid in Missouri posted on Forbes website.  In my previous comments I dealt with several of the issues he raises in that commentary, except the last one.  At the end of his piece he makes this comment:

"Keep in mind that this enrollment conversation doesn’t even touch on the abysmal Medicaid health outcome record that Avik Roy, Michael Cannon and others have talked about for years. That’s no small matter. Combine the outcomes problem...


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Response to Forbes/Show-Me Take on Missouri Medicaid Situation

Posted by Timothy McBride on Saturday, March 8, 2014, In : Missouri 
Given that we are in the middle of the implementation of the Affordable Care Act (ACA), and a full verdict on what is happening will not really be known for a short while, it is a prudent idea to wait before making definitive comments on what is happening out in the field.  The reality is that the "data" on the implementation of the ACA is still coming in, and none of us can be 100% sure at this point what is happening.  

However, a commentary by Patrick Ishmael (of Missouri's Show-Me Institut...
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Missouri Obamacare Myths #2: Medicaid Expansion Costs Money

Posted by Timothy McBride on Monday, March 18, 2013, In : Missouri 
Earlier I described the proposal by Missouri Governor Jay Nixon to expand the Medicaid (MOHealthNet) program in Missouri to cover about 260,000 persons in 2014, according to the state's estimates [ http://dss.mo.gov/mhd/oversight/pdf/130129-healthcare-expansion.pdf ].

It has often been said in response to this proposal that expansion of Medicaid would not be affordable to Missouri.  For example, Rep. Jay Barnes said "Missouri taxpayers cannot afford a straight Medicaid expansion." [ http://www...

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Ryan "Budget": Where's the Missing $Trillion?

Posted by Timothy McBride on Tuesday, March 12, 2013, In : Deficits 
So many people are citing the many political and math problems with the newly revised (but hardly so) Ryan budget plan, 2013 edition, released today 3/12 [http://budget.house.gov/uploadedfiles/fy14budget.pdf ].

I have many of the same problems other have (about which I will likely write later) -- such as the at about 60-70% of the cuts come from health care, he starts with a non-starter that the Obamacare plan will be repealed which just will not happen, the plan has zero dollars of new revenu...

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Missouri Obamacare Myths: Myth #1, Corollary

Posted by Timothy McBride on Thursday, March 7, 2013, In : Missouri 
Yesterday I wrote about the myth that the primary vote taken in August 2010 (called Proposition C), which has been characterized by some people as an overwhelming vote by the state of Missouri "against Obamacare" cannot be characterized that way because in fact the proposition was a vote on a very narrow part of the law -- only the individual mandate provision.  That is well-known to be the least popular provision of Obamacare, so it is in fact no surprise that a proposition against it was pa...
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Missouri Obamacare Myths: Myth #1

Posted by Timothy McBride on Wednesday, March 6, 2013, In : Missouri 

For many months now, I have been hearing many myths about Obamacare in Missouri, which compels me to deal with them.  The first one I want to deal with is this one:

Speaker Timothy Jones is one of many that say this.  For instance, Jones told a reporter earlier this year: "that Missouri voters have repeatedly come out against the federal Affordable Care Act. The Missouri Health Care Freedom Act, also known as Prop C, which passed with more than 70 percent in a statewide vote in 2010." http:/...
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About Me


Timothy McBride Timothy D. McBride, Ph.D. is a Professor at the Brown School, Washington University in St. Louis. Here you can find musings on health policy and other issues. Opinions are my own, and not those of my employer. Contact: mcbridetd@gmail.com