Feds encourage work requirement in Medicaid for able-bodied adults

Illustration created using Getty Images

The state will still have to apply for a waiver and undergo the full federal review process, but CMS will now support state efforts to "test incentives that make participation in work or other community engagement a requirement for continued Medicaid edibility", according to the January 11 letter.

Kentucky is the first state to be allowed to impose work requirements in its Medicaid program, a change that Gov. Matt Bevin has pushed.

And while the LePage administration tries to argue in its waiver application that imposing work requirements improves people's economic circumstances, its own analyses have shown this isn't the case.

The Maine Department of Health and Human Services past year sought federal Medicaid officials' permission to require non-disabled, low-income adults enrolled in Medicaid to work as a condition of receiving coverage.

It's a "large and sharp reversal" from Medicaid in the past, says Judith Solomon, vice president of health policy at the Center on Budget and Policy Priorities.

Kentucky, which has some of the poorest counties in the country, has seen its Medicaid enrollment double in the past three years after the state expanded eligibility under the ACA.

OnePlus 6 flagship to release in Q2 2018 with Snapdragon 845 SoC
In the four years since the launch of the OnePlus One , OnePlus's first smartphone, the startup's managed to amass a following. Striking a deal with US carriers would be a big step for OnePlus , which has only sold its devices directly to customers.

Jill Hunter, deputy commissioner of the Kentucky Department of Medicaid Services, said in November that her office estimated about 10 percent of Medicaid recipients in Kentucky will get a "medically-frail" designation and be exempt from the premiums, copays and work or volunteer requirement. That will be a problem, says Solomon, because low-income people tend to work in retail and food service jobs, where hours can vary from week to week. Ten states -including IN and Kentucky - have submitted proposals to add a so-called work requirement to their Medicaid plans. Solomon estimates that fewer than 2 percent of the 74 million people covered would be directly affected by a work requirement. CMS said states would have to test whether the work requirement improves enrollees' health - a point Solomon ridiculed. "We don't have childless able-bodied working age adults in our system, so I don't know how that would transpose to us". But the long-anticipated CMS announcement - made clear in a letter to states released early Thursday - is a bad sign for some health care advocates, who worry that people will lose coverage because of the additional administrative burden of the requirement.

They will continue to get vision and dental benefits, and either have to make a monthly payment - called a premium - or a payment at the time of a medical service.

Pugel previously had told Insider that many people who will lose coverage have chronic illnesses that will go untreated until the severity of their conditions brings them to local emergency rooms, where they will receive expensive care that will be paid either by the hospitals through charity care - or by people with insurance who pay higher rates than they normally would. About 52 million of the 74 million Medicaid enrollees rely on managed-care companies for their coverage.

"They are illegal and not permissible under law", said Leonardo Cuello, a lawyer with the Washington-based National Health Law Program, which anticipates filing a lawsuit challenging Kentucky's plan. The work requirements will likely be challenged in court. Bevin said he expects the program to be fully implemented at the beginning of next year.

But critics suggest the move could leave many people uninsured. "The result will be a transformational improvement in the overall health of our people and will provide a model for other states to follow", Bevin said.

If proponents of work requirements are serious about helping people find work, they would invest in skill training and workforce development programs, rather than increasing red tape and making it harder for people to access health care.

Related News:

  • Sneezes and sniffles: Sask. flu season may have peaked

    Sneezes and sniffles: Sask. flu season may have peaked

    Wake Forest Baptist, Cone Health, and Novant Health put in visitor restrictions for the rest of the flu season. If you get the flu, stay home and rest so you don't spread it to other people.
    Cavs willing to deal Tristan Thompson; DeAndre Jordan in play?

    Cavs willing to deal Tristan Thompson; DeAndre Jordan in play?

    Before the game Casey encouraged his team, especially the bench, to focus on three-point shots, to make them "with conviction". He missed Tuesday's loss to the Miami Heat , and he is listed as doubtful for tonight's game against Cleveland.
    December India's retail inflation grows 5.21 percent

    December India's retail inflation grows 5.21 percent

    But apparel prices fell for the fourth consecutive month, and airline fares fell 0.5 percent after a 2.4 percent drop in November. The dollar briefly trimmed losses against a basket of currencies after the CPI data, but later slumped to a four-month low.
  • Saudi-led coalition says thwarts Houthi attack on oil tanker

    Saudi-led coalition says thwarts Houthi attack on oil tanker

    The rebel-run news agency Saba gave the same toll and accused the coalition of using cluster bombs in that attack in Kataf city. The war has killed more than 10,000 Yemenis, mostly civilians, and pushed the country to the brink of mass starvation .
    Flooding Rains, Flash Freeze: What To Expect And When

    Flooding Rains, Flash Freeze: What To Expect And When

    Wind chill values could be as low as minus 15 degrees from northwesterly, then southeasterly winds in the afternoon. As high pressure slips offshore Thursday , a southerly flow of very moist and mild air will move over New England.
    Ander Herrera Urges Jesse Lingard to Keep Shooting

    Ander Herrera Urges Jesse Lingard to Keep Shooting

    Mourinho also suggests that the former footballer is jealous of the French midfielder, Pogba , because of the salary he receives. For transparency, I said this time previous year that Mauricio Pochettino would leave Tottenham for a Spanish giant.
  • 'Mummy, what's felching?' Tot gets smut served by Android app

    'Mummy, what's felching?' Tot gets smut served by Android app

    Check Point says the "malicious code's own ad library... contains ads of an offensive nature, including pornographic ads". In December, YouTube said that Google was planning to increase the number of staff reviewing videos to more than 10,000.
    Mexican economy minister: Mexico will never pay for Trump wall

    Mexican economy minister: Mexico will never pay for Trump wall

    President Donald Trump and increase the already high likelihood that he'll pull the plug on NAFTA. And it sparked concern among trade experts that it will only antagonize U.S.
    Top US Attorney in Montana Issues Statement on Medical Marijuana

    Top US Attorney in Montana Issues Statement on Medical Marijuana

    I have filed 19 lawsuits against the Trump administration, so I have some experience in the courtroom with the federal government. MA and other states believed that Obama's wink and a nod with federal law enforcement would be honored by future presidents.
  • Trump lawyer arranged $130000 payment for porn star's silence

    Trump lawyer arranged $130000 payment for porn star's silence

    But Clifford privately told sources interviewed by the Journal that she and Trump had a consensual sexual encounter in 2006. Fox News published a letter that it said was written by Clifford and signed with " Stormy Daniels ".
    Bangladeshi man pleads not guilty in NYC subway attack

    Bangladeshi man pleads not guilty in NYC subway attack

    She said Ullah recently had some stitches removed but had others that were still causing him a "great deal of discomfort". Berman of the Southern District of NY said in a statement, referring to the Islamic State of Iraq and Syria, or Daesh.
    Freezing rain, snow and 'much colder' temperatures coming: Environment Canada

    Freezing rain, snow and 'much colder' temperatures coming: Environment Canada

    After that the agency says to expect the rain to give way to snow, "with a risk of brief freezing rain during the changeover". CBC meteorologist Jay Scotland said it is possible even Kings County will not entirely escape the freezing rain.


Most liked

China Exports, Imports Up for First Time in Three Years
Sinopec will take the lead in exploration of liquified natural gas (LNG) in Alaska, according to a deal signed during U.S. What's more, if China's economy slows this year as some experts predict, that could widen the trade deficit further.

Merkel pledges 'fresh start' for Europe with new government
Mr Schulz described the talks as "long, tough, exciting and turbulent", adding: "I think we achieved an excellent result". This comes as a relief to Merkel, who could have faced fresh elections had the coalition talks collapsed.

Donald Trump DID Call Countries 'Shitholes' & His Racism Hurts All Of Us
And with his use of derisive language at the Thursday meeting, it's an open question whether the compromise can be resuscitated. Trump is claimed to have questioned why the U.S. was would accept more immigrants from Haiti and "sh**hole" countries.

California suspect in fatal hoax 911 call sent to Kansas
There is no update regarding punishment for the Call of Duty player that apparently provided Finch's address as his own. Barriss also faces charges in Calgary, Canada, according to The Globe and Mail , as spotted by Rolling Stone .

Guardiola expects Manchester City response against Watford
Pep Guardiolas ability to improve players will go down as the Spanish managers “legacy” says Shaun Goater. Some days he will be here, some he will be out, it depends how his family is".

Women big winners at Critics' Choice Awards
The only female Critics' Choice Award victor for Best Director since 1995 was Kathryn Bigelow, for The Hurt Locker . The Best Actress award went to Frances McDormand for her performance in Three Billboards Outside Ebbing, Missouri .

Bannon To Be Interviewed By House Intel For Russia Probe
Trump then steered the conversation to Bannon, who was recently ousted from Breitbart News amid a public feud with the President. To the editor: The only forces that can control President Donald Trump are the Cabinet and the Republicans in Congress.

Conte, Mourinho 'out of their minds'
Mourinho and Carlo Ancelotti also won 25, with Mourinho drawing and Ancelotti losing their 31st home games in charge. The Blues have been goal shy in the Premier League having scored 41 goals, the fifth most in the top flight.

Rebellion in Supreme Court: Four Senior Judges address the media
Former Law Minister Hansraj Bharadwaj said the allegations made by the judges are a loss of prestige for the entire institution. One of the four senior judges of the SC, Justice Jasti Chelameswar, said: "Democracy can not survive without free judiciary".

'Positive for Europe' Juncker praises German coalition deal promising to boost Brussels
The SPD party base had to be mobilized, Bülow said, to "stop this grand coalition from within Social Democrats". On some polling, around half of SPD supporters oppose a new grand coalition.

US Olympic Committee in quandary over Tonya Harding
February 1, 1994: Gillooly pleads guilty to racketeering in exchange for a 24-month sentence February 10, 1994: Harding sues U.S. Olympic Committee reportedly hopes Harding will withdraw from the team before the Winter Games at Lellehammer, Norway.

Disaster Artist James Franco get accused by 5 women of sexual misconduct
She also claims she and her female co-stars were asked to appear topless and dance around Franco in an unscripted scene. The Times said in a statement that "given the controversy surrounding recent allegations " it was canceling the event.

Sam's Club in Goshen to permanently close
Thirty-nine stores called by CNNMoney had recorded messages saying the store was closed Thursday but would reopen Friday. Sam's Club says their customers will be refunded their 45 dollar annual membership fee.

Honda Plans to Show Off Insight Prototype at NAIAS
Inside, Honda is promising best-in-class passenger space, along with a more upscale cabin than most compact cars. The Insight's battery pack is located under the rear seats, allowing a full-size boot and 60/40 split folding.

Horse race bet with William Hill
How to place a bet To place your wager/bet, all you need is to provide the appropriate information to the ticket writer. Simply you just have to pay £1horse bet and you can easily watch the live horse racing broadcast on your device.