A Way Forward On Medicaid Reform?

Arkansas Medicaid Spending: Visual Rendering

Scientific projection of state Medicaid spending

You, there! The one wringing your hands, trying to figure out how to handle runaway state Medicaid spending! This might help: Our pals at the Advance Arkansas Institute (AAI) are out with a short policy paper encouraging state policymakers trying to crack the Medicaid nut to look to Florida’s recent reform experience.

Christie Herrera with the American Legislative Exchange Council (ALEC) writes in an AAI guest brief (PDF) that as Arkansas stares down an estimated $300 million Medicaid shortfall (give or take, oh, $50-100 million), the Sunshine State’s recent experience with reforming the administration of the federal-state health care program shows promise:

Under Florida’s program, choice counselors help beneficiaries choose from various Medicaid plans, depending on their county of residence—some beneficiaries can choose from as many as 11 plans. All plans offer a core set of benefits, as well as customized, optional benefits to meet certain health needs. Beneficiaries who meet program requirements—such as receiving preventive care, complying with maintenance and disease management programs, and keeping appointments—can earn up to $125 per year in Enhanced Benefit Accounts.

While looking something up related to Medicaid, I came across this Associated Press report from December 1992, when the state faced a Medicaid deficit crater of $140 million on a total program budget of $800 million. Those were simpler times. Everything old is new again!

So please clip and save this blog post so you can look back on it in another 20 years, when I’m sure we’ll be continuing to wrestle with this same insoluble issue, with a bunch more zeroes at the end.

Want To Address The Arkansas Medicaid Crisis? Look to Florida (PDF) (Advance Arkansas Institute)

Comments

  1. Lauraleigh says:

    Arkansas must take care of thier elderly as they paid into Social Security all there working lives and can no longer work..We also need to care for the really disabled as no one will hire them and many simply can’t work ..Thats why they are disabled ..As far as Welfare goes medicaid and food stamps many women are on this with Children and Arkansas needs to catch up with the times..Make these fathers pay for the support of thier children instead of the rest of us..A women might have 4 children and the Judges and State will only make fathers pay less than 250 a month for all these children, how can a mom even hire someone to care for them and get a job that only pays minimum wage won’t even cover child care that goes with it..We have to phase it out but first Arkansas Legislators need to kick the feds out of this State ..they must over turn the NDAA act ..They need to nullify the NDAA act under arkansas Constitutional Law like Oklahoma, Virginia, Missouri, Utah, North Decota and 12 States have already done or Congressmen Arkansas Governor, the Senators will be voted out..Arkansas needs to nulify any mandates and regulations put on any business be it large or small..Kick the Federal Government out of our states..All these people on Welfare need jobs..Every time someone starts a company Obama shuts it down ..So we need to Impeach Obama He has committed high crimes and Misdemeanors every time we turn around..Arkansas has the 3rd highest taxes in the Nation and is 49th in health care and Education..Personal property taxes are unconstitutional they always have been ..Once you pay taxes on something you never have to pay taxes on that again..We had a great Angel food program in Arkansas which was a church based program that sold nutritious food to people and Arkansas taxed it..Where is the separation of church and state?.Now angel food is gone do to greedy dirty politicians angel food could not pay the taxes that some states and of course Arkansas was one of the states that taxed Angel food, they started having to get the people who bought thier very reasonably priced food to pay the taxes ,well it wasn’t reasonably priced anymore.so people couldn’t afford to buy it..Crooked politicians ..we just have to vote these people out of office all over in every state. …BeBee and the rest of the Legislators have no idea what this program did for the ederly ,disabled and could have gotten many people off of food stamps..but as usual there greed comes first…families will have to start leaving Arkansas and it will become a dust bowl as it has no jobs except resteraunts that don’t pay enough for anyone to even pay thier bills even when both parents are working..They need a new Governor in Arkansas .The one that is there now was the attorney general and he did nothing to earn his pay in that office..he’s a even worse Governor..We need a Church based food program like angel food with hands off by all states as taxes go..the angel food went broke because of states taxing them..Separation of church and state, Governments have no rights taxing churches and church programs. With Arkansas it was never enough they kept raising taxes on angel food now a great program that saved the state from people needing food stamps is gone..Its time to clean out our states and vote all new people in..food should never be taxed..Medicine should never be taxed..No new Idea’s coming from Legislators in Little rock. It seems the only sources they can come up with is bringing drugs into Arkansas as most of the police are drug dealers..Raising Drivers licenses and making people buy new metal and sticker tags by the year and charging outrages prices is ridiculous.The legislators need to pay for thier own health care benefits, Dental and eye care and take a cut in pay to half or more than what they are making..We shouldn’t have to pay for thier medical costs ..These people are public servants not the other way around..Arkansas is a haven for Law Enforcement abusing its citizens they had a cop empty his gun in a mans head for speeding 7 times and he is free..In a Place called Gravette arkansas the Chief of Police is a Meth cooker..In Bentonville former Sheriff Andy Lee’s son is a drug dealer..Cops are using tazors on people causing cancer in people..they shoot them in the genitalia and women in the breasts..Arkansas has become a place where the Criminals are Politicians Cops, Judges and Lawyers! I wonder how long the American people will stand for all this abuse of power?

    • THE BENTON COUNTY POLICE DEPT IS CROOKED WHICH IS GRAVETTE AND BENTONVILLE AS MENTIONED IN THE COMMENT ABOVE, THEY ABUSE THEIR POWER MORE SO THAN ANY OTHER POLICE FORCE IN AMERICA!! THEY ARE A GANG!! THE DRUG DEALING COPS SON SHE MENTIONED IS NOW A SHERIFF FOR STATE POLICE AND HARASSES ME TILL NO END FOR NO REASON!!! I WILL BRING THIS GROUP OF PEOPLE DOWN LEGALLY!!! NO MORE HARASSMENT BENTON COUNTY!!! FUCK YOU!!!