Are your parents in a nursing home paid by Medicaid? Are you concerned the program will get cut?

[Anonymous]

Is this on your mind, or am I just a bit paranoid? My mother might run out of her savings in four years and, if she survives until then, will have to go on Medicaid, or at least that is the plan. Should I be concerned?

[Anonymous]

you should be concerned for yourself. SS, Medicare, Medicaid, middle aged people like me are going to be screwed. my 90 yr old FIL who voted for Trump will not live long enough to see the consequences of his vote.

[Anonymous]

They are so much more organized and ready to roll this time. Anyone who relies on any federal dollars (aside from corporate welfare) should definitely be very concerned. SS, Medicaid, SPED, you name it, it’s on the chopping block.

My gf in LA is moving her parents to a much cheaper and very nice place in Mexico. She’s planning to move to SD so she can visit more frequently. The idea is their assets will last so they never have to rely on Medicaid. Realistically no one knows what is going to happen, but everyone should have backup plans.

[Anonymous]

I doubt it. My guess is that elderly folks who spend down to nothing and have to go to a nursing home will be covered.

My friends in DC, a 40-something couple, who are low income and receive Medicaid health insurance? They should be very worried. We just had a conversation about how they won't move the VA because they'd lose health insurance because VA doesn't extend Medicaid in this way, but DC does.

[Anonymous]

^ move *to* VA

[Anonymous]

I mean if you don’t pick her up from the hospital or wherever she is before she goes to a Medicaid nursing home, what are they gonna do? You just have to be cold hearted enough to wait them out.

[Anonymous]

I am 100% worried about this. We are looking into memory care for my dad right now. They have 2-3 years savings. After that, the two options are literal abandonment vs. spending all of our kids' college savings and our own retirement savings on his care.

The silver lining is that by cutting Medicare, people will die faster and won't live long enough to need Medicaid for skilled nursing or memory care [/sarcasm].

[Anonymous]

There will be no ss or Medicare

Homes for the elderly will be private and a fortune

Trumper’s are so dumb Trump has said this time and time again
Now he’s saying third term change the constitution republicans in the room said nothing they just laughed

Yes trumps cult you are going to have a horrific future

[Anonymous]

Anonymous wrote:I mean if you don’t pick her up from the hospital or wherever she is before she goes to a Medicaid nursing home, what are they gonna do? You just have to be cold hearted enough to wait them out.

I think OP is suggesting that there will not be "Medicaid nursing homes," not how will they get admitted.

[Anonymous]

OP here. I secretly hope my LO dies peacefully before her money dries up. I will also have to stretch her money to make sure it lasts until the next administration. Fingers crossed MAGA has crashed and burned by then.

[Anonymous]

Trump and Republican Proposals: The Trump Administration and other Republican proposals examined aim to significantly limit federal Medicaid spending by restructuring Medicaid financing into a block grant or a per capita cap where states would receive a pre-set amount of funding for Medicaid in total or per enrollee. Typically, a base year of Medicaid spending would be established and then the aggregate or per enrollee caps would increase by a specified amount each year, typically tied to inflation or inflation plus some percentage. To generate federal savings, the total amount of federal spending would be less than what is expected under current law. Program costs in excess of the total or per enrollee caps would not be matched by the federal government, leaving states to cover these costs or reduce Medicaid spending. Proposals that cap federal Medicaid funding could also eliminate the entitlement to coverage or federal minimum requirements for eligibility and benefits. The Trump Administration FY 2020 budget proposed to convert federal Medicaid funding to a per capita allotment; this change along with other health care adjustments totaled $1 trillion in spending reductions relative to estimated spending under current law over 10 years. More recent Republican proposals, the RSC FY 2025 budget and Project 2025, call for capped Medicaid spending as well as a match rate of 50% for all eligibility groups and services (RSC FY 2025 budget) or a “blended” match rate (Project 2025).

Proposals that fundamentally change the financing structure and entitlement nature of the program would require legislative change and would have broad implications across all areas of Medicaid; however, even without legislative changes, presidential administrations have options to issue regulations or guidance as well as approve demonstration waivers which could result in incremental program changes. In lieu of major legislative changes to Medicaid financing, former President Trump also issued guidance and encouraged states to apply for Healthy Adult Opportunity waivers that offered states “extensive flexibility” to cover certain groups of enrollees in exchange for limits in federal financing and access to shared savings for spending below the set cap; however, no states were approved for such waivers. In addition to restructuring Medicaid financing, Republican proposals also include provisions to restrict the use of provider taxes, combat Medicaid improper payments, and improve program integrity.

Tradeoffs: Republican proposals would substantially reduce federal Medicaid spending and allow states additional flexibility to administer their programs. KFF analysis has found that Medicaid financing caps would also limit the ability of states to meet changing needs and demands (e.g. changing state demographics, emerging high-cost drugs, etc.), and could lock-in current state spending patterns that reflect historic Medicaid policy choices. States would likely have to make choices to cover fewer people, cut benefits, and/or lower payment rates for providers (though Medicaid is typically already the lowest payer), leaving more people uninsured and reliant on safety net providers or unable to access care. While states may gain additional flexibility to administer their programs, these new options are not likely to make up for significant cuts in federal spending. States would likely face challenges to maintaining coverage, with certain states (like those with higher health care costs or needs) more at risk. Proposed changes to the FMAP floor or the ACA match rate could reduce federal spending but have disparate effects on states. States with higher per capita incomes could be most affected by calls to lower the FMAP floor while states with lower per capita incomes could be most affected by proposals to have a uniform match rate of 50%. Across many Republican proposals, expansion states would fare worse than non-expansion states with proposals to reduce the expansion match.

https://www.kff.org/medicaid/issue-brief/what-the-outcome-of-the-election-could-mean-for-medicaid/

[Anonymous]

Anonymous wrote:

Anonymous wrote:I mean if you don’t pick her up from the hospital or wherever she is before she goes to a Medicaid nursing home, what are they gonna do? You just have to be cold hearted enough to wait them out.

I think OP is suggesting that there will not be "Medicaid nursing homes," not how will they get admitted.

They may still exist, but funding across the board will be cut. It's not like Medicaid paid a lot to start with. But it will likely be reduced.

States may help pick up some of the costs if they can. Or they may not.

[Anonymous]

Also - almost 20% of the country is on Medicaid. So cuts to Medicaid will not be popular.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:I mean if you don’t pick her up from the hospital or wherever she is before she goes to a Medicaid nursing home, what are they gonna do? You just have to be cold hearted enough to wait them out.

I think OP is suggesting that there will not be "Medicaid nursing homes," not how will they get admitted.

They may still exist, but funding across the board will be cut. It's not like Medicaid paid a lot to start with. But it will likely be reduced.

States may help pick up some of the costs if they can. Or they may not.

Yes, I'm aware of the possible cuts. I was simply responding to a PP who was focused on a single tree when the OP was asking about a forest.

[Anonymous]

Anonymous wrote:Also - almost 20% of the country is on Medicaid. So cuts to Medicaid will not be popular.

Thinking of all the MAGA folks I know in my hometown with parents on Medicaid in nursing homes....