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Reply to "Elderly parent is on Medicaid in nursing home, will they lose financing? "
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[quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous]My spouse is an executive VP in the LTC business. They are not panicking yet. But everyone acknowledges that Funding may be lost. If that happens your relative will be evicted if that is their payor source. And if the home shuts down, there won’t be any chance of them being forced to keep people who don’t/can’t pay. Thing is that this is an evolving situation and no one knows what will be affected. But the places that will be hit the hardest are those with insufficient private pay to cover the losses. [/quote] Its a different medicaid, its long term care medicaid, not regular so its funded differently. Its anyones guess what will happen.[/quote] It is not funded differently.[/quote] Actually LTC in Medicaid is funded differently in most states, along with hospitals. Medicaid coverage of things like physician visits, Rx, therapy, etc is paid for by state income taxes, and the federal government matches what the state pays (from 50 -70%). But for the big "institutional" providers, a LOT of states raise money by taxing the providers themselves and then using the money to pay them back through Medicaid. As long as the tax rates are <6% it is allowed. So if Medicaid in Indiana, for example, pays nursing homes $3 billion a year, and the federal government contributes 70% to Medicaid in Indiana, Indiana can tax the nursing homes 5%, which is under 6% and therefore legal, and raise $150,000,000. Indiana then submits the $150M to the federal government as its share of $650M in state spending (30%) and gets $500M in federal money (the other 70%). It uses that $500M plus the $150M in tax money as a huge chunk of the $3B it is spending on nursing homes. States do the same thing with hospitals. The OBBB is removing state's ability to raise money this way, calling it "fraud" even though it is currently legal. In Indiana's case, if they can't do the provider tax thing, they are going to have $650 million less to spend on nursing facilities out of $3B they spend now. That is a LOT of money that they will either have to: a) raise out of state income taxes/sales taxes b) cut from other state services to put in the Medicaid budget c) cut from other parts of Medicaid, by cutting eligibility for optional groups or cutting other services d) cut by reducing provider payments, mainly to nursing homes, which means they will close and people will have nowhere to go The only way you get a TRILLION dollars out of Medicaid, which the OBBB says it does, is by cutting people, services, and provider payments. There is nothing close to $1T in fraud waste and abuse. There is just republicans who consider government-funded health care waste, and federal payments to states abuse and fraud. [/quote]
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