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Medicaid reform in 2005: downsizing not the answer.(Practice Trends)
WASHINGTON -- To keep Medicaid viable, policymakers need to focus on the plight of dual eligibles and on Medicaid's burden of providing long-term care, Matt Salo said at a meeting on Medicare and Medicaid sponsored by America's Health Insurance Plans.
The hope is that Congress won't look at how expensive Medicaid has become, and take actions to whittle away at the program, "whether that's reducing the federal match rates for Medicaid services, or taking broad brush attempts to try to restructure how states finance the Medicaid program," said Mr. Salo, director of the National Governors Association's Health and Human Services Committee.
Dual eligibles--low income, frail seniors and some adults with disabilities who are eligible for Medicare and Medicaid--make up only 6 million to 7 million of the total Medicaid population, yet consume 42% of the program's budget.
Much of this is to make up for the huge gaps in Medicare coverage, Mr. Salo continued. Medicaid, for example, provides coverage for prescription drugs that Medicare currently doesn't cover.
"We understand that on Jan. 1, 2006. Medicare will start offering a prescription drug benefit," though it's uncertain what will happen to the dual eligibles once the Medicaid drug benefit is shut off, and the Medicare benefit kicks in, Mr. Salo said.
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Source: HighBeam Research, Medicaid reform in 2005: downsizing not the answer.(Practice Trends)