If you can afford one is the key phrase For those cut from Medicaid the majority will not buy an individual plan. When Medicaid restarted enrollment eligibility after Covid the majority of those who were cut and did not have health insurance elsewhere, did not move to an individual plan.
Anyway, looking at the actual proposed changes, there will not be a new cut off amount for eligibility. More minor changes being made, such as a 35 dollar copay on some services for people who make above the poverty level.
Well, the changes must result in MC enrollment reductions, otherwise, they don’t get their savings to offset some of the spending and tax cuts.
So…
I think the hard to follow stuff about state funding requirements, and of course the work requirement, are the stuff that will be knocking people off it.
IF you are on Medicaid you can’t afford a basic policy.
By cutting Medicaid, you take people who would have paid the medicaid rate at the ER - which is maybe 50% of commercial - and have them paying the “I have no money to pay this bill” rate, which is 0% of commercial.
The hospital subsidizes that 0% by increasing rates for commercial. There is no magic money tree for hospitals. They can’t make up the difference by getting more from Medicare. Commercial (and the tiny out-of-pocket cohort) is the only other revenue stream.
2.5T+ in new deficits - IF they manage to meet those Medicaid cuts.
They stand zero chance of doing that. It’s one thing to talk about other people losing coverage. It’s another to be Senator Cotton talking about a large percentage of your constituents.
I get that…I’m just suggesting we’re either going to get the savings they are promising, but more americans without insurance than they are claiming, or, we are going to get only the frauds and illegals off medicaid as they are suggesting, and not nearly they savings they are promising.