hospitals

MEDICAID REPORT PART II: Republican plan won’t close the gap and will cost more

Republican health care plan could result in thousands losing coverage and is more costly and complex to implement than Medicaid expansion. Read the full report here.
  • The 2019 Republican health care planfails to cover thousands of North Carolina families.
    • Most people who lose coverage under work requirement plans are complying with requirements and are dropped due to reporting issues.
    • After Indiana implemented a plan cited as the model for the Republican plan 91,000 people were dropped from coverage
    • 17,000 Arkansans lost coverage under the state’s work requirements that were struck down by a federal judge
  • Implementation of the Republican plan would be more costly and complex than Medicaid Expansion.
    • Work requirements and premiums increase uncompensated care costs for hospitals which treat people regardless of whether or not they are insured. A system that forces more people to use the hospital to get care costs more.
    • States did not save tax dollars when they implemented work requirements and premiums.
    • Work requirements in other states have cost between $70 million and $170 million to implement, the federal government will not pay for much of the cost of implementation.

Read the full report here.

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MEDICAID REPORT PART 1: The Current Costs of Health Care in N.C.

NC already has some of the most expensive health care in the country. Refusing to expand Medicaid will keep health care expensive.  

  • NC is the second most expensive state for health care overall and NC residents who buy their own health care pay the third highest monthly premiums in the nation.
    • Forgoing Medicaid expansion will cost NC about $40 billion, some of which is federal taxpayer dollars from North Carolinians funding Medicaid in other states.
    • The federal government will cover 90 percent of the costs of Medicaid in expansion states forever. Currently it only covers half of the cost in NC.
  • Premiums for people who buy their own health insurance are7 percent lower in states that have expanded Medicaid.
    • Uncompensated care costs at hospitals are lower in Medicaid expansion states where more people are insured and thus able to pay hospital bills for emergency care.
    • Medicaid work rules will increase uncompensated care costs for hospitals.
  • Federal taxes paid by NC residents are going to other states.
  • Instead of saving money, Medicaid work requirements can add to health care costs and waste taxpayer dollars.
    • Work requirements could cost anywhere from $70 million to $170 million to implement and could more than double monthly premiums.
  • Not closing the gap will make health care even more expensive in NC.

Read the full report here.

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Since Republicans have been in charge in Raleigh, the cost of health insurance has skyrocketed for North Carolinians, causing a detrimental impact on mental health services

Click here for more background on how N.C. Republicans have failed to address the needs of North Carolinians who live with mental illness and addiction. Republicans in the North Carolina legislature have failed to understand the connection between faltering mental health services in the sta…

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Republicans Play Politics, Keep Healthcare Out of Reach for North Carolinians

Republican lawmakers made politically-motivated decisions that put healthcare out of reach for hundreds of thousands of North Carolinians.

North Carolina is one of the most expensive states for healthcare; around half a million North Carolinians do not have access to health insurance because Republican lawmakers decided to play politics with people’s lives.  

Republicans refused to expand Medicaid coverage. This politically motivated decision priced out many people in North Carolina’s insurance market who could have been covered under Medicaid but now have to purchase insurance that many cannot afford.

Republican lawmakers voted against Medicaid expansion that would have covered over 500,000 low-income North Carolinians and would have been funded by federal money for three years.

Republicans’ refusal to expand Medicaid continues to hurt our rural communities and drive the wedge between urban areas and rural areas even deeper. Four rural hospitals have closed in North Carolina since Republicans took over the General Assembly in 2010. Republicans’ refusal to expand Medicaid hurts real people across rural North Carolina.

Republicans show over and over that the only thing they care about is facing voters in November. Instead of playing election year politics, we should take real steps to improve access and care for people across North Carolina by expanding Medicaid.

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