Sunday, May 9, 2010

State takeover of Medicaid would save $$$

From the Times Newsweekly:

Assemblyman Mike Miller has announced an Assembly proposal that would shift costs of Medicaid administration from counties to the state.

As described, this measure would save local taxpayers over $370 million when fully implemented by improving uniformity in eligibility and service determinations, increasing efficiencies, and consolidating duplicative services and contracts.

Specifically, the Assembly proposal to pick up county costs and duties related to Medicaid administration would:

• streamline Medicaid eligibility determinations, which often vary between counties;

• require the state Department of Health to limit annual growth at a fixed percentage or at an amount to be determined in the state budget;

• allow for the transition of local employees to state service; and

• require the state health commissioner to develop a plan assessing the effectiveness of a state takeover of Medicaid costs and report to the Legislature by Jan. 1, 2011.

If enacted, this measure would be implemented over a five-year period, starting in 2011-12. That would produce total savings of $370 million statewide including $250 million in New York City. In 2010-2011, the savings would be $68 million statewide including $45 million in New York City.

Total Medicaid administration costs are estimated at $1.1 billion in 2010-11. The county contribution toward the administrative component of Medicaid will be limited to $329.8 million in 2010-11. The remainder of the non-federal share, $221.5 million, will be paid by the state. Since local administration spending has doubled in the last five years, the state takeover will relieve the burden on counties and New York City, and bring efficiency to Medicaid administration.


Anonymous said...

The problem with Medicaid is that all the scammers and illegals are on it. Anything to save money and cut all the ineligibles from it is a good idea.

Joe said...

I have a better Idea.
How about simply enforcing the laws we have and toss these 30,million freeloading parasites out of the country ?

I was at Rye Playland today with exception of 300 people by the band you could walk the whole park and not see find one person or teenager over 5'3 or speaking English.
What got me the most is how most the adults were extremely overweight and yapping in cellphones.
All kids had candy bars and sodas in hand.
Those Ponzi scams called Obamacare, Medicaid and Social Security don't stand a chance.
Give it 10 more years we are going to be a nation of sickly overweight diabetics and worse. No amount of money will be enough

Patrick Sweeney said...

Any system where the consumer of goods and services is indifferent to the price must be expensive and corrupt. Someone else is paying.

It doesn't matter if Medicaid is run by the feds, state, city, county, or by each Queens zip code. Its users have no incentive to deal with Medicaid's waste, fraud, and abuse.

Private, subsidized, catastrophic insurance would work for the poor.