The White House, years ago, announced the launch of Medicaid with an optimism that quickly spread across the country. However, time has passed and, with it, came the powerful impact of the coronavirus. It is only now that, looking at the present, we have been able to learn the hidden side of this social benefit of concern: thousands of people are going to lose coverage.
Medicaid has a hidden side: attention to why would happen in this state
Already in 2025 about 1 million Texas people may be cut off of the Medicaid program. They are not nearly even halfway through 10%. This magnitude reduction is being caused by the fact that Texas is doing a big Medicaid overhaul, its main goal being to reduce expenditures, as we have seen.
Nevertheless, it will leave many of the most vulnerable population without health care coverage. The proposed system replaces public coverage and defers legal authority to the private insurance companies. Supporters suggest a result is to be gained in term of lower expenses and higher efficiency.
Nevertheless, they express that the solid health outcomes would be due to the removal of beneficiaries and denying claims. Finally, the old men, children, pregnant women and disabled persons are going to find themselves in the greatest zone of uncertainty.
Texas is facing a huge problem with Medicaid: do they have any solution?
Coming up due to the latest Medicaid program changes the people eligible for it is about to decrease a lot and the payers of it will go down. The year 2023 ended with the federal government granting Texas the ability to take about 1 million already covered by Medicaid as potential at risk of being removed.
It was through the Trump administration reflex that permitted states to petition for waivers to adopt work requirement, premium and other eligibility conditions among the low-income individuals who acquired the Medicaid services.
The state of Texas made the most of the issued waivers to undertake a program’s entire reform. The two new criteria which are going to be in the eligibility package namely, those who work and the people who set for a job for at least 80 hours per month are the eligibility factors of no-able-bodied adults to take off Medicaid.
Furthermore, we should put in place a rule that eliminates anybody who has more than $5,000 as a savings. Additionally, recipients no longer have all of their medication costs covered, but are rather required to pay monthly premiums of between $15-25, in proportion to their income.
New changes in Medicaid are raising concerns (and we understand why)
Changes of coverage of Medicaid Standards in Texas will influence a lot of seniors in the state who depends on the program. Each year in the state of Texas, about half a million elderly people rely on Medicaid for insurance of their health coverage.
Most of these elders have loved ones looking after them in the nursing homes whose care is covered under the Medicaid payment. The state of the new rule will state that a Medicaid provider has to be licensed. Over half of the nursing centers will terminate their Medicaid program in order to function properly.
Apart from being fundamental for paying healthcare expenses, Medicaid caters to senior citizens in the sense that they are able to afford their prescription medications. The program is able to provides drug coverage for the medications that are used to treat diseases like heart disease, diabetes and cancer that can be severe.
Once we have learned about the hidden side of Medicaid, we can only share the concern of those who cannot afford the coverage they will lose. The Biden administration stated earlier this month that it was aware of the situation, and all indications are that exceptional measures will be taken. However, concerns are growing as these measures remain unrealized.