• Menu
  • Skip to primary navigation
  • Skip to main content
  • Skip to primary sidebar

Before Header

  • About Us
  • Lexicon
  • Contact Us
  • Our Store
  • ↑
  • ↓
  • ←
  • →

Balloon Juice

Come for the politics, stay for the snark.

Bark louder, little dog.

Everybody saw this coming.

Every one of the “Roberts Six” lied to get on the court.

If you are still in the GOP, you are either an extremist yourself, or in bed with those who are.

Fight them, without becoming them!

I’d try pessimism, but it probably wouldn’t work.

When do we start airlifting the women and children out of Texas?

They are lying in pursuit of an agenda.

Pessimism assures that nothing of any importance will change.

The truth is, these are not very bright guys, and things got out of hand.

Democrats have delivered the Square Deal, the New Deal, the Fair Deal, and now… the Big Joe Biden Deal.

The Giant Orange Man Baby is having a bad day.

Since when do we limit our critiques to things we could do better ourselves?

Motto for the House: Flip 5 and lose none.

There are a lot more evil idiots than evil geniuses.

“Can i answer the question? No you can not!”

Whoever he was, that guy was nuts.

Ah, the different things are different argument.

Sitting here in limbo waiting for the dice to roll

Polls are now a reliable indicator of what corporate Republicans want us to think.

Perhaps you mistook them for somebody who gives a damn.

Glad to see john eastman going through some things.

Bogus polls are all they’ve got left. Let’s bury these fuckers at the polls a year from now.

And we’re all out of bubblegum.

Mobile Menu

  • Four Directions Montana
  • Donate with Venmo, Zelle & PayPal
  • Site Feedback
  • War in Ukraine
  • Submit Photos to On the Road
  • Politics
  • On The Road
  • Open Threads
  • Topics
  • COVID-19 Coronavirus
  • Authors
  • About Us
  • Contact Us
  • Lexicon
  • Our Store
  • Politics
  • Open Threads
  • War in Ukraine
  • Garden Chats
  • On The Road
  • 2021-22 Fundraising!
You are here: Home / Anderson On Health Insurance / Apples, bananas and oranges or Case Mixture

Apples, bananas and oranges or Case Mixture

by David Anderson|  March 11, 20151:33 pm| 12 Comments

This post is in: Anderson On Health Insurance

FacebookTweetEmail

Charles Gaba has a good post on the Medicaid Trap due to the Supreme Court making Medicaid Expansion voluntary and an ad-hoc work-around that is in play.  He lays out a reasonable scenario, but I saw something that to me is the equivilent of nails on a chalkboard as he started to draw policy conclusions together.

Besides, according to KFF.org, the Medicaid program costs $3,263 per adult in Texas ($6,526 for two adults), which means that it would actually cost the taxpayers less to enroll this couple in Medicaid anyway ($6,526/year vs. $6,852).

I really don’t like these types of simple straight up comparisons, especially in states where the Legacy Medicaid eligiblity restrictions were very tight.  Texas has very tight limits where healthy adults that were no on Social Security Disability (SSI) with no kids had no chance of qualifying for Medicaid.  People in nursing homes and people on SSI qualified for Texas Medicaid.  The pool of people who are in the Medicaid Trap is most likely not directly comparable to the current pool of reasonably healthy adults who are not on SSI nor in nursing homes but are still on Texas Medicaid.  My bet is the currently enrolled pool is younger, more female, and much poorer with far fewer assets (ie a working car etc) than people who would only qualify for Texas Medicaid expansion.

The expansion pool is probably older (more expensive), more male (slightly cheaper), and has a few assets/more stability (slightly cheaper).

A direct comparison on costs can’t be done unless there is a damn good idea of the actual or projected utilization profiles of the populations.  Actuaries will do that as that is their job, but it can’t be done at a glance.

FacebookTweetEmail
Previous Post: « Afternoon Open Thread: Actual Nuclear Rogue States
Next Post: The Criminality of Being Black And Mentally Ill »

Reader Interactions

12Comments

  1. 1.

    Neddy Merrill

    March 11, 2015 at 1:48 pm

    Wow, you sure big footed on Zandar.

  2. 2.

    Richard mayhew

    March 11, 2015 at 2:03 pm

    @Neddy Merrill: I drew the short straw during the daily balloon juice editorial and planning meeting.

  3. 3.

    Violet

    March 11, 2015 at 2:10 pm

    @Neddy Merrill: And then Richard got bigfooted. Twice.

  4. 4.

    raven

    March 11, 2015 at 3:17 pm

    Richard’s posts require, you know, reading. Other posts lend themselves to just jumping in and saying dumb shit without even looking first.

  5. 5.

    MomSense

    March 11, 2015 at 3:24 pm

    @Richard mayhew:

    Richard are you following the broohaha in Maine between LePage and the DHS vs. our Attorney General and the US govt. over LePage’s attempts to cut medicaid services from non-disabled, low income 19 and 20 year olds?

    In a nutshell the Federal Appeals Court denied the request to cut them off medicaid and now LePage wants to fight it at the Supreme Court but our Attorney General has refused to bring the case because she questions the legal merit. So the governor’s administration is hiring outside legal counsel to pursue this.

    Is this another attempt to try and chip away at Medicaid?

  6. 6.

    Mike J

    March 11, 2015 at 3:43 pm

    @raven: Exactly. I don’t comment as often on Richard’s posts, even though they’re the one I read most closely. He’s an actual expert. When Cole says something moronic I don’t feel any need to second guess myself when I tell him how stupid he is.

  7. 7.

    Doug r

    March 11, 2015 at 3:48 pm

    Can’t you claim your income as being just at the Medicaid limit and qualify for ACA subsidies? If your income is a little short they don’t penalize you?

  8. 8.

    Richard Mayhew

    March 11, 2015 at 5:03 pm

    @Doug r: Yep — as long as it is good faith(ish) estimate of your income

    There will be a follow-up post on this subject either tonight or sometime tomorrow.

  9. 9.

    Pogonip

    March 11, 2015 at 7:42 pm

    @raven: And thank God for that. :D

    What’s with the paucity of jump-in-and-say-something posts lately? Have they all got the flu or something? I guess we readers will have to fill in. So…

    What’s on the agenda?

  10. 10.

    Pogonip

    March 11, 2015 at 7:53 pm

    @MomSense: Probably. (I’m not Dick, but I was pretty sure I had the answer; hope you don’t mind.)

    How is your roof holding up?

  11. 11.

    Xjmueller

    March 11, 2015 at 8:59 pm

    A brief pedantic interlude…
    Social Security Disability benefits are not SSI. Both are based on disability findings and both are administered by SSA. Social Security disability insurance benefits have a work and earnings requirement. SSI Disability is a welfare/income supplement program. It’s an important distinction, particularly vis a vis other safety net programs like Medicaid. Social security disability benefits come with Medicare after two years of disability. You can get both SS and SSI disability if the social security benefit is less than the SSI max. That is all.

Comments are closed.

Trackbacks

  1. Liar, liar, pants are on fire » Balloon Juice says:
    March 11, 2015 at 5:01 pm

    […] covered worker in the New Jersey private sector is probably in their late 30s or early 40s.  As I explained earlier today, case mixture is important for any side by side comparisons.  Age is driving the vast […]

Primary Sidebar

Order 2024 Calendars

Final Preview of 2022 Pets of Balloon Juice: Calendar B! 1

Recent Comments

  • Omnes Omnibus on War for Ukraine Day 652: There Will Be No Miracles in Kyiv This Hannukah (Dec 8, 2023 @ 12:27am)
  • Bupalos on War for Ukraine Day 652: There Will Be No Miracles in Kyiv This Hannukah (Dec 8, 2023 @ 12:26am)
  • Bupalos on War for Ukraine Day 652: There Will Be No Miracles in Kyiv This Hannukah (Dec 8, 2023 @ 12:21am)
  • Soprano2 on Thursday After News Open Thread (Dec 8, 2023 @ 12:20am)
  • chopper on War for Ukraine Day 652: There Will Be No Miracles in Kyiv This Hannukah (Dec 8, 2023 @ 12:18am)

🎈Keep Balloon Juice Ad Free

Become a Balloon Juice Patreon
Donate with Venmo, Zelle or PayPal

Balloon Juice Posts

View by Topic
View by Author
View by Month & Year
View by Past Author

Fundraising 2023-24

Wis*Dems Supreme Court + SD-8
Virginia House Races
Four Directions: Montana

Featuring

Medium Cool
Artists in Our Midst
Authors in Our Midst
We All Need A Little Kindness
What Has Biden Done for You Lately?

Calling All Jackals

Site Feedback
Nominate a Rotating Tag
Submit Photos to On the Road
Balloon Juice Mailing List Signup
Balloon Juice Anniversary (All Links)
Balloon Juice Anniversary (All Posts)

Balloon Juice for Ukraine

Donate

Twitter / Spoutible

Balloon Juice (Spoutible)
WaterGirl (Spoutible)
TaMara (Spoutible)
John Cole
DougJ (aka NYT Pitchbot)
Betty Cracker
Tom Levenson
David Anderson
Major Major Major Major
ActualCitizensUnited

Cole & Friends Learn Español

Introductory Post
Cole & Friends Learn Español

Walter’s Fund (Athenspets)

Donate

Four Directions Montana

Donate

Site Footer

Come for the politics, stay for the snark.

  • Facebook
  • RSS
  • Twitter
  • YouTube
  • Comment Policy
  • Our Authors
  • Blogroll
  • Our Artists
  • Privacy Policy

Copyright © 2023 Dev Balloon Juice · All Rights Reserved · Powered by BizBudding Inc

Share this ArticleLike this article? Email it to a friend!

Email sent!