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Michigan Economy Rebounds, But Medicaid Enrollment Soars

Republicans drove increase in Medicaid spending while food stamps decline

… receiving either food stamps or Medicaid assistance increased by over … in the number collecting Medicaid benefits. The number of … 2009. But the number getting Medicaid benefits grew by 815,714 … received either food stamps or Medicaid. Roughly 215,000 people received … largely driven by the Obamacare Medicaid expansion championed by Gov. … more

The Great Lakes Trough Truce

Spending interest groups only ask for more money

… progress at cost-effective rates. Of course, these groups are not the only ones to engage in such a tactic. State universities don’t complain about Medicaid. The prison union doesn’t complain about road funding. Environmental cleanup contractors don’t complain about Pure Michigan advertising. Instead, … more

Sponsor Of Medicaid Work Requirements: They’re The ‘Right Thing To Do’

Able-bodied beneficiaries would have to get a job, get training, go to school or do community service

… as a condition of getting Medicaid health benefits. These bills … Michigan’s acceptance of the Medicaid expansion under the Affordable … requirements a condition of getting Medicaid health coverage from the … specified requirements to get Medicaid. The requirements differ … authorizing the Obamacare Medicaid expansion also required the … more

As Medicaid Costs Skyrocket, States Have a New Opportunity to Innovate

New guidance on work requirements indicates potential for reforms

States have seen Medicaid costs skyrocket over the last decade … comes from the Center for Medicaid Services, which last week … federal guidance for the Medicaid program, which includes giving … greater flexibility in their Medicaid programs. Take Michigan, … conversations about Michigan’s rising Medicaid expansion costs, which will … more

Michigan Legislature’s 10 Most Revealing Votes of 2017

Which side were your lawmakers on?

… state’s hospital lobby. Big Hospital perhaps became the state’s most powerful special interest after the 2013 Legislature voted to accept the Obamacare Medicaid expansion. That move brought approximately $4 billion in annual “free” federal dollars that now flow to Michigan hospitals. Senate Bill 335, Accommodate … more

State Ends Fiscal Year With Surplus After 12 House Republicans Defeat Tax Cut

Tax cut proponent: It shows Michigan government can afford to take less

… authorized by the Legislature in annual budget bills. That’s what happened in the fiscal year that ended on Sept. 30, 2017, due to lower-than-anticipated Medicaid spending, Bean told MIRS News. The estimated $260 million in unspent revenue is more than the $195 million taxpayers would have been allowed to … more

How Right-to-Work and the End of the 'Dues Skim' Killed the SEIU in Michigan

Membership, revenue and political spending plummet

… allowing them to skim “dues” money directly from the Medicaid checks paid out to disabled residents. The vast … unionized were friends or relatives of these Medicaid recipients, but were improperly classified as … scheme, which was taking $6 million annually from Medicaid recipients. SEIU Healthcare-Michigan then tried … more

Update: D.C.’s Tax Reform Sausage Making May Still Work Out

Tax Foundation Calculates $2,500 gain per Michigan family

… a repeal of the controversial individual mandate that is part of the Affordable Care Act. It is estimated this change will lead to a decrease in Medicaid costs and Obamacare subsidies paid out for insurance and thus, a decrease in the federal deficit of $338 billion over 10 years. This late move has … more

Half Of Able-Bodied Michigan Medicaid Expansion Enrollees Don’t Work

More than 600,000 enrolled, while total state unemployment down to just 218,000

… voted to accept the Obamacare Medicaid expansion in 2013, it was … poverty level would enroll in Medicaid. The actual number turned … people in the able-bodied Medicaid expansion population do not … the number of able-bodied Medicaid expansion clients who are … 4,641,000. Traditionally, Medicaid has provided health care … more

New Analysis: Auto Insurance Costs Out of Control

Costs on the rise, will get worse if nothing is done

… and procedures. Similar types of fee schedules are used for Michigan’s workers’ compensation program and government-run insurance programs, such as Medicaid and Medicare. The bill would also allow drivers to choose a policy that limits their total benefits, resulting in a reduced-priced premium. Opponents … more

Michigan Auto Insurance Reform Would Mandate Nation’s Richest Injury Coverage

Even if bill becomes law, the state would still be highest in the country for personal injury protection

… he says, costs will be shifted to the taxpayers through the state-run Medicaid system. He compared the proposal to “the Great Train Robbery.” Patterson … called for in the proposal could result in $150 million in extra annual Medicaid costs in 10 years, according to an analysis by the House Fiscal Agency. … more

Auto Insurance Reforms Worth Supporting

Bill isn’t perfect, but it’s a significant move in the right direction

… proposed fee schedule also melt away in the proper context. Every other government-mandated or government-run insurance scheme use fee schedules: Medicaid, Medicare, workers’ compensation and others. The proposed fee schedule is even largely based on an existing one: Most charges would be based on 125 … more

Did You Know? Post-Water Crisis, Fed and State Money Pours Into Flint

$347 million so far — nearly five times the city’s annual budget — delivered for infrastructure and more

… bottled water to residences, running social welfare programs, administering food and nutrition programs and more. Some of the money has been spent on Medicaid coverage for Flint residents, outreach to non-English speaking residents, child care subsidies, support for food banks and grocery market feasibility … more

Tax Feeders Declare a Truce at the Trough

… we don’t see that. School superintendents don’t complain about business subsidies, mayors don’t criticize the cash paid to state universities, and Medicaid advocates don’t denounce state-paid agriculture marketing. The people who receive government money in one area simply don’t complain about other … more

Michigan Medicaid Patient Can't Find Care, So She Pays For Innovative Alternative

Direct Primary Care: 'You pay a flat fee ... and it's amazing'

When Michigan expanded Medicaid in 2013, one person who was … this state's version of the Medicaid expansion component of the … doctors included under a state Medicaid managed care contract in … any insurance, let alone Medicaid. She thought there was no … of lawmakers, not just for Medicaid, which costs taxpayers billions, … more

Give Michigan Drivers Relief from High Auto Insurance Premiums

… treatment possible. What’s worse: While private insurance, Medicare and Medicaid have fee schedules that limit what medical providers can charge, there … auto insurers significantly more than they charge medical insurers or Medicaid and Medicare for exactly the same service. The generous benefits available … more

Time for Labor Unions to Collect their Own Dues

The on-going SEIU dues skim must end

… receives a modest monthly Medicaid stipend to care for her disabled … estimated $200 million in Medicaid funds from more than 500,000 … skimmed a portion of the Medicaid reimbursement for its own … Centers for Medicare and Medicaid Services within the Department … appropriations rider that prohibits Medicaid funds from being skimmed … more

Where did the Money from Higher Transportation Taxes Go?

A bigger budget means more money for programs beyond road repair

… be higher spending on schools and Medicaid, not road repairs. The 7.3-cent-per-gallon … for roads is now mostly paying for Medicaid and public schools. Specifically, … and the state agency that manages Medicaid is getting $132.6 million more. … was to spend more on schools and Medicaid. Taxpayers should pay closer attention … more

The Hypocrisy of 'Public' Education Rhetoric

What’s being protected here: The Constitution or union dues?

… education. These children often already benefit from health care vouchers (Medicaid) and food vouchers (Bridge Card, SNAP and WIC) that can be used at private … expressed concern with educational voucher programs broadly support both Medicaid expansion and federal food aid expansion, without constitutional concerns … more

Where the Money from Higher Transportation Taxes Goes

A bigger budget means more money for programs beyond road repair

… be higher spending on schools and Medicaid, not road repairs. The 7.3-cent-per-gallon … for roads is now mostly paying for Medicaid and public schools. Specifically, … and the state agency that manages Medicaid is getting $132.6 million more. … was to spend more on schools and Medicaid. Taxpayers should pay closer attention … more

Obamacare in Michigan: 32 Percent More Than Projected Take Medicaid Expansion

State’s free ride about to end on free coverage for able-bodied adults

… adoption of the Obamacare Medicaid expansion could cost state … Agency, Michigan’s share of the Medicaid expansion costs are projected … Projections,” says that Michigan’s Medicaid enrollment spike is part … Michigan) that expanded their Medicaid programs, the data shows … encourages states to expand Medicaid coverage to able-bodied a … more

State Health Policy Toolkit

10 reforms state lawmakers can implement now

… is repealed. 3. Verifying Medicaid Eligibility Problem: The number of Medicaid enrollees is skyrocketing, … other things, cross-matches Medicaid enrollees against other welfare … eligibility. 4. Unwind the Medicaid Expansion Problem: This … programs at the same rate. The Medicaid expansion did not increase … more

The Most Important State Election This November: Michigan's Next House Speaker

Three representatives face off for the top spot

… (VerHeulen “yes” with Greimel and Leonard “no”), accepting the Obamacare Medicaid expansion (VerHeulen and Leonard "no" with Greimel "yes"), and a few votes … because “doing so would push more Michiganders onto government programs like Medicaid and Medicare.” VerHeulen defended his vote on the internet sales tax, … more

Hopeful Medicaid 'Direct Primary Care' Pilot Embraced by Senate, Gutted by House

Special interests prefer status quo

Rising costs in Medicaid, Michigan's medical welfare program, … more people to sign up for Medicaid — encouraged by President … calls for bringing it to Medicaid on a trial basis. Direct … receiving benefits from Michigan Medicaid are enrolled in what amounts … 1980s and 1990s exist and Medicaid patients have no say in any … more

Three Reforms to Bring Down Michigan Health Care Costs

Panel explains how special interest protectionism hurts patients and economy

… working to open the door wider with a new bill that would permit a direct primary care option to be included in the state’s medical welfare system (Medicaid). And federal legislation is being considered that would allow it for Medicare services. Get rid of CON Finally, the panel addressed certificate … more

Michigan Budget on Course for $7 Billion Rise Under Republicans

From $47.6 billion in 2011 to $55 billion

… $47.6 billion to $55 billion. Much of this 16 percent increase will have been due to more federal money flowing into the state under the Obamacare Medicaid expansion. When federal dollars are excluded, state spending from state sources will have increased from $27.9 billion to $32.3 billion, a rise … more

How to Ease the Coming Physician Shortage

Changing licensing restrictions and expanding services would help

… growing demand, there has not been a corresponding rise in residency positions. Taxpayers pay for most residency positions through their Medicare and Medicaid dollars, but in 1997, Congress froze the number it funds at 100,000. The Association of American Medical Colleges has lobbied Congress to fund 15,000 … more

It's Time for Scope of Practice Reform

Current laws increase health care costs and limit access

… restrictions on nurse practitioners and physician assistants raise health care costs. Expanding the scope of their practices reduces the cost of Medicaid outpatient claims by 11 percent, and improves patients’ access to health care with little effect on quality. Access to affordable care will improve … more

Legislation Would Prevent State From Advertising to Get More People on Medicaid

Program expanded 30 percent beyond projections

… Committee for more than four months. “Healthy Michigan,” is the title the administration of Gov. Rick Snyder gave to its adoption of the Obamacare Medicaid expansion. During the expansion debate in 2013, it was estimated that somewhat more than 400,000 people in Michigan would eventually enroll in the … more

Governor’s Budget Pays for Medicaid Expansion with a Gas Tax

Michigan's revenue growth is set to continue

… by a tax hike for roads to pay for the state’s Medicaid expansion. Normally, roads are paid by vehicle … new home in the executive budget: the state’s Medicaid program. The state is required to pick up some … of its decision to let more people sign up for Medicaid, part of a deal made under Obamacare. The state … more

Legislature Hoping for Improbable Federal Rescue of Medicaid Expansion

Without waiver, it's back to the drawing board

The Obamacare Medicaid expansion approved by the Michigan Legislature … Centers for Medicare and Medicaid Services grants Michigan … of HMO-like managed care Medicaid coverage provided by hospitals … that Michigan accept the Medicaid expansion, he relied on projections … legislators accepted the Medicaid expansion after a bitter … more

Beware Claims of State Budget Cuts

… corporate welfare deals made in the past has come due and will continue to cost hundreds of millions. Health care costs keep on increasing, making Medicaid and prisons more expensive. And of course, the roads need more work. State policymakers recognized these trends, devoting a portion of income tax … more

Beware Claims of State Budget Cuts

Revenues are increasing

… corporate welfare deals made in the past has come due and will continue to cost hundreds of millions. Health care costs keep on increasing, making Medicaid and prison more expensive. And of course, the roads need more work. The state government should also re-examine its expenditures. The state is still … more

Bill Would Ban Advertising to Get More People on Medicaid

State Senator: This 'just encourages more people to become dependent on government'

… adoption of the Obamacare Medicaid expansion. The current state … million annually to promote the Medicaid expansion to potential enrollees. … Legislature to accept the Medicaid expansion, after the U.S. … loosen eligibility rules on Medicaid. That summer, amid rancor … funding. In 2013, the state Medicaid agency estimated that the … more

Michigan’s Obamacare Medicaid Expansion

Incentives gone awry

… Legislature passed a bill expanding Medicaid, a core component of the … managed care services under Medicaid to offer “healthy behavior” … or copay requirements on Medicaid beneficiaries, so Michigan … $50 Wal-Mart gift cards for Medicaid clients who, in essence, … hospitals that provide almost all Medicaid services in Michigan. While … more

Politicians Misrepresent Road Funding Bills to Promote Tax Hike

Slower spending growth is not a 'cut'

… fewer state employees. State economic growth has meant fewer people applying for government assistance, though the Obamacare-driven expansion of Medicaid will mean some increased spending. And while government pension costs are still high due to current and past underfunding, this expense has tapered … more

SEIU Affiliate’s Revenue Cut in Half After 'Dues Skim' Ended

SEIU Healthcare Michigan dues collection went from $11.3 million to $5.4 million

… grab a share of the benefit checks of Michigan residents enrolled in the Medicaid Home Help program, which lets elderly and disabled individuals receive … caregivers, and on that basis have union dues and fees “skimmed” from the Medicaid checks of the program's homebound beneficiaries. The unseemliness was … more

Labor Union Caught in Dues Skim Fails to File Annual Report with Federal Government

SEIU Healthcare Michigan reported losing 80 percent of its members after dues skim ended

… forced unionization of home-based caregivers serving patients collecting Medicaid benefits. It lasted from 2006 to early 2013. Under the forced unionization, money was deducted from the Medicaid checks of home care patients as union dues and fees for the caregivers, … more

Obamacare Exchange: Michigan Dodged a Bullet

… hadn’t yet got in the habit of violating the “Hastert rule” and rolling the caucus majority by passing bills with Democratic votes, which is how Medicaid expansion became law the following year.) There are no “wooden stakes” in Lansing though — bad policy proposals never die. If the U.S. Supreme Court … more

As Obamacare is Implemented, Part-Time Jobs at All Time High

U.S. has had a record 27 million people working 35 or fewer hours a week the past five years

… toward a greater reliance on part-time work, which is probably not a good thing for most workers.” ~~~~~ See also: Report: Michigan's Obamacare Medicaid Expansion Exceeds Projections by 22 Percent Obamacare's Michigan Tale: Small Drop in Uninsured While Families Pay More Michigan Paid 'Stupidity … more

Michigan’s Obamacare Medicaid Expansion Exceeds Projections by 22 Percent

Cost may be much more expensive than originally assumed

… enrollments under the Obamacare Medicaid expansion. Here’s what the authors … legislature to adopt his Obamacare Medicaid expansion plan, he too sold it on … fact that Michigan did not expand Medicaid eligibility until April, nearly 508,000 … Michigan, many states accepted the Medicaid expansion because lawmakers were … more

What the New Legislature Should Stand For — And What It Should Not

… around, the Legislature strayed from its initial limited-government approach. It expanded a poorly performing welfare program by passing the Obamacare Medicaid expansion. Although the Legislature finally engaged Detroit’s fiscal problems rather than “kick the can down the road,” taxpayers were forced to … more

Obamacare's Michigan Tale: Small Drop in Uninsured While Families Pay More

Four things about Obamacare in Michigan

… health care coverage; it has always been a massive Medicaid expansion scheme. In Michigan, federal figures show 303,000 residents were added to Medicaid rolls between the third quarter of 2013 and the … coverage, another was thrown into an already-strained Medicaid program. If you like your health insurance, you … more

What the New Legislature Should Stand For – and What It Should Not

A time for choosing in Michigan

… legislative actions fell short of the limited government approach. The Legislature expanded a poorly performing welfare program by passing the Obamacare Medicaid expansion. The good news was, for the first time in a generation a governor and Legislature seriously engaged the problem of Detroit's finances rather … more

CapCon Interview with Founding Editor Ken Braun and Mackinac Center President Joseph G. Lehman

On its fifth year anniversary, a history lesson

… back substantially. I think it’s also fair to say that we wouldn’t have ended the SEIU’s unconscionable skimming of so-called dues dollars from Medicaid recipients without CapCon reporter Jack Spencer’s work. That union quietly stole $6 million a year from poor, sick people. Democrats and Republicans … more

State Revenue Increasing by $640 Million

Michigan's projected deficit is because of overspending

… health and human services and education. “I think these two categories continue to put pressure on the budget over time,” he said. Douglas said Medicaid and the increasing costs of paying for school employees’ pensions will continue to be serious issues for the budget. ~~~~~ See also: Despite GOP … more

Doctors Accepting More Medicaid Patients – for Now

… Michigan doctors accepting Medicaid patients, leaving the impression that Medicaid expansion in Michigan is … says: The vast majority of Medicaid benefits in Michigan are … who is willing to accept Medicaid’s below-market payment. Under … federal government increased Medicaid primary care reimbursements … more

Two Wins for Freedom from Union Coercion in 2014

The end of the dues skim and the busting of the 'August Window'

… home-based caregivers into the Service Employees International Union. Because of this forced unionization, millions of dollars in “dues” extracted from Medicaid payments to caregivers were being sent to the union. The political and legal battle over the dues skim included legislative efforts in 2011 to defund … more

'Hastert Rule' May Impact Michigan House GOP Leadership Race

… Hastert rule has become an issue is because we’ve seen things pass, like Medicaid expansion — and there were a few other times that the caucus basically got run over.” Medicaid expansion passed twice in the House with slightly less than a majority … more