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re: 80% of Louisiana residents on Medicaid are ineligible, audit finds. 10% have 6 fig incomes

Posted on 12/12/18 at 3:32 pm to
Posted by el Gaucho
He/They
Member since Dec 2010
52861 posts
Posted on 12/12/18 at 3:32 pm to
I didn’t think income is what made you “qualified for Medicaid”
Posted by slackster
Houston
Member since Mar 2009
84571 posts
Posted on 12/12/18 at 3:33 pm to
quote:

That sack of shite is paying for Medicaid.


And? Fraud is fraud.
Posted by fishfighter
RIP
Member since Apr 2008
40026 posts
Posted on 12/12/18 at 3:35 pm to
quote:

Do you have any idea how much nursing homes charge?


Yes

quote:

You're not paying for that out of pocket. They run through all of the old person's funds and they can only keep less than 2K in their account at any time. They'll take their house, land, pretty much everything and do it with a smile. Lady literally told my wife that they LOVED taking land.


FACT. Reason I turn all my holding over to my kids. It has to be done 5 years before service.
Posted by fishfighter
RIP
Member since Apr 2008
40026 posts
Posted on 12/12/18 at 3:37 pm to
It is, not medicare.
Posted by Golfer
Member since Nov 2005
75052 posts
Posted on 12/12/18 at 3:37 pm to
quote:

You can pay for it if you purchase LTC insurance, but people hate it.



Which you usually look to purchase in your 60's...so when someone ends up with young on-set dementia at 51...what should their family do? Just throw up their hands and give the skilled nursing facility all their assets?
Posted by deeprig9
Unincorporated Ozora, Georgia
Member since Sep 2012
63729 posts
Posted on 12/12/18 at 3:42 pm to
LTC will just annually increase your rate until it costs more than the care but it is nice to have for the first year or two.

Posted by Cocotheape
Member since Aug 2015
3782 posts
Posted on 12/12/18 at 3:44 pm to
LTC is a dead end insurance product, so much bad risk rating and pricing when it first came out, see Penn Treaty, Genworth, etc.

Now it’s so expensive as to not really make sense for an overwhelming majority of people
Posted by LSUFanHouston
NOLA
Member since Jul 2009
36892 posts
Posted on 12/12/18 at 3:45 pm to
Meanwhile, a friend of mine, who has been gainfully employed for 15 years since he graduated college, lost his job a couple of months ago. He went about a month before he found a new job. He claimed unemployment for the month he was out of work.

He has had nothing but problems with getting his claim approved. Finally, they got it approved, paid him for 1 week, by which time he was back working with his new job, and now, they are "auditing" him, asking for information and pay stubs from his new job.
Posted by BiggerBear
Redbone Country
Member since Sep 2011
2916 posts
Posted on 12/12/18 at 3:46 pm to
quote:

They'll take their house, land, pretty much everything and do it with a smile. Lady literally told my wife that they LOVED taking land.


That isn't how it works. Nursing Homes are private businesses, like most hospitals. They charge money for their services. You must pay if you want their services.

Medicare will pay if you qualify. If you don't, you must pay. It's really that simple.
This post was edited on 12/12/18 at 3:49 pm
Posted by upgrayedd
Lifting at Tobin's house
Member since Mar 2013
134808 posts
Posted on 12/12/18 at 3:46 pm to
While I despise this shite, 100 people surveyed doesn't sound like an adequate pool
Posted by teke184
Zachary, LA
Member since Jan 2007
94529 posts
Posted on 12/12/18 at 3:49 pm to
A survey of 100 isn’t representative as a whole. BUT. If he turned up that many shitbirds out of such a small sample I’d hate to see the results for an audit of 1000 or 10000 enrollees.
Posted by Cump11b
Member since Sep 2018
2026 posts
Posted on 12/12/18 at 3:49 pm to
That wasn't me, but jesus christ... I just thought the truck nuts thing was a joke
Posted by upgrayedd
Lifting at Tobin's house
Member since Mar 2013
134808 posts
Posted on 12/12/18 at 3:53 pm to
True. Seems like a decent justification to go deeper
Posted by fallguy_1978
Best States #50
Member since Feb 2018
48227 posts
Posted on 12/12/18 at 3:55 pm to
quote:

I just thought the truck nuts thing was a joke

I see a pair every once in a while
Posted by ccomeaux
LA
Member since Jan 2010
8184 posts
Posted on 12/12/18 at 3:57 pm to
quote:

I'm not sure what's going on in this specific situation, but I know people that have a child with severe special needs that are often on Medicaid since their healthcare expenses get into the hundreds of thousands, and even millions, rather quickly.


The parents income is not considered if the dependent receiving Medicaid has special needs. I know, my child is one such recipient.
Posted by TBoy
Kalamazoo
Member since Dec 2007
23542 posts
Posted on 12/12/18 at 3:59 pm to
And the reason for this was that the state did not have a way to verify income eligibility.

However, last month ....

The state went operational with new upgraded Medicaid operations software which gathers income information from the state tax system so that eligibility can be confirmed.

Call back if the system put in place specifically to address this issue doesn’t change the situation.
Posted by Nawlens Gator
louisiana
Member since Sep 2005
5823 posts
Posted on 12/12/18 at 4:03 pm to

Fraud and corruption are the hallmark of government spending. People cheat and nobody cares. Always has been, always will be. Military, health care, welfare, etc etc.

Posted by TBoy
Kalamazoo
Member since Dec 2007
23542 posts
Posted on 12/12/18 at 4:03 pm to
quote:

The parents income is not considered if the dependent receiving Medicaid has special needs. I know, my child is one such recipient.


My special needs child also receives Medicaid as a secondary payer for my health insurance because of special needs. The kicker is that we were on the waiting list for this assistance for nine years. For nine years we private paid aides and for everything not covered by Blue Cross. Our in reimbursed out of pocket medical expenses averaged more than $35,000 per year.
This post was edited on 12/12/18 at 4:04 pm
Posted by facher08
Baton Rouge
Member since Aug 2011
4270 posts
Posted on 12/12/18 at 4:03 pm to
quote:

While I despise this shite, 100 people surveyed doesn't sound like an adequate pool


It is when calculating for the standard deviation. The 85 million dollar amount is the high end of the 95% confidence interval.
This post was edited on 12/12/18 at 4:06 pm
Posted by Restomod
Member since Mar 2012
13493 posts
Posted on 12/12/18 at 4:03 pm to
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