re: One-third of Louisiana's residents are enrolled in Medicaid

The feds need to relocate and diversify the country. No reason for the NE and PNW to be pasty white and not burden themselves with their governments past transgressions.

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Good lord. Does it at least discount prescriptions?

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There’s a negotiated rate but there are times where I have pay as a cash customer because it’s cheaper than the insurance negotiated rate

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Sincere question, what would be your solution?

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I think this question is impossible to answer for every state. Each has different medicaid laws, has different socio-economic issues, etc.

In my opinion, it is less a medicaid issue and more of a welfare state issue and cultural problem. We should focus on getting people into the workforce instead of allowing them to just collect welfare every month. Once they are employed, they often have insurance through their employers. Culturally, we need to focus on population health more. Obesity epidemic is a massive strain on medicaid and medicare because of the correlating health issues.

There are also policy changes a lot of states could make regarding what who is eligible for medicaid, how long they can be on medicaid if able-bodied, etc.

Honestly, there is no silver bullet. It will take a variety of things that sadly, will never happen.

What they lose in Medicaid and self pay, they have to make up by outrageous charges to private insurance and workers' compensation. And those costs get passed down to the consumer.

In summary, we who have insurance are paying quadruple what we should in premiums, to pay for all the medicaid and private pay patients. And the only way we can afford the astronomical premiums is to carry huge deductibles.

In summary, the leeches make out like bandits. Honest hardworking folks get robbed. God Bless America.

agreed. the reimbursements from medicaid are a disaster.

will continue to hurt the quality of healthcare in the next few decades.

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There’s a negotiated rate but there are times where I have pay as a cash customer because it’s cheaper than the insurance negotiated rate

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Try Good Rx
The lady at Walgreens told me to try it, my deductible is 7500.00, no prescription discounts
Medicine was 160.00 a month, with Good Rx it’s 66.00, it just doesn’t go towards my deductible
I’ll never reach it anyway

So essentially, we have a single payer system?

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Sincere question, what would be your solution?

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REAL evaluations performed on a case by case basis. Cut out the able bodied people with COPD, fibromyalgia, and all the other catch all bullshite that’s used to justify being a professional leech on society. Find work, even if at home, for people wanting Medicaid.

Just to add to what I've said if people are curious, a big part of my job is also market research.

I develop methodologies for determining what markets we should invest in or enter into with massive, sometimes in the billions, investments.

Big things to look at:

- socio-economic factors such as trended average household income, unemployment rate, etc. We obviously want employed and prosperous populations.

- population health factors. We don't want too healthy (cough...Denver), but we don't want obesity levels to be too high. Obesity might cause profitable things for hospitals like heart surgeries, etc., but it actually is a net loss because it A. more often causes low margin issues like diabetes complications, COPD, etc. and those things clog our ERs...and B. Obesity is more common with low income folks

- population age. We make money on Medicare, but not as much. Sweet spot is that 45-65 age where you start to have health issues, but you're not on medicare yet (obviously this pertains to commercially insured folks)

- finally, the % of population on Medicaid trended over time. If that trend looks bad, we just won't go there.

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The entire EBR school system is supposedly under all free lunch What a time to be alive in La

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Are you really surprised? Everyone with means sends there kids to private schools or they move to Ascension/Livingston