Cooperating for better care.

Jessica Schubel

Tag Archives

CMS chief wants to toughen Medicaid rules


In a Governing magazine news article,  CMS Administrator Seema Verma discusses how she would like to make Medicaid recipients take more personal responsibility, including by CMS imposing work requirements across America.

She’s already implementing changes that could  remake how America cares for its poorest citizens for decades to come. And she may well become the next secretary of health and human services.

“The goal of the program should be to help people rise out of poverty,” Ms. Verma told Governing.  For able-bodied adults, the program should be “a stepping stone, not a long-term plan. We should be aiming higher.”

But, reports Governing, “{M}any critics simply don’t agree that work requirements and other mandates have any place in a health-care plan.”

”Medicaid’s purpose is not to encourage employment or train people. That’s the Department of Labor’s job,”  Jessica Schubel, Medicaid policy expert with the left-leaning Center on Budget and Policy Priorities, told the magazine.

To read the full article, please hit this link.




Nev. governor vetoes Medicaid-access-for-all bill

The Nevada State Legislative Building, in Carson City.

In Nevada, Republican Gov. Brian Sandoval  and Democratic legislators have often cooperated in innovative ways to address healthcare issues, whatever the fiercely partisan standoff in Washington, D.C.

But the governor wouldn’t go along when the Democratic-controlled legislature passed a bill to let anyone — regardless of income — sign up for Medicaid on the Affordable Care Act’s insurance marketplace — in a cousin of the universal-healthcare/Medicare-for-all proposals getting increasing attention as the red tape-bound and vastly expensive U.S. healthcare “system” looks worse and worse — including its lowly outcomes.

Mr. Sandoval vetoed the Medicaid-available-for-all bill on Friday night, hours before the deadline, saying that the legislation “could introduce more uncertainty to an already fragile health-care market and ultimately affect patient health care” and that it was being rushed “without factual foundation or adequate understanding of the possible consequences.”

But supporters of Medicaid access-for-all, including the bill’s sponsor, Assemblyman Mike Sprinkle, have argued that  it  cost less than a single-payer plan and that it was needed because “There is an absolute need for states to become more reliant on providing insurance options to its citizens.”

“It’s an innovative approach that might also be of interest to other states,” says Jessica Schubel, senior policy analyst with the Center on Budget and Policy Priorities, told Governing magazine. “but it clearly rests on the base of a strong Medicaid program and robust marketplace subsidies — both of which are in danger.”

The state is pushing hard to shore up its health-insurance offerings. For instance, Governing reports, it has told private insurers   that their “applications for state Medicaid contracts would get preferential treatment if they also sold plans on the marketplace  — and it’s already paying off.

“Nevada is the only state where Aetna is still going to offer coverage in 2018. This fall, Nevadans shopping on the exchanges will have five insurance options. In addition, premiums are expected to be lower than the national average.”

To hear the NPR report, please hit this link.
To read the Governing article, please hit this link.

Contact Info

(617) 230-4965

Wellesley, Mass