Missouri Medicaid Committee Working on Expansion Plan

4 years 3 weeks 4 days ago Wednesday, October 30 2013 Oct 30, 2013 Wednesday, October 30, 2013 12:49:00 PM CDT October 30, 2013 in News
By: Taeler De Haes, KOMU 8 Reporter
loading

JEFFERSON CITY - The Interim Committee on Medicaid Transformation met Wednesday morning at the State Capitol to create a plan for Medicaid expansion. The meetings are focused on manage care.

Representative Jay Barnes (R-Jefferson City) proposed an overhaul to expand Medicaid eligibility and offered incentives to those already on Medicaid.

"The average mid-Missourian who has a private health insurance plan has to make decisions based on the services they're going to receive. That's not true in the current Medicaid program, either in the state of Missouri or anywhere in the country," Barnes said. "We need to get recipients thinking more like participants."

Barnes said his proposal is something unique to not only Missouri, but the whole country.

"No state in the nearly 50 year history of the Medicaid program has introduced the idea of cost-consciousness to Medicaid recipients where those recipients get to share a portion of money they save for tax payers by making good, health conscious decisions," Barnes said.

One example Barnes gave was not going to the emergency room when a patient does not need emergency care.  

Medicaid covers more than 870,000 Missourians, and is geared toward seniors, people with disabilities, pregnant women and certain families with children. Eligibility standards vary between groups.

For example, to be eligible, a single parent with two children is limited to an income of $3,711 a year.

Barnes said Missouri can increase the market-based Medicaid to 100 percent of the federal poverty level and then help subsidize health care plans for working Missourians who fall in the coverage gap, or between 100 percent and 138 percent of the federal poverty level.

If Missouri expanded Medicaid, the coverage gap would be closed completely, ensuring an option for every Missourian.

Representative Chris Kelly (D) said the committee is trying to come up with the best plan for both medical care and tax payers.

"Critical to that is finding a way to have the recipients have a way to financial vested interest in the result," Kelly said. "If you decide to not go to the emergency room instead of seek some preventive care, we're looking for ways to build financial incentives into that."

Kelly said dental care is one of the worst areas of health care delivery.

"Especially for poor kids. Many dentists provide care to poor kids for free, but we still have too many poor kids untreated," he said. "The Medicaid program's reimbursement rate for dentists is inappropriately low."

Wayne Lee has been on Medicaid for more than 20 years. He suffers from epilepsy, experiencing multiple seizures every week, making it impossible for him to hold a job.

"At one point, I was having 50 or 60 each week," Lee said.

Lee said Missouri needs to expand Medicaid.

"Not for those already on Medicaid, because we won't be affected," Lee said. "But it does need to be expanded for the people who do not have health insurance and are not making enough money to purchase health insurance."

Lee said if Missouri chose to expand Medicaid, the state could have received more than $15 billion between 2014 and 2020.

By expanding Medicaid, 351,000 additional Missourians would be eligible to qualify for coverage.

Barnes said there is no date for when he will release the first draft of a bill for 2014.

More News

Grid
List
COLUMBIA - A city-owned garbage truck caught fire Friday morning at Columbia's landfill. The Columbia Fire Department said these... More >>
1 hour ago Friday, November 24 2017 Nov 24, 2017 Friday, November 24, 2017 10:03:00 PM CST November 24, 2017 in News
COLUMBIA - Four people went to the the hospital Friday night after a two-car crash on Brown Station Road at... More >>
1 hour ago Friday, November 24 2017 Nov 24, 2017 Friday, November 24, 2017 9:56:00 PM CST November 24, 2017 in News
COLUMBIA - Small Columbia businesses on the south side of town said they were helping each other get business on... More >>
3 hours ago Friday, November 24 2017 Nov 24, 2017 Friday, November 24, 2017 8:05:00 PM CST November 24, 2017 in News
COLUMBIA - Black Friday shoppers continued to fill up malls and outlets despite a late night accidental shooting Thursday outside... More >>
4 hours ago Friday, November 24 2017 Nov 24, 2017 Friday, November 24, 2017 6:54:00 PM CST November 24, 2017 in News
ST. LOUIS (AP) — A protest forced a large suburban St. Louis shopping mall to close for an hour on... More >>
6 hours ago Friday, November 24 2017 Nov 24, 2017 Friday, November 24, 2017 5:16:00 PM CST November 24, 2017 in News
WILLARD, Mo. (AP) — A Greene County sheriff's deputy responding to an alarm call has been involved in a crash... More >>
7 hours ago Friday, November 24 2017 Nov 24, 2017 Friday, November 24, 2017 4:05:09 PM CST November 24, 2017 in News
HAMEL, Ill. (AP) — A Missouri college student is the third person to die after a major crash this week... More >>
7 hours ago Friday, November 24 2017 Nov 24, 2017 Friday, November 24, 2017 3:58:00 PM CST November 24, 2017 in News
COLUMBIA - The Boone County Fire Protection District said it battled more than usual brush fires Friday. "There's nothing... More >>
7 hours ago Friday, November 24 2017 Nov 24, 2017 Friday, November 24, 2017 3:57:00 PM CST November 24, 2017 in News
COLUMBIA -Racism, sexism, homophobia and animal abuse have all had a home on Reddit, but the website is taking steps... More >>
10 hours ago Friday, November 24 2017 Nov 24, 2017 Friday, November 24, 2017 1:25:26 PM CST November 24, 2017 in News
KANSAS CITY, Mo. (AP) — A jail inmate has been charged with first-degree assault and armed criminal action after authorities... More >>
11 hours ago Friday, November 24 2017 Nov 24, 2017 Friday, November 24, 2017 12:11:47 PM CST November 24, 2017 in News
COLUMBIA - A Columbia man involved in a deadly shooting in May has been indicted by a federal grand jury... More >>
11 hours ago Friday, November 24 2017 Nov 24, 2017 Friday, November 24, 2017 11:40:00 AM CST November 24, 2017 in News
COLUMBIA - Police arrested a man early Thursday morning for various drugs and weapons charges. CPD says officers smelled... More >>
11 hours ago Friday, November 24 2017 Nov 24, 2017 Friday, November 24, 2017 11:37:00 AM CST November 24, 2017 in News
KIMBERLING CITY, Mo. (AP) — Two tangled bucks that drowned in a Missouri lake last month have been memorialized in... More >>
12 hours ago Friday, November 24 2017 Nov 24, 2017 Friday, November 24, 2017 11:05:00 AM CST November 24, 2017 in News
ST. LOUIS (AP) — Three Thanksgiving Day killings in St. Louis have brought this year's homicide total to 188, matching... More >>
12 hours ago Friday, November 24 2017 Nov 24, 2017 Friday, November 24, 2017 10:58:31 AM CST November 24, 2017 in News
ST. LOUIS (AP) - A soldier home for Thanksgiving in St. Louis is OK, but he lost his car and... More >>
12 hours ago Friday, November 24 2017 Nov 24, 2017 Friday, November 24, 2017 10:44:30 AM CST November 24, 2017 in News
KANSAS CITY, Mo. (AP) — A man who was arrested after sleeping in a Kansas storage unit with his two... More >>
12 hours ago Friday, November 24 2017 Nov 24, 2017 Friday, November 24, 2017 10:32:21 AM CST November 24, 2017 in News
ST. LOUIS (AP) — St. Louis police are investigating after two officers fatally shot a man and wounded a 14-year-old... More >>
13 hours ago Friday, November 24 2017 Nov 24, 2017 Friday, November 24, 2017 10:13:19 AM CST November 24, 2017 in News
COLUMBIA- Nearly 40 million used cars are sold in the United States each year. Many of them look good externally,... More >>
14 hours ago Friday, November 24 2017 Nov 24, 2017 Friday, November 24, 2017 8:58:00 AM CST November 24, 2017 in News
Columbia, MO
Broken Clouds 59°
12am 57°
1am 54°
2am 50°
3am 48°

Select a station to view its upcoming schedule:

Coming Up Next

10:35p
The Tonight Show Starring Jimmy Fallon
11:37p
Late Night with Seth Meyers
12:37a
Last Call with Carson Daly
11:00p
Rules of Engagement
11:30p
The King of Queens
12:00a
King of the Hill

Tonight's Schedule

7:00p
Dr. Seuss' How the Grinch Stole Christmas
7:30p
Trolls Holiday Special
8:00p
Dateline NBC
7:00p
iHeartRadio Music Festival, Night 2
9:00p
KOMU 8 News @ Nine on The CW
9:30p
Seinfeld